Journal of Advanced Biomedical Sciences

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Jamshidi H, Baziar sarani S, Khorami sarvestani S, Saadat P, Sabet H R. The Assessment of Changes in Cesarean Indications Before and After the Implementation of Health Sector Evolution Plan in Valiasr Hospital, Fasa, Fars Province in 2013-2015. JABS 2018; 8 (2) :778-784
URL: http://jabs.fums.ac.ir/article-1-1523-en.html

Background & Objective: Considering the importance of cesarean section and its effect on maternal and neonatal health, we studied the effect of health system on cesarean section indications before and after the Implementation of Health Sector Evolution plan in Hazrat-e-Valiasr Hospital of Fasa.
Material & Methods: The present study is a descriptive cross-sectional study of retrospective type. Cesarean indications are based on the checklists of the treatment vice-chancellor which includes: previous cesarean sections, fetal abnormal presentation, fetal distress, cephalopelvic disproportion, failure to progress, twin pregnancy, postdate pregnancy, placenta previa, placenta abruption and other causes. Sample volume comprised all pregnant women referring to Hazrat-e-Valiasr Hospital of Fasa. This study investigated cases of pregnant mothers within one year before and one year after the Implementation of Health Sector Evolution Plan (May 5, 2014).
Results: According to the findings of this study, the Implementation of Health Sector Evolution Plan caused a significant reduction in the rate of cesarean section (p value = 0.024). Some of indications such as previous cesarean section, Failure to progress and Placenta Abruption increased (p <0.05). And there was a decrease in some cases such as: Postdate pregnancy and other causes (p <0.05). There was no significant alternation in other indications.
Conclusion: Based on the findings of this study, it can be stated that the Implementation of Health Sector Evolution plan caused a comparative reduction in the rate of cesarean section and an increase in normal delivery.