ArticleBMC pregnancy and childbirth2022
Cesarean delivery in Iran: a population-based analysis using the Robson classification system.
Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Primary cesarean section in Sub-Saharan Africa: A systematic review and meta-analysis using the Robson Ten-Group Classification System.PloS one · 2026Pooled it
- Effect of midwifery students' continuity of care program on women's experiences of maternity care: A randomised controlled trial.PloS one · 2026Trial
- Implementation and Evaluation of a Weight Management Programme for Overweight or Obese Pregnant Women:Sultan Qaboos University medical journal · 2025Trial
- The effect of labour hopscotch framework on maternal and neonatal outcomes in pregnant women: A randomized controlled trial.PloS one · 2025Trial
- Audit of Cesarean Section Rates in a Tertiary Care Hospital Using the Modified Robson Classification System.Cureus · 2026Article
- Identifying factors contributing to health workers' preferences for elective caesarean section: a qualitative study.BMC pregnancy and childbirth · 2026Article
- Geospatial patterns and multilevel determinants of cesarean section rates in Iran: a Bayesian spatial analysis using INLA.BMC pregnancy and childbirth · 2026Article
- Determinants of the choice of delivery mode in pregnant women: a convergent parallel mixed-methods study protocol.BMJ open · 2026Article
- Updating the Iranian National Childbirth Preparation Classes guideline: a multi-phase mixed-methods protocol study.Reproductive health · 2026Article
- Design, development, and evaluation of a web-based consultation system for birth after cesarean: a mixed-method study protocol.BMC pregnancy and childbirth · 2026Article
- Mothers' experiences of implementing a normal labor and delivery management program based on evidence-based clinical practice in Iran.Journal of education and health promotion · 2026Article
- Implementation of the Robson classification for caesarean sections in Israel: a 10-year cross-sectional study.Israel journal of health policy research · 2025Article
- Comparison of Serum Interleukin 6, Leptin, and Adiponectin Levels after Cesarean Section Under General Versus Spinal Anesthesia.Anesthesiology and pain medicine · 2025Article
- The Increasing Trend of Cesarean Section in Iran: A Challenge for the Health System.Archives of Iranian medicine · 2025Article
- The relationship between self-compassion and fear of childbirth in pregnant women with gestational diabetes.BMC pregnancy and childbirth · 2025Article
- The relationship between delivery fear and childbirth experience with the level of adherence to the WHO recommendations for a positive childbirth experience in Iranian women: a cross-sectional study.Reproductive health · 2024Article
- Calendrical Caesarean Section; Iranian Model.Iranian journal of public health · 2024Article
- Analysis of Cesarean Section Ratios by Robson Classification.Journal of obstetrics and gynaecology of India · 2024Article
- Comparative analysis of neonatal umbilical cord blood gases across various delivery modes at a referral center.Archives of gynecology and obstetrics · 2024Article
- Psychometric properties of the experiences of maternity care scale among Iranian women.BMC health services research · 2024Article
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7 authors.
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Abstract
backgroundThe rise of Cesarean Sections (CS) is a global concern. In Iran, the rate of CS increased from 40.7% in 2005 to 53% in 2014. This figure is even higher in the private sector.
objectiveTo analyze the CS rates in the last 2 years using the Robson Classification System in Iran.
methodsA retrospective analysis of all in-hospital electronically recorded deliveries in Iran was conducted using the Robson classification. Comparisons were made in terms of the type of hospital, CS rate, and obstetric population, and contributions of each group to the overall cesarean deliveries were reported.
resultsTwo million three hundred twenty-two thousand five hundred women gave birth, 53.6% delivered through CS. Robson group 5 was the largest contributing group to the overall number of cesarean deliveries (47.1%) at a CS rate of 98.4%. Group 2 and 1 ranked the second and third largest contributing groups to overall CSs (20.6 and 10.8%, respectively). The latter groups had CS rates much higher than the WHO recommendation of 67.2 and 33.1%, respectively. "Fetal Distress" and "Undefined Indications" were the most common reasons for cesarean deliveries at CS rates of 13.6 and 13.4%, respectively. There was a significant variation in CS rate among the three types of hospitals for Robson groups 1, 2, 3, 4, and 10.
conclusionThe study revealed significant variations in CS rate by hospital peer-group, especially for the private maternity units, suggesting the need for further attention and audit of the Robson groups that significantly influence the overall CS rate. The study results will help policymakers identify effective strategies to reduce the CS rate in Iran, providing appropriate benchmarking to compare obstetric care with other countries that have better maternal and perinatal outcomes.
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