ArticleBMC research notes2021
The impact of Health Transformation Plan on natural vaginal delivery and cesarean section frequency in Iran: an interrupted time series analysis.
Article in BMC research notes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed.
- Effect of midwifery students' continuity of care program on women's experiences of maternity care: A randomised controlled trial.PloS one · 2026Trial
- Financial and regulatory interventions to reduce unnecessary caesarean sections: An updated scoping review.PLOS global public health · 2026Article
- Translating policy into health outcomes: a mixed-methods health impact assessment of the family physician program in Bonab County, Iran.BMC public health · 2025Article
- The effect of family physician program and health transformation plan on utilization and cost of health services.Cost effectiveness and resource allocation : C/E · 2025Article
- The effect of Covid-19 pandemic on the primary health care utilization and cost: an interrupted time series analysis.Cost effectiveness and resource allocation : C/E · 2025Article
- Comparing Cesarean Incisional Complications in Women With and Without Enoxaparin: A Quasi-Experimental Study.Health science reports · 2025Article
- The Impact of the Health Transformation Plan on Hospital Performance Indicators: A Meta-analysis Study in an EMRO Region Country.International journal of preventive medicine · 2024Review
- The effect of Covid-19 pandemic on healthcare utilization in public vs private centers in Iran: a multiple group interrupted time-series analysis.BMC health services research · 2023Article
- The trend of normal vaginal delivery and cesarean sections before and after implementing the health system transformation plan based on ICD-10 in the northeast of Iran: A cross-sectional study.Health science reports · 2023Article
- The Effect of Nature-Based Sound Therapy on Apgar Score after Cesarean Section Under Spinal Anesthesia.Iranian journal of nursing and midwifery researchArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectiveThis study was conducted to evaluate the effect of the Iran's Health Transformation Plan on the frequency of natural vaginal deliveries (NVDs), cesarean sections (CSs), and total deliveries in the Fars province of Iran.
resultsAverage number of total deliveries before and after the reform were 3946 and 3810, respectively (p = 0.164). The ratio of CS to total deliveries in the first study month was 54%. This rate reached 47% in the last month (p < 0.01). However, it had much fluctuation trend. The ITSA results showed that in the short-run, the NVD rate increased (β = 492.79, p < 0.01), the rate of CS decreased (β = - 407.09, p < 0.01), and total deliveries increased (β = 85.75, p < 0.724). However, in the long-run, the NVD (β = 5.74, p < 0.423), CS (β = 10.21, p < 0.189), and total deliveries (β = 15.96, p < 0.256) had no significant changes after the reform. Encouraging the NVD package was influential in the short-run but not in the longrun in Iran. Pricing and supply-side policies could not reduce the rate of non-clinical CS on their own. Therefore, paying attention to demand-side policies and changes in consumer behaviors, such as educating the women at the age of pregnancy about the advantages and disadvantages of CS and NVD and correcting misconceptions, could be helpful.
Indexed as
Identifiers
What 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.