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Related Experiment Video

Updated: Apr 5, 2026

Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
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A global reference for caesarean section rates (C-Model): a multicountry cross-sectional study.

J P Souza1, A P Betran2, A Dumont3

  • 1Department of Social Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.

BJOG : an International Journal of Obstetrics and Gynaecology
|August 12, 2015
PubMed
Summary
This summary is machine-generated.

A new C-Model generates a customized global benchmark for caesarean section (CS) rates in health facilities. This tool assesses CS use and overuse based on maternal characteristics, aiding healthcare providers and policymakers.

Keywords:
Benchmarkingcaesarean delivery ratescaesarean section rateslogistic regression

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Area of Science:

  • Obstetrics and Gynecology
  • Health Services Research
  • Biostatistics

Background:

  • Caesarean section (CS) rates vary globally, necessitating standardized benchmarks for quality assessment.
  • Existing benchmarks often fail to account for differences in patient populations (case-mix).

Purpose of the Study:

  • To develop a global reference standard for caesarean section (CS) rates at health facilities.
  • To create a tool that generates individualized expected CS rates based on maternal characteristics.

Main Methods:

  • A cross-sectional study involving over 10 million births across 43 countries.
  • Development and testing of mathematical models (C-Model) to predict CS probability based on clinical-obstetric factors.
  • Validation using area under the ROC curves and comparison of expected versus observed CS rates.

Main Results:

  • The C-Model demonstrated good discriminatory capacity (AUC 0.832-0.844).
  • The model successfully generated expected CS rates adjusted for obstetric case-mix.
  • An e-calculator was developed to facilitate the C-Model's practical application.

Conclusions:

  • The C-Model provides a customized, evidence-based benchmark for evaluating caesarean section rates.
  • This tool supports obstetric teams, health managers, and policymakers in assessing CS utilization and identifying potential overuse.
  • The C-Model promotes standardized quality assessment of caesarean delivery practices globally.