Dramatic rise in cesarean birth in Iran: A coalition of private medical practices and women�s choices

Ardakani, Z.B. and Navabakhsh, M. and Ranjbar, F. and Tremayne, S. and Akhondi, M.M. and Tabrizi, A.M. (2020) Dramatic rise in cesarean birth in Iran: A coalition of private medical practices and women�s choices. International Journal of Women's Health and Reproduction Sciences, 8 (3). pp. 245-258.

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Objectives: Cesarean delivery without medical indication has regularly increased among Iranian women in the last three decades, and Iran has one of the highest rates of cesarean in the world. The present study aimed at reviewing the studies regarding the increase of cesarean in Iran and discussing the root causes for such an increase. Methods: This literature review focused on the existing quantitative and qualitative studies conducted from January 1990 to January 2019 regarding the reasons for an increase in the cesarean section in Iran. The combination of keywords including �cesarean section�, �C-section�, �cesarean delivery�, and �Iran� was searched in several databases such as MEDLINE/PubMed, Embase, ISI Web of Science and Scopus, along with national databases (e.g., SID, MagIran, Iran Medex, and IranDoc). Results: A dramatic rise in cesarean birth stems from a number of factors including the role of health care professionals, insurance companies, socio-cultural factors, and the health policies, all of which have their roots in the medicalization of birth. Conclusions: In general, reducing the cesarean on maternal request necessitates the de-medicalization of birth, cultural awareness through the mass media, informing women of the long-term complications of cesarean, and physical and mental preparation of the mother. In addition, other contributing factors include encouraging inter-professional teamwork and collaboration between midwives and obstetrician-gynecologists, transforming the current curriculum of the midwifery and residency education, applying the midwifery-led care models, and decreasing the fear of litigation in midwifery and obstetrics-gynecology. Otherwise, maternal and fetal mortality will rise in the near future due to increased complications in subsequent pregnancies. © 2020 The Author(s).

Item Type: Article
Additional Information: cited By 0
Uncontrolled Keywords: body image; cesarean section; clinical supervision; cultural factor; fear of childbirth; female; fetus distress; gynecologist; health care personnel; health care policy; health insurance; human; in vitro fertilization; labor pain; law suit; maternal care; medical practice; medicalization; midwife; midwifery education; mortality; natural childbirth; obstetrician; pelvis floor muscle; Review; risk factor; sexual function; social belief; social class; social norm; social status; socioeconomics; uterus prolapse; vaginal delivery
Subjects: WO Surgery
WQ Obstetrics
Depositing User: eprints admin
Date Deposited: 21 Sep 2020 05:26
Last Modified: 21 Sep 2020 05:26
URI: http://eprints.iums.ac.ir/id/eprint/23302

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