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:: Volume 8, Issue 2 (Summer 2018) ::
J Fasa Univ Med Sci 2018, 8(2): 778-784 Back to browse issues page
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
Hasan Jamshidi 1, Saman Baziar sarani2 , Soheil Khorami sarvestani3 , Pouria Saadat3 , Hamid reza Sabet2
1- Nursing school, Fasa University of Medical Sciences, Fasa, Iran , hasanjamshidi45@yahoo.com
2- Nursing school, Fasa University of Medical Sciences, Fasa, Iran
3- Medical school, Fasa University of Medical Sciences, Fasa, Iran
Abstract:   (1911 Views)
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.
 
Keywords: Health Sector Evolution Plan, Vaginal Delivery, Cesarean, Indication
Full-Text [PDF 839 kb]   (611 Downloads)    
Type of Study: Research | Subject: Management of health services
Received: 2017/10/22 | Accepted: 2018/03/14 | Published: 2018/09/16
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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. J Fasa Univ Med Sci. 2018; 8 (2) :778-784
URL: http://journal.fums.ac.ir/article-1-1523-en.html


Volume 8, Issue 2 (Summer 2018) Back to browse issues page
Journal of Fasa University of Medical Sciences
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