I believe that we live in a world ‘where knowledge and
sciences are highly praised and accredited. Since the creation of man, the
maternal health gradually developed to the today’s stage.
The pre and post birth constraints that the ancient mothers
and children faced reduced thank you to the research done by the scholars so
far involved in studying and learning and as a result of that the subject with
regard to the maternal health improved. Compared with the medical officers,
doctors who dealt with the subject in the past, the advancement of the medical
science given the doctors of today to deal with the subject, solve constraints
if any, in a more mother and child friendly healthier manner.
Even the mother of today is well aware of most the facts that
they should know and learn to look after their health during the pre-natal
stage and during the period of pregnancy and after a child birth. Such as, what
routines they must follow and avoid (do-s and don’ts) with regard to day today
living and consumer habits etc. And were educated at clinics and by elders of
the families.
When everything was cordially done, the services healthily and
supportively linked other than in a medically unavoidable situation with
medical or social issues or constraints, the mother do not face any issues at
child birth.
Almost every community of the world now are equipped with
modern necessary equipment, tools that should be there at the labor rooms to
facilitate the team of relevant medical officers.
Even if any ordinary etc. issues identified during or
pre-natal stage the causes of issues can be identified easily today, again
thank you to the facilities and knowledge of the medical staffs.
If there is any new issues less known to us or not known to
our medical experts due to a reason that do not explain in the books of
medicines how those should be addressed or medicated must be verified and
clarified. Even to well identify any issue strange to them than usual or common issues known to them the
team of medical scholars should suggest what things must be done to address or
cater the issues. For instance if there is any medical issue that cannot be
solved, medicated inland, they normally suggest the patient another better solution
for instance if it an issue related to implanting an organs etc. they should
visit an institution with facilities available.
Other than the scholars who learned the subject, medicine no
person has the ability or the skill, qualification to advice or to prescribe
medications for a patient ill or a person disabled due any medical or health
issues, very including issues or constraints related to pregnant mothers as to
what mechanism or methods should be used to solve such an issue, to well
identify such issues.
Thank you to Hippocratic and persons lived before or after
him, the efforts taken by the medical officers who legally and ethically
qualified from recognized institutions such as Universities, there are a set of
rules developed to protect human rights related to medical science segment or
health sector in particular.
Though every person who is assign to serve any community of humans
should follow human friendly methods to serve their communities, countries, and
their people, there is a particular Oath known worldwide as ‘Hippocratic oath’.
Any person who had learned the subject or any legally qualified learner, pupil
who studied or learned medical science, must swear from their deep within before
professionally begin to serve the humans.
If any medical officer breaks any rules during their medical
practices first and foremost what he or she disrespect is the oath written by
the human Hippocratic.
Every community has a history of medical science, health.
Since official and legal establishment of medical entities, institutions such
as hospitals and universities acts and facts, ministry of a country, every
single fact and incident happen every moment in any environment were directly written
indirectly mentioned in the book/s, papers, court cases, personal or public
research reports, documents of history of local medical science, unless any of
them were burnt or discarded intentionally for whatever reasons.
There are ways a sector develops other than by the academic knowledge
experimented and tested or gained by research done by the scholars local and
worldwide. i.e. Local health sectors develop learning the facts and incidents,
mistakes, things intentionally occurred or naturally happened in the past as
well.
If something happened in any segment of health, department
taking care of local health, every relevant sector personal should be well
educated, informed, including the students without changing the actual picture,
facts because the same thing help develop the medicine science and to improve
methods of practices, to establish rules and regulations, policies etc. If any
issues newly occurred in any human community that cannot be cater using available
resources and knowledge more research should be done and must give more
attention than in the past.
Therefore every fact and incident, data should be well shared
and documented without fabricating anything is important for the development of
the sector of the world health.
If there is something happening in any geographic or
political segment of the world with regard to health of a person, the WHO
should know every detail and fact of the matter or the incident or the
achievement. The organization cannot share the information knowledge with the
world community if they refrain from following such procedures and there should
be a mechanism established how they should cooperate, collects facts and
details working cordially with local governments, I think.
The incidents that had happened with regard to maternal
health, pregnant mothers’ at their child births at the teaching hospital in the
Kurunegala district of the country, since about many years, directing our
sector officers, scholars, students, researchers attention towards learning
another vital aspect and facet of the subject of medicine that was not well identified
as an issue or not apparent to any of the relevant sector personal before but
came to surface after the incident happened on the April 21st of
this year.
I have a question with regard to child birth anyway. I do not
know whether the number of mothers who deliver their babies naturally is
decreased and the mothers who face caesarian operations increased compared with
the past? What are the reasons so far reveled by the scholars for such child
births? Any research done locally or internationally to learn the facts?
According to data available, news sources, about 4000 plus
babies were delivered using caesarian method since about a few months (?) years
with the help of a team lead by a local medical practitioner and they had faced
health and social complexities and constraints with regard to their personal
health and family lives. Most the mothers who faced issues after facing the
operations done by the medical officer were Sinhalese and 80 plus them were
Tamil mothers and a few Muslim mothers. But they have faced no medical
complexities or social constraints after facing the operation, the sources
reported.
