Safe Prevention of Primary Cesarean Section in China

Hellerstein, Susan

doi:10.24015/japm.2017.0031

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…The VBAC rate in 2018 in Iran (0.8%) was much lower than in the USA (13.3%) because women do not have the opportunity to choose VBAC, and health service providers do not recommend it (12). The easiest attempt to reduce the CS rate is to reduce elective CS on maternal request (23). In 2014, one of the most important reforms in Iran's health system was implemented under the name of the Health Transformation Plan (HTP), one of the goals of which was to reduce the CS rate and increase the desire for vaginal delivery.…”

Section: Introductionmentioning

confidence: 99%

Non-obstetric Causes of Cesarean Section in Iranian Pregnant Women Referring to Medical Services Commission

et al. 2023

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Background: Despite the implementation of the Health Transformation Plan in recent years, the cesarean section (CS) rate has increased in private and public centers in Iran. Accordingly, Iran is the first among the four countries in the world with the highest CS rate. Objectives: The present study aimed to investigate the non-obstetric causes of CS in mothers who were referred to the Medical Services Commission of Alborz province, Iran, to review their requests for CS. Methods: In this cross-sectional study, 312 subjects were selected based on a census of all clients by the Midwifery Office of Alborz province, whose requests for CS for non-obstetric reasons were submitted to the Medical Services Commission in 2020. The information in this study was collected using a researcher-made questionnaire containing 26 items in two sociodemographic and medical sections. Results: The highest frequency of sociodemographic factors was observed for the age range of 20 - 30 years (n = 163, 52.2%), the educational level of diploma and higher (n = 236, 75.6%), urban residence (n = 274, 87.8%), and no complementary insurance (n = 258, 82.7%). The frequency distribution of the non-obstetric reasons of the participants was reported as 83 (26.6%), 60 (19.2%), 25 (8%), 24 (7.7%), 20 (6.4%), 14 (4.5%), and 86 (27.6%) for lumbar disc disease, eye diseases, repeat CS, genital warts, in vitro fertilization, fear of childbirth pain, and other causes, respectively. There was a significant association between the reason for requesting CS and the age group (P < 0.001), the type of insurance (P = 0.043), and the mother’s educational level (P < 0.001). Conclusions: In the present study, most of the women in the younger age group and non-employees requested a CS for non-obstetric reasons.

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Section: Introductionmentioning

confidence: 99%

Non-obstetric Causes of Cesarean Section in Iranian Pregnant Women Referring to Medical Services Commission

et al. 2023

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Discharge readiness and its associated factors among first-time mothers undergoing cesarean section in China

2022

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Background: Helping first-time mothers who have just undergone cesarean section and transitioning from hospital to home with their infant is a complex process. Therefore, understanding what contributes to discharge readiness is necessary. Objective: This study aimed to determine discharge readiness level and its associated factors among first-time mothers who have undergone cesarean section. Methods: A descriptive cross-sectional study was conducted among 233 first-time mothers who had undergone cesarean sections selected using quota sampling from the two largest referral centers in China. Data were collected from March to June 2021 using a demographic characteristics form, Readiness for Hospital Discharge Scale-New Mother Form (RHDS-NMF), and Quality Discharge Teaching Scale-New Mother Form (QDTS-NMF). Descriptive and inferential statistics were used for data analysis. Results: The discharge readiness of the respondents was at a moderate level. Age (r = -0.129, p = 0.049) and complications after cesarean section (r = -0.136, p = 0.038) had a negative correlation with discharge readiness. In contrast, the subscales of QDTS-NMF, particularly the content (r = 0.519, p = 0.000) and delivery (r = 0.643, p = 0.000), had a positive correlation with discharge readiness. Conclusion: The findings enable nurses, midwives, and other healthcare professionals to understand discharge readiness and its related factors among first-time mothers undergoing cesarean section. It is also suggested that the quality of discharge teaching with a comprehensive assessment of first-time mothers preparing for discharge from the hospital and following the guideline to prevent post-cesarean section complications should be reinforced.

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Safe Prevention of Primary Cesarean Section in China

Cited by 2 publications

References 9 publications

Non-obstetric Causes of Cesarean Section in Iranian Pregnant Women Referring to Medical Services Commission

Non-obstetric Causes of Cesarean Section in Iranian Pregnant Women Referring to Medical Services Commission

Discharge readiness and its associated factors among first-time mothers undergoing cesarean section in China

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