Recently, a senior gynecologist in Assam came under administrative scrutiny for performing 21 lower segment cesarean sections (LSCS) within a span of 10 hours . The concern raised by authorities was not about the outcomes alone, but whether sterilization, documentation, and standard operating protocols (SOPs) were adequately followed in the process. From a clinical perspective, the doctor explained that many C-sections can be completed safely within 15–25 minutes, particularly when the operating theatre is well-equipped— this unit had two OT tables, allowing seamless preparation between cases .
Reportedly, most mothers and babies were discharged in stable condition, with only two requiring further care. For us as clinicians, this situation raises important points: Volume vs. Safety – High surgical volumes are possible, but the emphasis must always remain on infection control, fetal…
