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Comparing Bibliometric Analysis Using PubMed, Scopus, and Web of Science Databases
Published on: October 24, 2019
Correlation of decrease in cesarean section rates and decrease in perinatal mortality at Princess Basma Teaching
1Department of Obstetrics and Gynecology, Faculty of Medicine, Jordan University of Science and Technoglogy, Irbid, Jordan.
Annals of Saudi Medicine
|January 1, 1995
Summary
Cesarean section rates were significantly reduced at a Jordanian hospital through improved management of cephalopelvic disproportion and fetal distress. This successful intervention lowered cesarean rates without increasing perinatal mortality.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Maternal-Fetal Medicine
Background:
- Princess Basma Teaching Hospital is a major referral center in North Jordan, handling approximately 8250 deliveries annually.
- High cesarean section rates pose significant public health concerns globally and necessitate targeted interventions.
Purpose of the Study:
- To evaluate the impact of revised management strategies on cesarean section rates.
- To assess the relationship between reduced cesarean section rates and perinatal mortality.
Main Methods:
- Implementation of updated clinical approaches for managing cephalopelvic disproportion and fetal distress.
- Retrospective analysis of cesarean section rates and perinatal mortality data over a four-year period.
Main Results:
- Cesarean section rates decreased from 13.5% to a stable 6.5%.
- The proportion of cesarean sections attributed to cephalopelvic disproportion and fetal distress dropped from 65% to approximately 30%.
- The reduction in cesarean section rates was concurrent with a decrease in perinatal mortality rates.
Conclusions:
- Effective changes in clinical management can significantly reduce cesarean section rates.
- Lowering cesarean section rates is achievable without adversely affecting perinatal outcomes.
- This experience demonstrates a successful model for optimizing delivery interventions in a high-volume hospital setting.
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