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Oct 2021, Vol 9, Issue 4
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Review
Assessment of Strategies for the Reduction of Cesarean Section Rate in Iranian and Foreign Studies: A Narrative Review
Sedigheh Hasani Moghadam1, Fatemeh Alijani2, Nastaran Bagherian Afrakoti3, Maryam Bazargan4, Jila Ganji5,6
1Department of Midwifery, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
2Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
3Master Student in Midwifery Counselling, Mazandaran University of Medical Sciences, Sari, Iran
4Bachelor of Midwifery College of Nursing and Health Sciences Flinders University, GPO BOX 2100, Adelaide, South Australia
5Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran
6Department of Reproductive Health and Midwifery, Nasibeh Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran

IJWHR 2021; 9: 238-248
DOI: 10.15296/ijwhr.2021.45
Viewed : 345 times
Downloaded : 490 times.

Keywords : Effective intervention, Cesarean section reduction strategy
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Abstract
Objectives: This study was conducted aiming at exploring strategies for reducing cesarean section (C-section) in Iranian and foreign studies.

Materials and Methods: The present study was carried out using a matrix approach and searching keywords including “Cesarean”, “Effective Intervention”, and “Cesarean Section Reduction Strategy” to find studies (2000-2019) in databases such as PubMed, SID, Science Direct, Google Scholar, and WHO.

Results: CS reduction strategies were classified into 3 categories of psychological, clinical, and structural-policy interventions. The first category supports women throughout labor and childbirth by the midwife, doula, coping skills with fear and pain of labor, changes in the attitudes of service providers and pregnant women. Clinical interventions include vaginal birth after CS, vaginal breech delivery, external cephalic version (ECV) for breech presentation, encouragement of service providers into intermittent auscultation for the fetal heart rate instead of continuous electronic fetal monitoring (EFM), and training of service providers, pregnant woman, and her family. The last category encompassed managing insurance and financial services, receiving one-to-one care and midwifery care throughout active labor, and updating policy of labor induction in post-term pregnancy, as well as women’s admission policy with cervical dilatation of more than 4 cm with regular uterine contractions, active team care in labor, and auditing and feedback.

Conclusions: It seems that multi-dimensional interventions are required to reduce the CS rate. Concerning some of the strategies (e.g., ECV), it is suggested that further research should be performed by addressing the limitations and drawbacks of previous studies before applying clinical procedures due to contradictory results.

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