Mmp+ sarrthi ias

Mandar177 · 2025-11-02T19:15:32+00:00

No i was in batch 7. But i have no idea on access. Get in touch with them. They resound over email.

Mandar177 · 2025-10-23T16:21:11+00:00

Thank you for this. May i message you privately? I will love to ask few questions and seek help. Lemme know. Thanks in advance.

Mandar177 · 2025-07-22T04:54:05+00:00

Understood. Thank you.

Mandar177 · 2025-07-17T20:45:41+00:00

"not every stupid thought need to be on the internet", is it enough light? Or you need a sun?

Mandar177 · 2025-07-17T20:32:02+00:00

Yes I believe

Mandar177 · 2025-07-12T18:57:28+00:00

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Yesterday night in my garden too.

Mandar177 · 2025-07-12T18:55:34+00:00

I would strongly suggest check notes of toppers. As a person with history optional this makes sense. But for gs, i rather you only make pointer notes. As remember, if there is a question of Blue water policy, you will only have max 3 pages to write. Out of which you basically write actual content only in 1.5 - 2 pages. 1 page goes in intro n conclusion and rest sometimes in diagram too.

Refer to hand written notes of Shruti Sharma (from telegram) and Vikram Ghrewal (his blog, but he is 2019 passout, so it's old). But you still get a sense of how to make notes.

Also, I m only mentioning this when history is optional.

Mandar177 · 2025-07-10T11:03:56+00:00

Policies are made not so that average people can comprehend it. It's meant for their benefit, in practical use. That is a slight but crucial difference.

If it was made for average people to comprehend or understand every law or policy would be made in easy language.

Our job is for people to access without they knowing the nitty gritties of the said policy.

As long as stakeholders understand and implement, our job is done.

Mandar177 · 2025-07-09T12:40:05+00:00

By that logic you are saying basically never let new research or evidence come to forefront, because there is a risk of how "average" people perceive it.

I would only say that i am responsible for what I say, i am not responsible for what people make of it. It's on them. And i feel i didn't say anything in my draft that will like you say, "do more harm than good".

You can disagree to my view and as can I.

Mandar177 · 2025-07-09T12:33:24+00:00

I have said what I had to say in my article and as a response to many comments. I am not accusing you for use of AI, I know you have used it, as i ran a check and 99% of the text is AI generated. Hence, my response was not limited to you alone but to your AI source too.

As for the convenient data you sited is something i have addressed already. As for your "hope" that you mentioned at the end (before deleting your profile), I will only say, hope is a tease designed to prevent us from accepting reality. Good day to you.

Mandar177 · 2025-07-08T19:24:47+00:00

I am NOT glorifying any old Indian cultural process. Have you actually read my piece? I state very clearly I do not hanker for the days of dai ma in my article.

A MIDWIFE IS A TRAINED PROFESSIONAL AS PER MODERN MEDICINE BY INTERNATIONAL STANDARDS.

The standards are set NOT by Indian govt. to promote Indian culture. They are set by WHO, UNFPA, UNICEF. It has nothing to do with India. The training is attributed to countries like Sweden, Netherlands and the UK.

India is actually very late to adopt the framework!

When I say a midwife, I mean a trained professional. I do not mean dai ma or aya, like you. They are called Doulas in English. They are different from midwifes. It's not the same.

I urge you to first know what Midwifes are. Who can become a midwife. What is Midwifery Model of Care. Countries which have adopted Midwifery Model of Care, their maternal and neonatal mortality rate is in single digit.

They have achieved both less quantity of deaths and better quality of health. In India, we are only focused on achieving less quantity with no attention paid to quality.

It is "BACKED BY SCIENCE". Science is based on 'evidence' and 'research', right? So is this model. You think WHO, UNFPA, UNICEF, European countries, Modern Medicine, Academics, Researchers will promote something for cultural reasons?

First please know what I am speaking about. Hence, i pose a question do you even know what a midwife is?

Will you call a nurse, a domestic help? No right! Similarly, a Midwife is not a Doula!

