Evidence map›Paper›PMID 37667479›Full record

ArticleTurkish journal of obstetrics and gynecology2023

Cesarean section rates in Turkey 2018-2023: Overview of national data by using Robson ten group classification system.

Mustafa Mahir Ulgu, Suayip Birinci, Tuğba Altun Ensari, Melih Gaffar Gözükara

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Turkish journal of obstetrics and gynecology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06707428 (Do Compression Stockings Used During Cesarean Sections Affect Intraoperative Hypotension and Nausea?), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
9.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

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.

2 · The registry

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.

NCT06707428 nacompletednot on this mapstarted 2024, after this paper: background citation

Do Compression Stockings Used During Cesarean Sections Affect Intraoperative Hypotension and Nausea?

TypeinterventionalSponsorTC Erciyes UniversityRan2024 to 2024Enrolled72ConditionsIntraoperative HypotensionArmscompression stockings
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  14. The anterior cervical angle: A novel predictor of vaginal birth.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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  15. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Mustafa Mahir UlguActing Director-General, Ministry of Health of Turkey, Ankara, Turkey.ORCID 0000-0003-0825-1851
Suayip BirinciVice-Minister, Ministry of Health of Turkey, Ankara, Turkey.ORCID 0000-0001-8104-6198
Tuğba Altun EnsariAnkara Yıldırım Beyazıt University Faculty of Medicine, Department of Obstetrics and Gynecology, Ankara, Turkey.ORCID 0000-0002-7819-5325
Melih Gaffar GözükaraAnkara Yıldırım Beyazıt University Faculty of Medicine, Department of Public Health, Ankara, Turkey.ORCID 0000-0002-6147-4053
Ankara Yıldırım Beyazıt University · TRMinistry of Health · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Cesarean section (CS) rates continue to rise globally because of various factors. Medically unnecessary cesarean operations have no benefit to the mother or child's health. Since the World Health Organization (WHO) has determined that the acceptable CS rate should not be more than 10-15%, it also stated the use of a classification system to compare different patient groups and facilities. Turkey has the highest CS rates globally and has been rising over the years. This study aims to assess CS rates between 2018 and 2023 using National Health Data and to analyze them according to the Robson classification system and WHO reference values to discuss possible measures against increasing rates. Materials and Methods: In this study, we assessed the rates of CSs between 2018 and 2023; the CS rate including all 5-years and analysis of CS rates for each Robson group as advocated by WHO. Also, another assessment was done of the facilities where the CSs were applied (Public, private, or university hospitals). Results: The total number of births recorded between 2018 and2023 was 6.161.976. The overall CS rate was 57.55%. The number of total CS operations was 3.546.049. The primary CS rate was 28.83% (N:1.776.503). Significant differences were observed between the public and private centers for each Robson group. Conclusion: The CS rates of Groups 1-4 are obviously higher than expected. The CSs of these groups cumulatively affect the rates of other groups. Nulliparous women have CSs mostly in private hospitals. There is a need for improvements in the health system in this regard for better maternal and child health.

Indexed as

cesarean section ratedeliveryRobsonTurkeyWHO

Identifiers

PMID37667479
PMCPMC10478731
OpenAlexW4386421893

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.