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A senior gynaecologist in Assam<\/a>, a northeastern state<\/a> of India<\/a>, is under investigation after performing 21 emergency caesarean section<\/a> (C-section<\/a>) deliveries within a single shift. <\/p>\n Dr Kantheswar Bordoloi, who serves as the senior medical officer at Morigaon Civil Hospital, carried out 21 lower segment caesarean section<\/a> (LSCS) deliveries between 3.40pm local time on 5 September and 1.50am on 6 September. <\/p>\n The local administration issued a formal show-cause notice to the doctor \u2013\u00a0asking him to explain why he should not face disciplinary action \u2013 raising serious concerns about the safety<\/a> and well-being of the mothers and newborns<\/a> involved. <\/p>\n The notice demanded that Dr Bordoloi submit detailed reports for each case within three days, according to the Hindustan Times. <\/p>\n The administration specifically requested information about whether proper sterilisation procedures were followed, whether any foetal distress cases were documented, details of newborn care in the Sick Neonatal Care Unit (SNCU), and the roles of the assisting medical staff.<\/p>\n \u201cThis raises a few serious concerns and hence, in this regard, you are hereby directed to submit a comprehensive report for each of the above-mentioned cases,\u201d additional district commissioner for health Nitisha Bora said in the notice.<\/p>\n Officials said that both preoperative and postoperative medical records were inadequately maintained, which could compromise infection control measures and increase the risk of maternal and infant complications. <\/p>\n \u201cSuch detailed documentation is imperative for strengthening infection control protocols and for preventing maternal and infant morbidity and mortality,\u201d the notice added.<\/p>\n However, Dr Bordoloi defended his actions, saying that handling multiple surgeries in a short period is not unusual in India<\/a>\u2019s busy public hospitals. <\/p>\n He explained that in uncomplicated cases, a typical C-section<\/a> can take as little as 15 minutes, and the hospital is equipped with two operating tables, allowing continuous sterilisation without compromising safety. <\/p>\n \u201cI was handling emergency cases one after another, and the numbers unexpectedly shot up. I worked quickly, but all necessary medical procedures were followed,\u201d he said, according to The Assam<\/a> Tribune.<\/p>\n \u201cWhat I have done is nothing unusual, and other doctors also perform many surgeries at such a pace. Perhaps someone complained against me,\u201d he said. <\/p>\n He added that 19 out of the 21 mothers and newborns<\/a> had been discharged in stable condition, while two remain hospitalised, including one who was transferred to Gauhati Medical College and Hospital, one of the region\u2019s premier medical institutions.<\/p>\n