ArticleInternational journal of preventive medicine2014
Development of strategies to reduce cesarean delivery rates in iran 2012-2014: a mixed methods study.
Article in International journal of preventive medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Factors that influence the provision of intrapartum and postnatal care by skilled birth attendants in low- and middle-income countries: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2017Pooled it
- Health care provider's perceived factors for the increased practice of caesarean delivery in North West Amhara referral hospitals, Ethiopia, 2022: a qualitative study.Frontiers in global women's health · 2025Article
- Urgent need to address increasing caesarean section rates in lower-middle-income countries like Bangladesh.Frontiers in global women's health · 2024Article
- Leadership Driven Persistent Reduction in Cesarean Trends: An Interventional Study for Quality Improvement.Journal of obstetrics and gynaecology of India · 2023Article
- Strategies to improve the quality of midwifery care and developing midwife-centered care in Iran: analyzing the attitudes of midwifery experts.BMC pregnancy and childbirth · 2022Article
- Incidence and Determinants of Caesarean Section in Shiraz, Iran.International journal of environmental research and public health · 2020Article
- Interventions targeted at health professionals to reduce unnecessary caesarean sections: a qualitative evidence synthesis.BMJ open · 2018Review
- Article
- Intention for Cesarean Section Versus Vaginal Delivery Among Pregnant Women in Isfahan: Correlates and Determinants.Journal of reproduction & infertilityArticle
- The perception of primiparous mothers of comfortable resources in labor pain (a qualitative study).Iranian journal of nursing and midwifery researchArticle
- The Challenges and Achievements in the Implementation of the Natural Childbirth Instruction Program: A Qualitative Study.Iranian journal of nursing and midwifery researchArticle
- Relationship between Spiritual Intelligence with Happiness and Fear of Childbirth in Iranian Pregnant Women.Iranian journal of nursing and midwifery researchArticle
- Qualitative Exploration of the Needs of Pregnant Women to Manage the Fear of Childbirth.Iranian journal of nursing and midwifery researchArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundWith the change in population policy from birth control toward encouraging birth and population growth in Iran, repeated cesarean deliveries as a main reason of cesarean section are associated with more potential adverse consequences. The aim of this research was to explore effective strategies to reduce cesarean delivery rates in Iran.
methodsA mixed methodological study was designed and implemented. First, using a qualitative approach, concepts and influencing factors of increased cesarean delivery were explored. Based on the findings of this phase of the study, a questionnaire including the proposed strategies to reduce cesarean delivery was developed. Then in a quantitative phase, the questionnaire was assessed by key informants from across the country and evaluated to obtain more effective strategies to reduce cesarean delivery. Ten participants in the qualitative study included policy makers from the Ministry of Health, obstetricians, midwives and anthropologists. In the next step, 141 participants from private and public hospitals, insurance experts, Academic Associations of Midwifery, and policy makers in Maternity Health Affairs of Ministry of Health were invited to assess and provide feedback on the strategies that work to reduce cesarean deliveries.
resultsQualitative data analysis showed four concept related to increased cesarean delivery rates including; "standardization", "education", "amending regulations", and "performance supervision". Effective strategies extracted from qualitative data were rated by participants then, using ACCEPT derived from A as attainability, C as costing, C as complication, E as effectiveness, P as popularity, and T as timing table 19 strategies were detected as priorities.
conclusionsAlthough developing effective strategies to reduce cesarean delivery rates is complex process because of the multi-factorial nature of increased cesarean deliveries, in this study we have achieved strategies that in the context of Iran could work.
Indexed as
Identifiers
25709791PMC4336986What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.