According to what the researchers reveled through the
complained they received from affected mothers, after the child birth done by
the particular medical officer, they had faced medical constraints such
bleeding, aches and pains and they didn’t become pregnant afterwards though
they had plenty of hopes and plans to have more babies.
Almost every mother who faced the constraints, complexities shared
and given similar facts and reasons when explaining the issue, some I viewed
and heard during news bulletins.
According to what I heard a child birth can be barred
distracting the natural path that leads towards mother’s womb carrying relevant
human components towards it. During a process of a child birth, by harming an
essential vein etc. (Placenta?) during a caesarian operation further birth of
children can be stopped. BUT according
to available sources of knowledge, knowledgeable, there is no such mechanism
advised explained, taught to be practiced in the subject of medicine/ in
ethical medicine. Not even as a method of control of birth or a method of
permanently stopping a pregnancy. But for a clever doctor according to the
knowledgeable this can be done without consent of the knowledge, support of the
others of the team and approval of the mother/parents.
According to available human witnesses the relevant doctor
had used less time to finish an operation than taught or need.
Needless to say if any medical officer is currently following
any of such or similar methods to harm a mother and her hopes and plans , in anywhere
of this world we cannot applaud or support continue such practices. Must take
immediate actions to stop such actions for the sake of better and healthy living
of humans and to protect their human rights.
How these can be prevented in the future?
First and foremost, need to get a clear picture, better
understanding of the issue, what had happened, how such things were done,
method used, why? Under what
medical reasons? If there was any medical constrains identified, why didn’t he
informed the mothers, the team before the operations were done?
Birth control; this is not something that one person decides.
Both parents should come to an agreement if they are willing or planning to choose
such method to have or not to have any children in the future.
The parents have the soul right to decide whether they should
own any other children after a child birth or after having a few children for
the family, when there are no laws established by their governments etc.
(control population) and they should decide ethically and under legal framework
what medical method matches their need with the help of the qualified doctors.
Even under an acceptable reason, medical conditions, even to
abort a child a medical officer cannot be engaged in such activities without
the awareness of the mother, at least.
If a mother’s natural pregnancy procedures distracted or
disturbed or barred illegally intentionally, during an operation what are the
rights of the mother and her family breaking?
Mother’s Pregnancy rights, Parent’s right to have a child,
Child’s right, family rights etc. local rules and regulations attached to
professional sphere and other social and religious customs and practices, norms
and values etc.
According to some the act of this particular medical officer
can be understood as something, an action done intentionally to assassinating a
particular race, nation to bar increase of Sinhalese race, nation, to reduce
the population of nation in order to build their Utopian kingdom, even if we inquire
him I do not know whether you will earn facts to justify his opinion. And by
doing so what he had expected was to support sustain and increase the
race/nation that he belong to.
I do not think that he will ever revel his intention to
follow such a method during an operation, caesarian. No wrong doer accepts such
things even if a person does something to harm a person intentionally or such things
we hear very rarely.
The method that the officer may have used is said or
explained to people, based on the current knowledge available. If you allow the
experts to well study the issue, by interviewing and examining the mothers, you
never know what you will encounter, new medical facts and reasons that you may end
up learning , find out. Every fact you learn from such research definitely nourish
world health and the subject medicine. And most importantly such information you
find and gain through such research surely help future development of the
subject medicine.
This can be studied and understood and addressed two ways.
- Medically
- Legally.
The medical experts should be involved in studying and
collecting medical facts and the other facts can be revealed to human world with
the help of the legal experts.
How this issue could be technically and medically studied and
PREVENTED IN THE FUTURE?
Like I wrote in above paragraphs prevention could be done by accurately
learning the issue; collecting the right and relevant facts, details provided
by affected mothers. Thoroughly examining them by medical experts; for this
relevant tools and facilities; laboratory etc. and other essential environment
should be provided and facilitated by the government. If there are no adequate
facilities available to identify or study such issues accurately, to examine
affected mothers within the country, they must be directed to a place, an
Institution with relevant facilities and knowledge available with a local team
of experts. So the local experts can educate the rest of the local medical
sector personal and students without facing obstacles issues afterwards.
Collecting relevant details, facts by interviewing the
medical officers who participated for the operations done by the suspect,
medical officer too is important to well understand the issue.
I believe that CCTV cameras etc. should be fixed inside a
labor room and in every relevant sector of a hospital. Medical histories of
patients treated should be filed and documented and well protected by the
authorities with contactable information.
before i conclude, i like to request, give the medical officer a chance to purify and justify his actions by supporting to examine the affected mothers medically as advised by the experts going here or there or anywhere of this world and continue his profession. This may help delete all the suspicious perceptions , doubts from and among people here and there of the world. if not the doubts may sustain , the issue may sustain in the hearts and minds of the people.
Finally and above all Freedom of research and ethically and
lawfully work of professionals should be respected.
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