Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Iran's Struggling Health System: An Increase in Natural Childbirth: A Case Study Publisher



Jabbari A1 ; Yarmohamadian MH1 ; Hadian M1
Authors
Show Affiliations
Authors Affiliations
  1. 1. Health Management and Economics Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran

Source: International Journal of Preventive Medicine Published:2018


Abstract

Background: The 7th package of health reform in Iran has been implemented in May 15, 1393, is concerned with the promotion of natural childbirth. It has been focusing on reducing cesarean section (CS) and promoting normal vaginal delivery (NVD) as broadly as possible. This study evaluated the changes in the vaginal delivery and cesarean before and after implementation of the 7th package of health reform in public and private hospitals of Isfahan Province in 2014. Methods: This was a quasi-experimental research. The population of this study contained all public and private hospitals in Isfahan Province covered by the Health Reform Program. It included 22 public and 6 private hospitals. The data collected from the vice chancellor of treatment in 6 months before and after the implementation of the program have been analyzed. SPSS software version 18.0 (SPSS Inc., Chicago, IL, USA) and independent t-test have been employed for data analysis. Results: It was demonstrated that the increasing rate of NVD (P = 0.001) and decreasing rate of CS in public hospitals (P = 0.027) after the implementation of the plan were significant. On the other hand, the increasing rate of CS in private hospitals was significant (P = 0.026). Conclusions: Although this scheme has achieved its targets in public hospitals of Isfahan Province, it has not met its objectives in private hospitals. It seems CS operations were shifted from public hospitals to private ones, which is conflict with the objectives of the health reform plan. © 2018 International Journal of Preventive Medicine.
Related Docs
View other Related Docs
1. Implementation of Targeted Education to Promote Normal Vaginal Delivery: A Randomized Controlled Trial, Iranian Journal of Obstetrics, Gynecology and Infertility (2018)
2. Challenges to Implementing Physiologic Birth Program (Pbp): A Qualitative Study of Midwives Opinion in Iran, Acta Medica Mediterranea (2015)
3. Comparing the Main Reproductive Health Indices in Rural Areas of Isfahan Province, Iran, Before and After Family Physician Program Intervention During 2001-2011, Journal of Isfahan Medical School (2014)
4. Analysis of Factors Affecting the Self-Efficacy of Natural Childbirth in Pregnant Women, Journal of Health System Research (2021)
5. Can a Theory-Based Intervention Lead Primiparous Women to Decide to Have a Normal Vaginal Delivery? a Randomized Controlled Trial, Journal of Education and Health Promotion (2025)
6. The Utilization Rate of Antenatal Care After Health Sector Reform Implementation in Rural Areas of Islamic Republic of Iran, Iranian Journal of Nursing and Midwifery Research (2014)
7. Evaluating the Prevalence of Different Types of Obstetric Hemorrhage and Its Related Factors in the Second-And Third-Level Hospitals Affiliated to Isfahan University of Medical Sciences, Iran, During the Third Quarter of Year 2016, Journal of Isfahan Medical School (2018)
8. Burden of Cesarean Section and Vaginal Delivery in Isfahan, Iran, Iranian Journal of Epidemiology (2013)
Experts (# of related papers)
View all Related Experts
Mahboubeh Valiani (6)
Shahnaz Kohan (6)
Other Related Docs
9. Comparison of the Maternal and Fetal Complications of Vaginal Birth After C-Section (Vbac) and Repeat Cesarean Section in Isfahan Province, Journal of Obstetrics, Gynecology and Cancer Research (2023)
10. Quality Assessment of Peripartum Care, Iranian Red Crescent Medical Journal (2014)
11. The Use of Counseling Standards in a Fertility Health Program From the Perspective of Clients, Journal of Isfahan Medical School (2013)
12. Investigation of the Effect of Postpartum Home Visit Intervention on Promoting Mothers’ Exclusive Breastfeeding in Falavarjan, Isfahan Province: Clinical Trial Research, Family Medicine and Primary Care Review (2021)
13. Design, Implementation, and Evaluation of Educational Program in Oral Health for Midwives and Other Antenatal Care Providers in Iran, Iranian Journal of Nursing and Midwifery Research (2023)
14. Effect of Acupressure on Non- Stress Test (Nst) Results: A Randomized-Controlled Trial Study, International Journal of Pediatrics (2015)
15. Effective Strategies in Promoting Evidence-Based Maternity Practice From Theperspective of Midwives in Iran: An Opportunity for Change, International Journal of Pharmaceutical Research (2018)
16. Effect of Postpartum Home Care on Mothers’ Health, Iranian Journal of Obstetrics, Gynecology and Infertility (2020)
17. The Drug Prescription Patterns and Utilization After Family Physician Program Implementation in Rural Health Centers of Isfahan District, Iran, Journal of Isfahan Medical School (2014)
18. A Comparison Between Early Maternal and Neonatal Complications of Restrictive Episiotomy and Routine Episiotomy in Primiparous Vaginal Delivery, Journal of Research in Medical Sciences (2011)
