Interventions in reducing caesarean section in the world: A systematic review

Moradi, F. and Aryankhesal, A. and Heidari, M. and Soroush, A. and Sadr, S. R. (2019) Interventions in reducing caesarean section in the world: A systematic review. Malaysian Journal of Medical Sciences, 26 (5). pp. 21-37.

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Caesarean section without medical indication imposes many problems to families, personnel and medical equipment causing some side effects to pregnant woman and foetus, compared to natural childbirth. The present study aimed to evaluate the interventions in reducing caesarean section in the world. This study was a systematic review using Embase, PubMed, Scopus, Web of Science, Science Direct, Magiran and SID databases and grey literature. All studies conducted during 2000–2018 were reviewed and finally the studies with inclusion and exclusion criteria were selected. A total of 19 studies were selected among 5,559 studies. The interventions conducted for reducing caesarean section included training the specialists and women by using Six Sigma method, changing the guidelines, reviewing the definition of natural childbirth various stages, encouraging the natural childbirth and expanding painless childbirth. All interventions were divided into educational strategy and managerial strategy. The interventions can be implemented to change the behaviour of physicians and attitude of pregnant women in order to reduce caesarean section. In this regard, the authorities are recommended to make more efforts. © Penerbit Universiti Sains Malaysia, 2019.

Item Type: Article
Additional Information: Export Date: 16 February 2020 CODEN: MJMSA Correspondence Address: Soroush, A.; Life Style Modification Research Center, Imam Reza Hospital, Kermanshah University of Medical SciencesIran; email:
Uncontrolled Keywords: Caesarean section Childbirth Pregnant women awareness cesarean section clinical evaluation collaborative care team decision making dietitian education gestational age health care facility health care policy health center health impact assessment human information processing intervention study labor induction medical specialist meta analysis natural childbirth painless childbirth patient monitoring postoperative complication practice guideline public health quality control reproductive health Review strategic planning systematic review total quality management training
Subjects: WQ Obstetrics
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib1 lib1
Date Deposited: 21 Jun 2020 09:25
Last Modified: 21 Jun 2020 09:25

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