Cesarean section rate in Iran, multidimensional approaches for behavioral change of providers: a qualitative study
2011

Barriers to Reducing Cesarean Section Rates in Iran

Sample size: 26 publication 10 minutes Evidence: moderate

Author Information

Author(s): Yazdizadeh Bahareh, Nedjat Saharnaz, Mohammad Kazem, Rashidian Arash, Changizi Nasrin, Majdzadeh Reza

Primary Institution: Tehran University of Medical Sciences

Hypothesis

What are the perceived barriers to reducing the cesarean section rate in Iran as identified by healthcare providers?

Conclusion

A multi-level and multidisciplinary approach using behavior change theories is necessary to effectively reduce the cesarean section rate in Iran.

Supporting Evidence

  • The cesarean section rate in Iran rose from 35% in 2000 to 40% in 2005.
  • Barriers identified include financial, organizational, and social issues.
  • Changing healthcare providers' behavior requires more than just presenting scientific evidence.

Takeaway

Doctors and midwives in Iran think there are many reasons why too many women are having cesarean sections instead of vaginal deliveries, and fixing this will require a lot of teamwork and changes in how things are done.

Methodology

Qualitative study using in-depth interviews and document analyses with purposive sampling.

Potential Biases

Potential bias due to the subjective nature of qualitative interviews and the perspectives of only healthcare providers.

Limitations

The study only assessed the perspectives of healthcare providers and did not include the views of expectant mothers or the general public.

Participant Demographics

Healthcare providers including obstetricians and midwives from various hospitals in Iran.

Digital Object Identifier (DOI)

10.1186/1472-6963-11-159

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