According to Human M. Fatemi, Senior Consultant in Gynecology and Reproductive Medicine, more Indian women opting for cesarean (cesarean) delivery and fewer women exposed to direct sunlight can have a long-term adverse effect on their overall reproductive health. According to Fatemi, a sub-specialist in reproductive medicine and surgery recognized by the European Society of Human Reproduction (ESHRE) and the European Council and College of Obstetrics and Gynecology (EBCOG), the increasing number of caesarean sections is becoming a source of concern among gynecologists. too.
The rate of caesareans jumps in private centers
“The 5 and National Family Health Survey revealed that the national caesarean section rate is 21.5%. This is almost double the World Health Organization (WHO) ideal of 10-15%. But the main concern is that this rate rises to 47.4% when it comes to private centers. This unambiguous increase in C-sections and the difference between the same procedures in public and private hospitals may have serious implications for women’s health, their future fertility, their ability to have children in the future, and the likelihood of dying. ‘a live birth, it’s all at risk,’ Fatemi said.
Published evidence suggests that a caesarean section has harmful effects on subsequent pregnancy and birth rates. Those who give birth to their first child by caesarean section are less likely to conceive a second child than those who give birth vaginally. The most important point is not the choice to have a second or subsequent child, but the capacity to do this, he said .
Lack of sun exposure
Meanwhile, Fatemi also said there is a definite association between vitamin D levels in women and their ovarian reserves. Adequate levels of vitamin D are associated with a higher likelihood of a healthy pregnancy with a four times higher likelihood of a successful IVF pregnancy, than those with low levels of the vitamin. It is equally important that pregnant women with high vitamin D levels have higher live birth rates than those with lower vitamin D levels.
“As part of the basic fertility assessment, blood tests are done to measure vitamin D concentration and transvaginal ultrasounds are done on days 2-5 of the cycle to determine the antral follicle count (AFC). In humans, exposure of the skin to sunlight is the primary and critically important source of vitamin D,” he added.
“It’s our lifestyle choice, from the clothes we wear to the skin lotions we use that give us lower exposure to natural sunlight. This choice may be a cause of our low vitamin levels. D and may unknowingly prevent us from obtaining the other health benefits associated with direct sun exposure,” he added.
March 25, 2022