number of citizens will soon have access to health insurance and healthcare. However, it is uncertain if this reform will be able to reduce costs and improve quality. The states will soon change the focus of their health policies from protecting the uninsured to guaranteeing high-quality care at lower costs. Initiatives like the Commonwealth Fund’s State Scorecard on Health System Performance w...

BACKGROUND Cesarean deliveries have increased over the past decade in Mexico, including those states with high percentages of indigenous language speakers, e.g., Chiapas. However, the factors contributing to this trend and whether they affect indigenous languages populations remain unknown. Thus, this work aims to identify some of the factors controlling the prevalence of cesarean sections (C-s...

OBJECTIVE To describe trends, geographic distribution, and risk factors for cesarean deliveries in Brazil in 2000-2011, and to determine if efforts to curtail rates have had a measurable impact. METHODS This was an observational study using nationwide information from the Department of Informatics of the Unified Health System (DATASUS). Individual level analyses were based on data regarding m...

OBJECTIVE To provide insight into the differential effect of immigration on cesarean section (CS) rates, using the Robson classification. DESIGN A population-based study using birth certificates from the birth registry of 2009. SETTING All births in two of the three Belgian regions excluding Flanders. POPULATION 37 628 deliveries from Belgian and immigrant mothers from sub-Saharan Africa,...

BACKGROUND Cesarean section is the commonest obstetric operative procedure worldwide. When used appropriately cesarean sections can improve infant and/or maternal outcomes. However, when used inappropriately the potential harm may exceed the potential benefit of cesarean section. Appreciating the limited information in this area the current study assessed the rate and factors associated with ce...

background: high cesarean section rate is a major health problem in developing countries. this study was established to evaluate the effectiveness of iranian ministry of health and medical education protocols on cesarean section rate trend. methods: through a non-concurrent controlled quasi-experimental study, cesarean section rate in shohada-e-tajrish and taleghani hospitals in tehran was comp...

Spinal anesthesia is the most commonly performed anesthesia technique in patients undergoing cesarean sections. Postdural puncture headache (PDPH) is one of the common complications following spinal anesthesia more so in obstetric patients. It is preventable complication, hence a study was undertaken to know the incidence of PDPH in patients undergoing cesarean sections.100 patients belonging t...

BACKGROUND Cesarean delivery is the most common inpatient surgery in the United States, where 1.3 million cesarean sections occur annually, and rates vary widely by hospital. Identifying sources of variation in cesarean use is crucial to improving the consistency and quality of obstetric care. We used hospital discharge records to examine the extent to which variability in the likelihood of ces...