Volume 26, Issue 2 (6-2024)                   yafte 2024, 26(2): 1-9 | Back to browse issues page

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Astaraki P, Ahadi M, Khademi Z, Changaee F. Transformation plan and mode of delivery in Lorestan province. yafte 2024; 26 (2) :1-9
URL: http://yafte.lums.ac.ir/article-1-3710-en.html
Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Lorestan University of Medical Sciences, Khoramabad, Iran & Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Lorestan University of Medical Sciences, Khoramabad, Iran
Abstract:   (461 Views)
Background: The health system transformation plan has been implemented since 2014, and one of its goals is the reduction of cesarean rate to 25%-30%. The present study aimed to assess the rate of cesarean delivery and vaginal delivery before and after the implementation of the health system reform plan in Lorestan, Iran.
Materials and Methods: This descriptive study was conducted in 2020. The research population included all the women who had given birth in one of the public hospitals of Lorestan province during 2011-2016. The sampling method was the census, which was based on the statistics of the vice-chancellor of treatment at Lorestan University of Medical Sciences. After data collection, they were analyzed using descriptive statistics.
Results: The results of the study demonstrated that contrary to expectations, the cesarean section overall rate increased by about 3.4% after the implementation of the health system transformation plan, compared to before the implementation of this plan. It is worth noting that in some hospitals, including Khorramabad Asali Hospital, Khorramabad Social Security Hospital, and Broujerd Kowsar Hospital, the rate of cesarean section increased by 4.6%, 6.5%, and 5.9%, respectively, after the implementation of the health system transformation plan.
Conclusion: It seems that according to the rate of cesarean delivery in this province that is higher than standard and the ineffectiveness of the health system transformation plan in this field, more efforts should be made with the use of extensive programs in order to increase the awareness and culturalization of the society.
 
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Type of Study: Research | Subject: زنان
Received: 2024/02/21 | Accepted: 2024/05/25 | Published: 2024/08/24

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