Thu Nov 07 17:11:27 UTC 2024: ## Tamil Nadu Faces OB-GYN Shortage, Jeopardizing Maternal Health Goals

**Chennai, November 7, 2024:** A critical shortage of obstetricians and gynecologists (OB-GYNs) in Tamil Nadu’s Comprehensive Emergency Obstetric and Newborn Care (CEmONC) centers is jeopardizing the state’s ambitious plan to reduce Maternal Mortality Ratio (MMR).

The situation is so dire that many centers are operating with skeleton staff, forcing doctors to work 24-hour shifts two to three times a week. Doctors interviewed by The Hindu revealed that vacant positions have remained unfilled for years, leading to overworked staff and a compromised standard of care.

“The number of OB-GYNs in CEmONC centers is inadequate,” shared an anonymous OB-GYN, highlighting the strain on overworked doctors and the potential danger to patients. “We are unable to provide one-to-one monitoring and quick decision-making due to the high patient volume.”

The heavy workload has led to burnout and a decline in decision-making abilities, according to several doctors. One doctor described the situation at her center: “We need at least four to five OB-GYNs here. With only two doctors, we manage a ward of 40 to 50 patients, including deliveries, emergencies, and complicated cases.”

The situation is compounded by the lack of adequate staff in other essential specialties, such as anesthesiology and pediatrics.

P. Saminathan, President of the Service Doctors and Post Graduates Association, emphasized the need for dedicated OB-GYN positions within CEmONC centers. He highlighted the significant increase in deliveries at government hospitals, which outpaces the existing staffing levels.

Recognizing the issue, Health Minister Ma. Subramanian announced plans to address the shortage, stating that walk-in interviews for OB-GYNs will be held. However, concerns remain about the long-term solution and the immediate impact on patient safety.

The state government’s plan to reduce MMR by 2026 is threatened by the current staffing crisis. Experts urge swift action to address the shortage and ensure that adequate medical care is available to mothers across Tamil Nadu.

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