THE RATE OF CESAREAN SECTION AND ITS INDICATIONS BEFORE AND AFTER THE IMPLEMENTATION OF HEALTH SYSTEM REFORM IN THE HOSPITALS OF MAZANDARAN PROVINCE, 2013-2016

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MALEKZADEH ROYA; AGHAH REZA; ROUHANIZADEH HAMED; ABEDINI EHSAN; Fallah Mohamad

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Journal: JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES Year:2018 | Volume:28 | Issue:165 Page(s): 129-139

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Title

THE RATE OF CESAREAN SECTION AND ITS INDICATIONS BEFORE AND AFTER THE IMPLEMENTATION OF HEALTH SYSTEM REFORM IN THE HOSPITALS OF MAZANDARAN PROVINCE, 2013-2016

Author(s)

Keywords

CAESAREAN SECTIONQ3

CESAREAN INDICATIONQ1

HEALTH SYSTEM REFORMQ1

Abstract

Background and purpose: Increase in cesarean section (C-Section) is a health system problemaround the world. The aim of this study was to compare the rate of C-Section and indications for thatbefore and after implementation of HEALTH SYSTEM REFORM in the hospitals of Mazandaran province, Iran. Materials and methods: This descriptive cross-sectional study was conducted analytically. Theindications for C-Section were recorded based on curative treatment checklist before implementation ofthe HEALTH SYSTEM REFORM (2013) and after that (2016). Data were analyzed in SPSS V21 applying t-testand Chi-square. Results: The rate of C-Section was significantly lower only in governmental hospitals afterimplementation of the HEALTH SYSTEM REFORM (P< 0. 05). Among the indications of C-Section, only theprevious C-Section had a significant difference before and after the HEALTH SYSTEM REFORM in totalhospitals in the province (P<0. 002). Significant differences were found between previous C-Section(P<0. 025) and its increasing trend, and post-term pregnancy (P<0. 027) and decreasing trend before andafter the HEALTH SYSTEM REFORM in governmental hospitals. Other indices were not significantly differentbetween public, private, and Social Security Organization hospitals (P<0. 05). Conclusion: Implementation of HEALTH SYSTEM REFORM was effective in decreasing the rate of Csectionin governmental hospitals. It is hoped that with appropriate implementation of the program, alongwith cultural and social programs, we could get closer to Iran’ s scientific goals and decrease the rate of CSectionaccording to global standards.

Cites

Assessment of Hospital Performance using Balanced Scorecard Model and Program Chain Pattern

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APA: Copy

MALEKZADEH, ROYA, AGHAH, REZA, ROUHANIZADEH, HAMED, ABEDINI, EHSAN, & Fallah, Mohamad. (2018). THE RATE OF CESAREAN SECTION AND ITS INDICATIONS BEFORE AND AFTER THE IMPLEMENTATION OF HEALTH SYSTEM REFORM IN THE HOSPITALS OF MAZANDARAN PROVINCE, 2013-2016. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, 28(165 ), 129-139. SID. https://sid.ir/paper/45346/en

Vancouver: Copy

MALEKZADEH ROYA, AGHAH REZA, ROUHANIZADEH HAMED, ABEDINI EHSAN, Fallah Mohamad. THE RATE OF CESAREAN SECTION AND ITS INDICATIONS BEFORE AND AFTER THE IMPLEMENTATION OF HEALTH SYSTEM REFORM IN THE HOSPITALS OF MAZANDARAN PROVINCE, 2013-2016. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2018;28(165 ):129-139. Available from: https://sid.ir/paper/45346/en

IEEE: Copy

ROYA MALEKZADEH, REZA AGHAH, HAMED ROUHANIZADEH, EHSAN ABEDINI, and Mohamad Fallah, “THE RATE OF CESAREAN SECTION AND ITS INDICATIONS BEFORE AND AFTER THE IMPLEMENTATION OF HEALTH SYSTEM REFORM IN THE HOSPITALS OF MAZANDARAN PROVINCE, 2013-2016,” JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, vol. 28, no. 165 , pp. 129–139, 2018, [Online]. Available: https://sid.ir/paper/45346/en

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