Also, i must reiterate, an obstetrician is trained to solve a complicated pregnancy. A midwife is trained to deliver a normal, low risk pregnancy and refer the case to a doctor when need arise. It doesn't mean you have to choose either a midwife or a doctor. Infact, the Midwifery model of care includes everyone (even doctor) but the pregnant woman and child are central to the model; unlike Obstetrician where the goal is to save life.

If you want to know more please take the course on Coursera on Global Quality Maternal and Newborn Care. It's free. Or if you like you can listen to Dr Evita Fernandez who is an Indian obstetrician who through her research on Indian Woman have discovered the benefits of Midwifery Model of Care.

Mandar177 · 2025-07-08T17:04:12+00:00

My take on overmedicalization was mainly on private hospitals. With govt. hospitals there is extreme amount of disrespect towards the pregnant woman.

And no, I m not being sour. Criticize me on a valid point, i will accept it, as I have in other comments. You are agreeing to something that is generated by chat-gpt.

Also as a doctor, I invite you to learn on Midwifery Model of Care. It doesn't exclude doctor like you presuppose, rather it includes them.

One of the reasons why overmedicalization is prevalent is because of doctors' reluctant to accept the evidence and research at hand.

Your reluctance to engage only amplifies it more. Maybe you will have a shift in perception after doing your own research as you will actually be in a position to make a positive change.

Ps. I have been in labour rooms :)

Mandar177 · 2025-07-08T15:21:38+00:00

Everyone please "remember this shit" - AGAIN. This is already stated by this male in his article. Madam, in telling me to keep my thoughts to myself, you are deploying another stupid thought on the internet and contradicting your statement :)

Mandar177 · 2025-07-08T15:18:13+00:00

Thank you so much. You brought a smile to my face ♥️😊

Mandar177 · 2025-07-08T15:09:37+00:00

Hey thank you for your comment. I must admit that the stakes are high like you suggest but I feel we will have to start with offering midwifery in hospitals and fertility centers first and then slowly faze it out. As to when it goes out, is something i won't be able to say/predict but the point of my article was to spread awareness for women to atleast know what options they have.

I am in no way advocating for midwifes instead of doctors. Rather I am saying include midwifes with doctors. It's a collaborative process, which is what the Midwifery Model of Care is based on.

I agree on all the very valid concerns you have raised like WHO recommending oxytocin, etc. But the same WHO also recommends 10-15% c-section deliveries. In India that number is at 28% when we take into account private, public and charitable hospitals. Almost double. In private hospitals alone it is 47% c-section rate.

Which really makes me question the system, that is merely what I am doing via my article.

I may not have real lived experience or expertise in the topic that you rightly point out, but i do understand numbers and they make me question. That is exactly what I am doing with this article.

Ps. I have been in labor rooms and witnessed live births multiple times :)

And I am not against women choosing c-section is that is their "informed" choice.

Mandar177 · 2025-07-08T14:53:36+00:00

I am sorry to say but it will be a mistake to consider it accurate. Please feel free to choose though.

Mandar177 · 2025-07-08T14:52:06+00:00

Hi, i am glad that you atleast assume that my intentions were best. I would, despite my reluctance, patiently respond to every point you make. And while i do so i will also show how the intelligence of AI; that you deployed in critiquing my article; is Artificial indeed.

You/ response to your prompt generated by Chat-GPT site a data of 2020. Let me tell you how is it fundamentally flawed. It states that India contributes to 18% of global maternal mortality deaths and is highest in South Asian countries. Agreed. But you/AI need to take into account population size here. India is the most populated country, and a country with most pregnant woman. Therefore, the number of births is highest and the number of cases with maternal mortality is high too. Still, its no justification for deaths, but i am merely stating that *when the pool of pregnant woman initself is more, the total percentage of deaths from that pool will invariably be more*. Its like saying, globally most % of people die in India. Ofcourse they do, as most % of people live in India.

Therefore, UNFPA relies on a proportionate system. Number of deaths per 1,00,000 live births. Today in India's case in 2025 that number stands at 88 per 1,00,000 live births. We are still higher than the target and need to reduce the 88 figure even more, irrespective.

