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:: Volume 15, Issue 4 (winter 2018) ::
jmj 2018, 15(4): 36-45 Back to browse issues page
Comparison of frequency of cesarean section and its causes before and after implementation of the health system reform plan in Jahrom, Jahrom, Iran
Mehri Rezaie , Sheida Dakhesh , Hanieh Fazli
M.Sc in Midwifery Jahrom University of Medical Sciences
Abstract:   (802 Views)

Abstract
Introduction: The seventh instruction of the Health System Reform Plan has been implemented since May 05, 2014 due to promoting natural delivery and declining unnecessary caesarean rates. The aim of this study was to investigate the caesarean section rate and its reasons before and after the implementation of the Health System Reform Plan.
Materials and methods: The present study is a descriptive study and existing data analyzes, the data were collected by using questionnaire, checklist, and interview. To do so, 1240 samples were systematically selected based on file number from May 05, 2014 to May 06, 2015. The data were analyzed by using Frequency, Percentage, Mean, Chi-square, Pearson, and Cramer.
Results: The caesarean section rate in the group before the implementation of the Health System Reform Plan was 47.57%, but this rate in the group after the implementation was 38.70%. Accordingly, there was a significant difference between these two groups (p=0.02). The two groups had a significant difference in the causes of elective cesarean section (p=0.01). However, there was no significant difference between the two groups regarding the causes of emergency cesarean section (p=0.08). After the implementation of the Health System Reform Plan, no case of selective cesarean section has been performed (p=0.01).
Conclusion: According to the results of the study (8.87% reduction in cesarean section) the plan for the reform of the health system in the first year after the implementation has been successful in achieving its specific goal.

Keywords: Caesarean Section, Childbirth, the Health System Reform Plan
Full-Text [PDF 340 kb]   (137 Downloads)    
Type of Study: Research | Subject: zanan
Received: 2017/08/12 | Accepted: 2017/11/7 | Published: 2017/11/11
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Rezaie M, Dakhesh S, Fazli H. Comparison of frequency of cesarean section and its causes before and after implementation of the health system reform plan in Jahrom, Jahrom, Iran. jmj. 2018; 15 (4) :36-45
URL: http://jmj.jums.ac.ir/article-1-1017-en.html


Volume 15, Issue 4 (winter 2018) Back to browse issues page
فصلنامه دانشگاه علوم پزشکی جهرم Journal of Jahrom University of Medical Sciences
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