ArticleInternational journal of women's health2026
Cesarean Section Overuse, Clinical Decision-Making, and Patient Trust in Somalia's Predominantly Private Maternal Health System: A Commentary on Quality, Equity, and the Human Experience of Birth.
Article in International journal of women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Cesarean section is an essential obstetric intervention when clinically indicated, but global rates have risen markedly, raising concerns about overuse, inequities, and misaligned incentives in some settings. Somalia represents a fragile health system context in which cesarean decision-making occurs within a predominantly private maternity sector shaped by variable governance, uneven intrapartum monitoring capacity, and high out-of-pocket costs. This commentary synthesizes published literature and institutional reports, together with contextual clinical experience, to examine drivers of cesarean escalation, community perceptions of decision-making, and the implications for trust, autonomy, respectful care, and equity. It argues that improving childbirth outcomes in Somalia requires a balanced approach that protects timely access to life-saving cesarean section while reducing avoidable surgery through better documentation, clearer communication, strengthened intrapartum assessment, and feasible quality-improvement measures.
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.