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Methods Of Healthcare Delivery System01:26

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Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
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Cesarean delivery in Iran: a population-based analysis using the Robson classification system.

Maryam Pourshirazi1, Mohammad Heidarzadeh2,3, Mahshid Taheri4

  • 1Department of Hospital Management and Clinical Services Excellence, Mashhad University of Medical Sciences, Mashhad, Iran.

BMC Pregnancy and Childbirth
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PubMed
Summary

Cesarean section (CS) rates in Iran are high, with Robson group 5 being the largest contributor. Variations exist across hospital types, necessitating targeted strategies to reduce CS rates.

Keywords:
AuditCesarean sectionIranRateRobson classificationTen-group

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Health Services Research

Background:

  • Global concern over rising Cesarean Section (CS) rates.
  • Iran's CS rate increased from 40.7% (2005) to 53% (2014), higher in the private sector.

Purpose of the Study:

  • Analyze CS rates in Iran over the last two years.
  • Utilize the Robson Classification System for detailed analysis.

Main Methods:

  • Retrospective analysis of electronically recorded deliveries in Iran.
  • Application of the Robson classification system.
  • Comparison of CS rates across hospital types and obstetric populations.

Main Results:

  • Overall CS rate of 53.6% in a study population of over 2.3 million births.
  • Robson group 5 contributed 47.1% to overall CSs (98.4% CS rate).
  • Groups 2 and 1 were significant contributors (20.6% and 10.8%), with CS rates exceeding WHO recommendations.

Conclusions:

  • Significant variations in CS rates observed among hospital peer groups, particularly in private units.
  • Highlights the need for auditing influential Robson groups to reduce overall CS rates.
  • Provides data for policymakers to develop strategies and benchmark obstetric care internationally.