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Cesarean section rate: navigating the gap between WHO recommended range and current obstetrical challenges.

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Cesarean section rates vary globally due to healthcare access. Improving obstetrics training and clinical protocols can reduce unnecessary cesarean births, especially for maternal requests and labor inductions.

Keywords:
CTG interpretationCesarean sectionlabor inductionmaternal requestmedical simulation training

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Healthcare Management

Background:

  • Global cesarean section (CS) rates exhibit significant heterogeneity, influenced by disparities in healthcare access.
  • Higher-income countries observe increased CS rates, partly due to maternal requests and rising labor inductions.
  • Inappropriate management during labor induction poses a risk for CS.

Purpose of the Study:

  • To analyze factors contributing to cesarean section rates.
  • To identify key areas for intervention to reduce unnecessary CS.
  • To emphasize the importance of evidence-based practices in obstetrics.

Main Methods:

  • Review of factors influencing cesarean section rates, including maternal request and labor induction.
  • Analysis of the interpretation of intrapartum cardiotocography (CTG).
  • Consideration of primary CS rates and tailored labor management strategies.

Main Results:

  • Heterogeneity in CS rates reflects global healthcare access differences.
  • Maternal request and labor induction contribute to rising CS rates in developed nations.
  • Primary CS rates, CTG interpretation, and labor management are critical indicators.

Conclusions:

  • Implementing robust obstetrics training and simulation programs is crucial.
  • Improving clinical protocols with current evidence can decrease unnecessary CS.
  • A focus on tailored labor management and appropriate CTG interpretation is essential for reducing CS rates.