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....contd from "the early care of new bornze"

"Boon or Bane?"

Tremendous strides in medicine have improved the health and well being of every newborn. Every pregnant woman should remember that modern medicine has vastly reduced the dangers and discomforts that were faced by our grandmothers during pregnancy. Pregnancy can be an exciting, fulfilling and delightful time. It can also be a time of uncertainty and change. A fully formed human being will develop from a tiny egg and sperm in just nine short months. The growth of a baby from conception to birth demands that you, the mother, protect the embryo's development. New technology such as Ultrasonography is a great boon to the mother and the medical profession as it demystifies the process and allows the parents to visualise the baby even while it's still in the mother's womb.
Such a giant step forward, yet it has its flip side. Meant, ostensibly, to ensure the safety of the pregnant mother and her child but they were quickly harnessed to the larger -- and more lucrative -- cause of sex determination. Put into the hands of "son crazy" parents and unscrupulous medical practitioners, this self same boon is a means to detect and eliminate female fetuses.

Imagine the fall-out. For one, as the abortions are performed late, the risk to the mother increases and more deaths are noted; for two, imagine an unequal society dominated by males and the problem is compounded. According to 1991 census, the country's overall sex ratio was 929 women per 1000 men. This sex ratio is becoming more skewed day by day.
While Induced abortion has been legal in India since 1971, any test to determine the sex of an unborn child has become illegal since the Pre-natal Diagnostic Techniques (Regulation and Prevention of Misuse) Act, 1994 came into effect from January, 1996. However these laws are only on paper. The governments have not responded to the serious allegations made by Dr George and other petitioners such a non-governmental organisations CEHAT and Masum that the laws are toothless pieces of legislation. There are wide spread advertisements by various clinics providing pre-natal sex selection. The understanding of pre- natal sex selection being an act of violence has been given up and a narrow interpretation of the Act is being forwarded, which gives a licence to all doctors to conveniently adopt this technique without the fear of law. Sadly, the protagonists of this tableau -- the medical personnel -- seem remarkably immune to the moral and demographic questions involved. The old dictum, ``Physician, heal thyself,'' seems to have suddenly acquired new meaning. Fortunately though, the Medical Council of India and the IMA are now gearing up to achieve just that.
Finally, it is the literate, aware woman of the 21st century, the mother-to-be, who will make a difference. That's what will decide whether USG is a boon or a bane.

Dr Sailesh Gupta, an MD in paediactrics is the secretary of the Indian Academy of Paedactrics, Mumbai branch. Dr Gupta is also the secretary of the Maharashtra branch of breastfeeding promotion network of India. Here he talks about taking care of the new born and its importance.

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