
A senior gynaecologist working at a government-run hospital in Assam, India, has been suspended following a shocking revelation that she performed dozens of caesarean sections without any medical necessity.
The action was taken by the Assam health department after a thorough audit of procedures carried out in January. The investigation uncovered that the doctor, identified as Dr. Jahanara Islam, performed a staggering 67 C-sections at the Fakhruddin Ali Ahmed Medical College and Hospital that were deemed completely unjustified.
A Pattern of Unnecessary Surgery
The audit was initiated after hospital authorities noticed an alarmingly high rate of caesarean deliveries being performed by Dr. Islam. The probe found that of the 71 C-sections she conducted in January, a mere four had any valid clinical indication. This pattern of practice represents a severe breach of medical ethics and guidelines.
Health Minister Keshab Mahanta stated, "This is a very serious matter. Performing surgeries without any indication is unacceptable and we will take strict action against such practices." The minister emphasised the state's commitment to patient safety and ethical medical care.
Broader Implications for Maternity Care
This incident has sparked a wider conversation about the rising rates of caesarean sections, not just in India but globally, including within the UK's NHS. Medical professionals stress that C-sections, while life-saving in complicated births, are major surgeries carrying significant risks, including infection, haemorrhage, and complications in future pregnancies.
World Health Organization guidelines recommend an ideal C-section rate of between 10-15%. Rates significantly higher than this often indicate that the procedure is being performed for non-medical reasons, potentially driven by financial incentives or convenience.
The suspension of Dr. Islam serves as a stark reminder of the critical importance of medical audits and transparency in safeguarding patient welfare and ensuring that surgical interventions are always in the best interest of the mother and child.