Lorestan University of Medical Sciences
Abstract: (49 Views)
The transformation plan and type of delivery in the Lorestan province
Peyman Astarki 1, Maryam Ahadi2, Zahra Khademi3, Farhanaz Changaee 4*
1- Associate Professor of Forensic Medicine, Associate Professor of Lorestan University of Medical Sciences, Department of Internal Medicine
2- Asistance professore Lorestan University of Medical Sciences, Lorestan University of Medical Sciences, Department of Emergency Medicinee
3. Generl Practitioner Lorestan University of Medical Sciences, Lorestan University of Medical Sciences
4. Associate Professor, Lorestan University of Medical Sciences, Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Khorramabad, Iran
Introduction: The health system transformation plan has been implemented since 2014 and one of its goals was to reduce the cesarean rate to 25-30%. The purpose of this study was to investigate and compare the rate of cesarean delivery and natural delivery before and after the implementation of the health system reform plan in Lorestan, Iran.
Materials and methods: This study was a descriptive study that 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 the years 2011-2016, which later became the implementation of the health reform plan. The sampling method was a census through the statistics of the vice-chancellor of treatment of Lorestan University of Medical Sciences. After the data was collected, it was analyzed through descriptive statistics.
Results: The results of the study showed that, contrary to expectations, the cesarean section overall rate increased about 3.4% after the implementation of the health system transformation plan, compared to before the implementation of this plan. It should be noted that in some hospitals, including Khorramabad Asali Hospital, Khorramabad social security Hospital and Broujerd Kowsar Hospital, the rate of cesarean section increased 4.6%, 6.5% and 5.9% respectively, after the implementation of the health system transformation plan.
Discussion and conclusion:.
It seems that according to the rate of caesarean delivery in this province that is higher than the 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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