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Volume 5, Issue 1 (2024)                   J Clinic Care Skill 2024, 5(1): 1001-1009 | Back to browse issues page

Ethics code: IR.AJUMS.REC.1399.223

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Javadnoori M, Babadi E, Abbaspoor Z, Ghanbari S, mohammadi S. Analyzing the rate of cesarean section using Robson's classification system in hospitals affiliated with Jundishapur University of Medical Sciences, Ahvaz. J Clinic Care Skill 2024; 5 (1) :1001-1009
URL: http://jccs.yums.ac.ir/article-1-239-en.html
1- Reproductive Health Promotion Research Center, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. , mojganjavadnoori@gmail.com
2- Department of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran, Ahvaz Jundishapur University of Medical Sciences
3- Reproductive Health Promotion Research Center, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran., Ahvaz Jundishapur University of Medical Sciences
4- Assistant professor, Department of biostatistics and Epidemiology, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran, Ahvaz Jundishapur University of Medical Sciences
Abstract:   (276 Views)
Aims The cesarean section rate in Iran is much higher than the rate recommended by the World Health Organization. Implementation of effective measures to reduce the cesarean rate requires proper analysis and classification. Robeson's classification can be useful in identifying the groups that play the most important role in the cesarean section rate. The present study was conducted to analyze the rate of cesarean section based on Robson's system in hospitals affiliated with Jundishapur University of Medical Sciences, Ahvaz, Iran.
Information & Methods This multi-center cross-sectional study, in 2019, examined 950 pregnant women admitted for delivery or cesarean section in two teaching hospitals affiliated with Jundishapur University of Medical Sciences, Ahvaz, using a convenient sampling method. The data collection tool was a checklist based on Robson's ten classification system. Data were analyzed using SPSS statistical software and descriptive-analytical statistical tests.
Findings The overall cesarean rate was 48.94%. The highest share in the total rate of cesarean section is related to group 5, group 10, and group 1. The main causes of cesarean section in all groups were previous cesarean section, fetal distress, and severe pre-eclampsia. In midwife-center hospital, cesarean section was lesser than physician-center.
Conclusions Group 5 of Robeson's classification, which represents repeated cesarean sections, contributed the most to the overall cesarean rate. Adopting policies to promote vaginal birth after cesarean can be a good solution.
 
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Article Type: Original Research | Subject: General
Received: 2024/02/6 | Accepted: 2024/03/12 | Published: 2024/03/12
* Corresponding Author Address: Ahvaz Jundishapur University of Medical Sciences

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