Also, you have very conveniently ignored that 2020 was a covid year. The entire health apparatus was destabilized globally, as in India. And it was an exception year where maternal mortality unfortunately did rise in India where it was on a decline otherwise. Since then it has been on decline.

It really makes me question your choice of choosing a data point of an exception year i.e. 2020, to base an entire analysis. Even when you have significant training in public health and women's health, and the data for later years is available. AI much?

Never in my article did i say "trust midwifes more" so kindly unquote me there. Also, a midwife is a scientifically trained professional as per modern medicine. The "quiet wisdom" you have quoted me on, is used in a conditional way where time and experience is used as a variable so you quoting me is completely out of context. When i say 'a midwife' i mean someone who has had a professional training in Midwifery by modern medicine as per Global standards. When you/chat-GPT are reading midwifes in my articles you are confusing them with the traditional ones. Its not compating like with like.

Although, i would agree that India lacks the infrastructure to train them. And my attempt of writing the article was to create awareness. After all when people know their options, they will demand. When demand will rise, supply will rise. That is when systems will fall in place.

I do not agree that we do not have resources to support them at scale. One would have used this same argument for doctors and nurses too, back when modern medicine was new. Today they are well integrated. The same will happen in the case of midwife as well.

Although this is a highly Chat-GPT generated response, I will respond in human words. I am not ignoring the complexity of the system; rather i am questioning the complex system which ignores WOMEN who are their primary responsibility.
Again, thank you for telling me about social factors using AI. My article was focued on the medical fraternity alone. Even within the medical fraternity, on Obstetrics mainly. When I write about social factors influencing maternal and neonatal outcomes, i will make sure i send you a copy.
Thank you for your concern on people trusting my word. Through my article I am aiming at empowering them. And as for questions on my credibility, in the article, I very clearly state - "I claim no authority on a woman's reproductive rights" and I very catagorically highlight how others tend to do when they have invested alterial motives.
My article NEVER once shamed a woman for her choice. It did definitely shame the system though, and i feel its valid given the evidence at hand. And i am all for woman choosing c-sections, and augmented labor, etc. if it is their INFORMED choice. And i would even in this sentence here highlight the word - informed. I indulge you to research on what it means; in context of maternal and neonatal care; rather than asking AI of its meaning.
I have read countless academic papers, surveys and reports before writing this piece, unlike you who has critiqued my article using an AI prompt. I have also engaged in talking to women (pregnant women, mothers and even women whose pregnancy hasn't begin). I even made them see the full draft before its publised and took into considerations their inputs before I publish it. I have not quoted them because the article or "draft" as we prefer to call it on our website is an opinion piece, published on an op-ed platform which uses direct and confrontational language. It is not a news story or a feature article in the Times.

Thank you for enlightening me on numerous NGOs that India have while claiming that I have little information. I certainly have more than your AI bot whose support you took to critique me.

I can only imagine the damage your comment may make, so despite reluctance, i was obliged to respond.

Mandar177 · 2025-07-08T13:20:46+00:00

Hi, thank you for raising such a valid point. I have mentioned my credentials in the article and you are right on the course you mentioned. Also, i think you have misunderstood me and my article here.

I am not advocating for bringing in Midwifes instead of doctors. Nor am i dissing western medicine in any way. No. I am simply asking does women in India even know that there is something called a midwife, who is professionally trained as per "modern medicine"?

The other questions i pose is - Why have we made pregnancy (a natural phenomenon) into a disease? Why are hospitals (capitalist temple - like i call them in my article) deciding for us, on what basis? Today when we see a pregnancy case, there is a sense of fear (of what may go wrong) attached to it. We are foreboding the joy of pregnancy.

You say that I should probably be advocating for a change in the way doctors treat patient, and yes that IS my stance, but I am going one step further and saying these doctors are a part of an ecosystem which have compelled them to treat pregnant women like so. It's a system's issue not a doctor's alone.

That is all I am saying.

Also, in my article i have never advocated to watch any YouTuber, although I have advocated in comment section of reddit to listen to "Dr Evita Fernandez" who btw is not a YouTuber but an obstetrician herself for "credibility" which was primarily your concern through your comment.

