Deliveries at Keralam’s Kozhikode Government Women and Children’s Hospital decline

The Government Hospital for Women and Children in Kozhikode, Keralam, has experienced a significant decline in total deliveries, especially normal deliveries, between 2020-21 and 2025-26. Despite this overall drop in patient admissions, C-section rates remain high, exceeding both World Health Organisation recommendations and the national average.
Why it matters
This trend raises concerns about the accessibility and quality of maternal healthcare services in the region, potentially impacting public health outcomes and highlighting issues within the management of a key government hospital in India.
Normal deliveries are declining and C-section deliveries remain high at the Government Hospital for Women and Children at Kottaparamba in Kozhikode City, Keralam.
According to the Health department, there were a total of 5,201 deliveries (2,729 normal and 2,472 C-section) in 2020-21. This number came down to 2,238 (1,387 normal and 851 C-section) in 2025-26. A large number of people from the urban areas of Kozhikode are dependant on this hospital.
The data also reveal that between 2020-21 and 2022-23, a high number of deliveries were in the C-section category. In 2020-21, of the 5,201 deliveries, 2,472 were C-section; in 2021-22, of the 3,552 deliveries, 1,841 were C-section; and in 2022-23, of the 2,205 deliveries, 1,148 were C-section.
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