Effect of health transformation plan on natural childbirth and cesarean section indicators: An Interrupted Time Series Analysis in a Private Hospital of Tehran
Introduction: Increasing natural childbirth and decreasing cesarean section is one of the strategies for improving maternal and neonatal health to achieve the millennium development goals. In order to achieve this goal, health transformation plan and program for promotion of natural childbirth have...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | fas |
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Mashhad University of Medical Sciences
2020-07-01
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| Series: | Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān |
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| Online Access: | https://ijogi.mums.ac.ir/article_16614_3012dd3e4177eeaa89ff3341404715f7.pdf |
| _version_ | 1797984770542534656 |
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| author | Samira Raoofi Omid khosravizadeh Bahman Ahadinezhad Saeed Khan Mohammadi Sedighe Arefi Saeed Shahsavari |
| author_facet | Samira Raoofi Omid khosravizadeh Bahman Ahadinezhad Saeed Khan Mohammadi Sedighe Arefi Saeed Shahsavari |
| author_sort | Samira Raoofi |
| collection | DOAJ |
| description | Introduction: Increasing natural childbirth and decreasing cesarean section is one of the strategies for improving maternal and neonatal health to achieve the millennium development goals. In order to achieve this goal, health transformation plan and program for promotion of natural childbirth have been developed and implemented in Iran. Therefore, this study was performed with aim to analyze the trend of natural childbirth and cesarean section indicators in order to realize the goals of the health transformation plan in Madaen Hospital, Tehran.
Methods: In this cross-sectional study, the data of delivery and cesarean section were collected from 2013 to 2017. Changes in the level and trend of natural childbirth and cesarean sections before and after transformation plan were evaluated by independent t-test and regression model of cut-off in STATA software (version 15).
Results: The trend of natural childbirth after implementation of the plan increased by 0.685% per month (p=0.020) and the trend of cesarean section decreased by 0.749% per month (p=0.011). In the 3-year period after the health transformation plan, the percentage of natural childbirth increased by 0.680 per month (p<0.001) and the percentage of cesarean section decreased by 0.744 per month (p<0.001).
Conclusion: According to the results of the study, implementation of adoption policies was effective in reducing the rate of cesarean section in the private hospital. Therefore, the promotion of natural childbirth in order to implement the transformation plan leads to achieve the goals of improving maternal and neonatal health. |
| first_indexed | 2024-04-11T07:06:53Z |
| format | Article |
| id | doaj.art-64b3c96554d043d3aabcb0f42312c229 |
| institution | Directory Open Access Journal |
| issn | 1680-2993 2008-2363 |
| language | fas |
| last_indexed | 2024-04-11T07:06:53Z |
| publishDate | 2020-07-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān |
| spelling | doaj.art-64b3c96554d043d3aabcb0f42312c2292022-12-22T04:38:22ZfasMashhad University of Medical SciencesMajallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān1680-29932008-23632020-07-01235515910.22038/ijogi.2020.1661416614Effect of health transformation plan on natural childbirth and cesarean section indicators: An Interrupted Time Series Analysis in a Private Hospital of TehranSamira Raoofi0Omid khosravizadeh1Bahman Ahadinezhad2Saeed Khan Mohammadi3Sedighe Arefi4Saeed Shahsavari5Ph.D. Candidate in Health Service Management, Health Management and Economics Research Center, School of Health Management & Information Sciences, Iran University of Medical Sciences, Tehran, Iran.Assistant professor, Department of Health Service Management, Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, School of Health, Qazvin University of Medical Sciences, Qazvin, Iran.Assistant professor, Department of Health Economic, Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, School of Health, Qazvin University of Medical Sciences, Qazvin, Iran.Ph.D. Student in Health Service Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.Ph.D. student in Health Education and Health Promotion, School of Medical Science, Tarbiat Modares University, Tehran, Iran.Instructor, Department of Biostatistics, Health Products Safety Research Center, School of Public Health, Qazvin University of Medical Sciences, Qazvin, Iran. Ph.D. Candidate in Biostatistics, Department of Epidemiology and Biostatistics,Introduction: Increasing natural childbirth and decreasing cesarean section is one of the strategies for improving maternal and neonatal health to achieve the millennium development goals. In order to achieve this goal, health transformation plan and program for promotion of natural childbirth have been developed and implemented in Iran. Therefore, this study was performed with aim to analyze the trend of natural childbirth and cesarean section indicators in order to realize the goals of the health transformation plan in Madaen Hospital, Tehran. Methods: In this cross-sectional study, the data of delivery and cesarean section were collected from 2013 to 2017. Changes in the level and trend of natural childbirth and cesarean sections before and after transformation plan were evaluated by independent t-test and regression model of cut-off in STATA software (version 15). Results: The trend of natural childbirth after implementation of the plan increased by 0.685% per month (p=0.020) and the trend of cesarean section decreased by 0.749% per month (p=0.011). In the 3-year period after the health transformation plan, the percentage of natural childbirth increased by 0.680 per month (p<0.001) and the percentage of cesarean section decreased by 0.744 per month (p<0.001). Conclusion: According to the results of the study, implementation of adoption policies was effective in reducing the rate of cesarean section in the private hospital. Therefore, the promotion of natural childbirth in order to implement the transformation plan leads to achieve the goals of improving maternal and neonatal health.https://ijogi.mums.ac.ir/article_16614_3012dd3e4177eeaa89ff3341404715f7.pdfcesarean sectionhealth transformation planinterrupted time seriesnatural childbirth |
| spellingShingle | Samira Raoofi Omid khosravizadeh Bahman Ahadinezhad Saeed Khan Mohammadi Sedighe Arefi Saeed Shahsavari Effect of health transformation plan on natural childbirth and cesarean section indicators: An Interrupted Time Series Analysis in a Private Hospital of Tehran Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān cesarean section health transformation plan interrupted time series natural childbirth |
| title | Effect of health transformation plan on natural childbirth and cesarean section indicators: An Interrupted Time Series Analysis in a Private Hospital of Tehran |
| title_full | Effect of health transformation plan on natural childbirth and cesarean section indicators: An Interrupted Time Series Analysis in a Private Hospital of Tehran |
| title_fullStr | Effect of health transformation plan on natural childbirth and cesarean section indicators: An Interrupted Time Series Analysis in a Private Hospital of Tehran |
| title_full_unstemmed | Effect of health transformation plan on natural childbirth and cesarean section indicators: An Interrupted Time Series Analysis in a Private Hospital of Tehran |
| title_short | Effect of health transformation plan on natural childbirth and cesarean section indicators: An Interrupted Time Series Analysis in a Private Hospital of Tehran |
| title_sort | effect of health transformation plan on natural childbirth and cesarean section indicators an interrupted time series analysis in a private hospital of tehran |
| topic | cesarean section health transformation plan interrupted time series natural childbirth |
| url | https://ijogi.mums.ac.ir/article_16614_3012dd3e4177eeaa89ff3341404715f7.pdf |
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