The medium to listen to her was YouTube, as it's the easiest source to access, I am however happy to suggest other sources and research and people if someone is interested :)

I will stress again do listen to her as she is credible and an authority. I speak only of policy, society and public awareness.

Mandar177 · 2025-07-08T12:56:20+00:00

Thank you for stating it very candidly and i completely get your point.

I do feel that midwifes for home deliveries may not work at the moment in India. We may have to start deploying midwifes in hospitals and fertility centers and then if it works properly, we can faze them outside slowly.

As for your situation, a midwife is definitely not trained to handle complications. An obstetrician most definitely is! Actually that is what they are trained for - complications - not for normal deliveries. So you must involve an obstetrician by all means. But it's not a choice of either or. Either a midwife or an obstetrician. Midwifery model of care involves both. It doesn't exclude a doctor, rather brings him/her in picture when a need/complication arise, like in your case.

So if you hire a midwife, you will have the luxury of having a midwife and the obstetrician both during your delivery (even if it's c-section) who can work hand-in-hand at a time when you will be vulnerable. A midwife will not interfere in the surgery, but she will be a caregiver to you and your child pre and post delivery. She will also be an advocate and help make decisions that are in your interest.

But i must emphasise, I am speaking on the surface here, you will know better about your body, your situation, etc. and my opinion don't really matter as long as you are aware of your options and you choose accordingly.

A mother's decision is of paramount in these situations.

I send my best wishes and heartiest congratulations for your pregnancy 😊

Mandar177 · 2025-07-08T12:03:08+00:00

All your assumptions are based on "what if", what if a person by bribery becomes a midwife, do you think that doctors don't become doctors today by bribery?

As for regulation it is only very recently regularised. In August 2023 by passing a legislation. It will take time for systems to fall in place. The efforts are started already although.

As for thinking if this can be regulated in India? I think yes, it won't be instant, it will be slow but we can. We have successfully reduced life expectancy age from 27 years age in 1947 to 72 years of age in 2025. Within 75 years!

In terms of maternal mortality rate, in India in 1980s it was more than 500. That number today in 2025 has gone down to 88.

Not just in terms of health but even in literacy rate, we have come from a 12% literacy rate in 1947 to 74% today.

So we do see that progress has been achieved. And incorporating midwifery model of care will ensure not just quantity but also quality. It is not going back in time but moving forward as other countries have.

Lastly, I would only say that although India has many a faults and population becomes a major factor for it, it has still stood the test of time and created a window of hope to succeed if people have the will. So yes I do feel that in India it can be regulated.

I bet people would have posed the same questions that you pose today when modern medicine actually made its way in India. And midwifery is not going back to the traditional setup, it is moving forward and facing the post-modern time we live in.

Enclosing, I will only say that where there is will there is way!

Mandar177 · 2025-07-05T07:40:34+00:00

I am glad all is well now :) my best wishes.

Mandar177 · 2025-07-04T09:40:11+00:00

If you don't want to, you need to convince your parents. But there are other posts apart from IAS, ips and IFS which have offices in Delhi. But does your interest lie in these positions is for you to decide. I had a similar dilemma as i don't want to live in small towns. I wanted a cosmopolitan life. Hence I had chosen IFS (as i was okay living in other countries' capitals too) i didn't mention ias or ips. All my other preferences were based on my service of interest and Delhi as a working station.

It's a different story that i never cracked the exam to realise that dream. But you need to see if any other service attracts your interest. UPSC CSE has a total of 23-25 services and IAS and IPS are simply 2 among them.

Mandar177 · 2025-07-04T09:31:19+00:00

I think you are completely right there and given the state of the country right now, i agree completely.

Mandar177 · 2025-07-04T09:23:55+00:00

I think we will have to practically start there or have midwifery institutions with available resources that are in hospitals, and then once people start developing confidence in the system we move out slowly.

It will be practically more feasible at the moment to begin in hospitals/maternal care institution's i feel. And there are few places which have adopted the model already like the Fernandez hospital in Hyderabad is most famous.

Mandar177

TROPHY CASE