Effect of health transformation plan on natural childbirth and cesarean section indicators: An Interrupted Time Series Analysis in a Private Hospital of Tehran

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Raoofi Samira; KHOSRAVIZADEH OMID; AHADINEZHAD BAHMAN; KHAN MOHAMMADIAN SAEED; Arefi Sedighe; Shahsavari Saeed

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Journal: Iranian Journal of Obstetrics, Gynecology and Infertility Year:2020 | Volume:23 | Issue:5 Page(s): 51-59

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Title

Effect of health transformation plan on natural childbirth and cesarean section indicators: An Interrupted Time Series Analysis in a Private Hospital of Tehran

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Keywords

Cesarean sectionQ2

health transformation planQ2

Interrupted Time SeriesQ1

Natural ChildbirthQ1

Abstract

Introduction Increasing Natural Childbirth and decreasing Cesarean section is one of the strategies for improving maternal and neonatal health to achieve the millennium development goals. In order to achieve this goal, health transformation plan and program for promotion of Natural Childbirth have been developed and implemented in Iran. Therefore, this study was performed with aim to analyze the trend of Natural Childbirth and Cesarean section indicators in order to realize the goals of the health transformation plan in Madaen Hospital, Tehran. Methods In this cross-sectional study, the data of delivery and Cesarean section were collected from 2013 to 2017. Changes in the level and trend of Natural Childbirth and Cesarean sections before and after transformation plan were evaluated by independent t-test and regression model of cut-off in STATA software (version 15). Results The trend of Natural Childbirth after implementation of the plan increased by 0. 685% per month (p=0. 020) and the trend of Cesarean section decreased by 0. 749% per month (p=0. 011). In the 3-year period after the health transformation plan, the percentage of Natural Childbirth increased by 0. 680 per month (p<0. 001) and the percentage of Cesarean section decreased by 0. 744 per month (p<0. 001). Conclusion According to the results of the study, implementation of adoption policies was effective in reducing the rate of Cesarean section in the private hospital. Therefore, the promotion of Natural Childbirth in order to implement the transformation plan leads to achieve the goals of improving maternal and neonatal health.

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APA: Copy

Raoofi, Samira, KHOSRAVIZADEH, OMID, AHADINEZHAD, BAHMAN, KHAN MOHAMMADIAN, SAEED, Arefi, Sedighe, & Shahsavari, Saeed. (2020). Effect of health transformation plan on natural childbirth and cesarean section indicators: An Interrupted Time Series Analysis in a Private Hospital of Tehran. IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY, 23(5 ), 51-59. SID. https://sid.ir/paper/360070/en

Vancouver: Copy

Raoofi Samira, KHOSRAVIZADEH OMID, AHADINEZHAD BAHMAN, KHAN MOHAMMADIAN SAEED, Arefi Sedighe, Shahsavari Saeed. Effect of health transformation plan on natural childbirth and cesarean section indicators: An Interrupted Time Series Analysis in a Private Hospital of Tehran. IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY[Internet]. 2020;23(5 ):51-59. Available from: https://sid.ir/paper/360070/en

IEEE: Copy

Samira Raoofi, OMID KHOSRAVIZADEH, BAHMAN AHADINEZHAD, SAEED KHAN MOHAMMADIAN, Sedighe Arefi, and Saeed Shahsavari, “Effect of health transformation plan on natural childbirth and cesarean section indicators: An Interrupted Time Series Analysis in a Private Hospital of Tehran,” IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY, vol. 23, no. 5 , pp. 51–59, 2020, [Online]. Available: https://sid.ir/paper/360070/en

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