Study of Epidemiology of caesarean sections performed in academic and non-academic hospitals in Yazd between 2013 and 2014

Abstract

Introduction: Given the importance of increasing the percentage of natural childbirth , Ministry of Health and Medical Education of Iran decided to reduce the rate of caesarean. In line with this, guidelines of promoting the  vaginal delivery programs were designed in order to increase the amount of natural childbirth in the university centers and reduce the cesarean rate by 10 percent by the end of 2014 in the context of healthcare reform programs. Therefore, this study aimed to evaluate the epidemiology of caesarean sections performed in academic and non-academic hospitals in Yazd between 2013 and 2014 Methods: This was a descriptive and analytical study. 56050 deliveries were carried out in academic and non-academic hospitals during the years 2013 and 2014. The census information collected and analyzed  using SPSS 20. . To analyze the data, frequency and percentage descriptive statistics were used. Results: Cesarean rate in 2014 was 47.37% in all of hospitals in Yazd and this rate was significantly higher in non-academic hospitals than academic ones. The rates of cesarean section in2014 were significantly decreased compared with 2013 in all non-academic and academic hospitals. Conclusion: Finally, this study showed that healthcare reform plan and planning for the use of this procedure in certain cases can reduce the amount of unnecessary caesarean sections and possible side effects