Abstract:

Background and Aim: According to known complications associated with cesarean section and rising trend of the section up to before the implementation of health sector evolution plan, the purpose of the study was to examine the effects of the plan on changes of indications and whether the aims of plan leading to reduce cesarean or not.

Materials and Methods: This descriptive study was conducted by using available information. According to the documentation, indications for cesarean section was set on the basis of Health Deputy’s check list that includes: elective cesarean, fetal distress, previous cesarean section, cephalopelvic disproportion, malpresentation, failure to progress, multiple pregnancies, post term pregnancy, placenta previa, abruption placenta, meconium stains or due to other causes, which are unknown. Pregnant women admitted to hospital only on the basis of the indications for cesarean section and in two time periods, before and after the project implementation of the health system were studied. Information obtained were analyzed by using SPSS-18 software t-test and chi-square.

Results: The results showed that pregnant women in 2014, indications such as previous cesarean section and unknown causes increase with p-value <0.05 and cesarean due to cephalopelvic disproportion, meconium defecation and other factors, the total number of cesarean sections were reduced to a p-value <0.05 but showed no significant changes in other indications.

‍Conclusion: According to the results of the project and the total overall health system in reducing cesarean indications for cesarean section, it seems that with persistence and good performance of the scientific objectives, bringing the rates closer to international standards.