19. Obstetric Outcomes of Vaginal Birth After Cesarean Section: A Case-Control Study, Journal of Advances in Medical and Biomedical Research (2023)
20. Effects of Type of Delivery on Development of Stress Urinary Incontinence in Primiparous Mothers, Journal of Isfahan Medical School (2013)
21. Client Satisfaction of Maternity Care in Lorestan Province Iran, Iranian Journal of Nursing and Midwifery Research (2015)
22. Evaluating the Implementation of Helping Babies Survive Program to Improve Newborn Care Conditiona, Journal of Education and Health Promotion (2021)
23. Maternal‑Infant Outcomes of Birth Planning: A Review Study, Journal of Education and Health Promotion (2023)
24. Health Literacy and Related Factors in Postpartum Women in Farsan, Iran, Journal of Health Literacy (2023)
25. Perspective of Midwives Working at Hospitals Affiliated to the Isfahan University of Medical Sciences Regarding Medical Errors, Iranian Journal of Nursing and Midwifery Research (2015)
26. The Effect of an Educational Program Based on Behavioral Intention Model on Childbearing in Women During the Covid 19 Pandemic, Iranian Journal of Nursing and Midwifery Research (2025)
27. Promoting the Participation of Low‑Risk Pregnant Women in the Child Birth Process by Developing a Birth Plan: The Protocol of an Action Research Study, Journal of Education and Health Promotion (2023)
28. Comparison of Childbirth Training Workshop Effects on Knowledge, Attitude, and Delivery Method Between Mothers and Couples Groups Referring to Isfahan Health Centers in Iran, Iranian Journal of Nursing and Midwifery Research (2014)
29. Using Theory of Planned Behavior for Prediction of Delivery Mode Among Pregnant Women: A Theory-Based Cross-Sectional Research, International Journal of Adolescent Medicine and Health (2020)
30. Effect of Childbirth Care Methods on Birth Experience and Satisfaction: A Systematic Review and Meta-Analysis, International Journal of Women's Health and Reproduction Sciences (2024)
31. Reproductive and Sexual Health of Surrogate Mothers, Developing a Care Program: A Protocol for Mixed Methods Study, Reproductive Health (2019)
32. Fertility Desire: Facilitators and Inhibitors, Payesh (2019)
33. Effectiveness of Postpartum Homecare Program As a New Method on Mothers' Knowledge About the Health of the Mother and the Infant, Iranian Journal of Nursing and Midwifery Research (2018)
34. A Study of the Correlations of Socio-Economic and Demographic Indexes With the Causes of Infant Mortality (A Case Study of Isfahan Province, Iran, in 2015), Annals of Tropical Medicine and Public Health (2018)
35. The Role of Husband on Satisfaction of Childbirth: An Approach to Promote Natural Childbirth, Iranian Journal of Obstetrics, Gynecology and Infertility (2024)
36. Decomposition of Socioeconomic Inequalities in Preterm Deliveries in Tehran, Iran, International Journal of Gynecology and Obstetrics (2018)
37. Determinants of Exclusive Breast Milk Feeding of Infants in Isfahan, Iran, Journal of Isfahan Medical School (2011)
38. An Exploratory Study Into Social and Healthcare Variables of Maternal Mortality: A Case-Control Study, Journal of Perinatal Medicine (2019)
39. Do Reproductive Women Have Awareness About Complications of Birth Control Methods and the Required Follow-Up?, Journal of Isfahan Medical School (2011)
40. Intrahospital Mortality Rate After the Implementation of the Second Phase of the Health Sector Reform in Comparison With Before That in Iran, International Journal of Preventive Medicine (2024)
41. The Study of the Cross-Reference Between Educating Mothers and the Documentation Thereof Based on the Accreditation Standards of Iran, Annals of Tropical Medicine and Public Health (2018)
42. Status of Service Provision Centers for Patients With Sexually Transmitted Infections in Tehran, Kerman, Babol and Shiraz As Representatives of Iran’S Capital Cities in 2013; [تحلیل وضعیت مراکز ارائه خدمات به مبتلایان به عفونتهای آمیزشی در چهار شهر تهران، کرمان، بابل، شیراز به عنوان نماینده مراکز استانهای ایران در سال 1392], Iranian South Medical Journal (2020)
43. Factors Affecting Women’S Adjustment to Postpartum Changes: A Narrative Review, Iranian Journal of Nursing and Midwifery Research (2020)
44. Comparison of Maternal and Fetal Outcomes Between Lithotomy With Hands and Knees Positions for Childbirth: A Randomized Clinical Trial, Journal of Nursing and Midwifery Sciences (2023)
45. Men's Educational Needs Assessment in Terms of Their Participation in Prenatal, Childbirth, and Postnatal Care, Journal of Education and Health Promotion (2019)
46. Examining the Effect of Discharge Plan on Enabling Mothers of Preterm Babies Admitted to the Neonatal Intensive Care Unit (Nicu), Annals of Tropical Medicine and Public Health (2018)
47. Health System Responsiveness: A Case Study of General Hospitals in Iran, International Journal of Health Policy and Management (2013)
48. Barriers to Implementing Evidence-Based Intrapartum Care: A Descriptive Exploratory Qualitative Study, Iranian Red Crescent Medical Journal (2016)