1 hr ago
Bhiwandi IGM Hospital’s On-Call C-Sections Raise Maternity Care Concerns
Bhiwandi’s IGM Hospital helps women give birth, but it does not have a gynaecologist permanently available for Caesarean operations.
Instead, the hospital calls a private specialist whenever such an operation is needed.
The government pays Rs 4,000 for each Caesarean procedure.
This system has been used for nearly two years.
People are also asking whether a contracted specialist is regularly present at the hospital.
After surgery, women are kept in the labour ward and watched by MBBS doctors.
This may be enough for routine care, but specialists may be needed quickly if a serious problem happens.
Hospital officials say they have asked the government to appoint specialist doctors.
The issue matters because many local women, especially those with limited income, depend on this hospital.
Bhiwandi’s IGM Sub-District Hospital lacks a permanently available gynaecologist for Caesarean sections.
The hospital calls a private specialist when a Caesarean is required and pays Rs 4,000 per procedure.
The on-call Caesarean arrangement has continued for nearly two years after the service was introduced.
Concerns have been raised about the availability of a contracted gynaecologist and post-operative specialist supervision.
Hospital officials say they have sought government appointments, while elected representatives have repeatedly reviewed the facility.
- Who
- IGM Hospital, its administration, private on-call gynaecologists, Dr Madhavi Pandhare, and visiting elected representatives including MP Suresh Mhatre.
- What
- The hospital is relying on on-call specialists for Caesarean sections and faces concerns about permanent gynaecologist availability and maternity care.
- Where
- Indira Gandhi Memorial Sub-District Hospital in Bhiwandi.
- When
- The arrangement has continued for nearly two years; the details were disclosed on Thursday during a hospital visit.
- Why
- The hospital says it has a shortage of permanent specialist doctors and is awaiting government appointments.
Hospital Administration
Patient-Care Concerns
On-call Caesarean service
Hospital Administration
Calling a private specialist when needed has enabled the hospital to provide Caesarean services despite a shortage of permanent gynaecologists.
Patient-Care Concerns
Critics question whether an on-call system can replace the consistent specialist presence needed in a maternity unit.
Post-operative monitoring
Hospital Administration
MBBS doctors can supervise women after surgery as part of routine post-operative monitoring.
Patient-Care Concerns
Immediate access to a gynaecologist may be important if complications such as excessive bleeding, hypertension-related problems, or fetal distress occur.
Inspections and follow-up
Hospital Administration
MP Suresh Mhatre and local MLAs have periodically reviewed the hospital’s functioning, while officials say they are seeking government appointments.
Patient-Care Concerns
Repeated visits have not resolved the specialist shortage, raising questions about whether inspections are followed by concrete action.
Key facts
- Hospital
- Indira Gandhi Memorial Sub-District Hospital, Bhiwandi
- Specialist arrangement
- A private gynaecologist is called on demand for Caesarean sections.
- Government payment
- Rs 4,000 is paid for each Caesarean procedure.
- Duration
- The on-call system has operated for nearly two years.
- Post-operative supervision
- Patients are kept in the labour ward under MBBS doctors after surgery.
- Reported staffing issue
- The hospital reportedly has a contractual gynaecologist whose regular availability has been questioned.
- Hospital response
- The administration says it has sought specialist appointments from the government.
Sources
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