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Optimizing the use of cesarean section in Argentina: design and methodology of a formative research for the development of interventions
BACKGROUND: While cesarean section is an essential life-saving strategy for women and newborns, its current overuse constitutes a global problem. The aim of this formative research is to collect information from hospitals, health professionals and women regarding the use of cesarean section in Argen...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7836162/ https://www.ncbi.nlm.nih.gov/pubmed/33499893 http://dx.doi.org/10.1186/s12978-021-01080-4 |
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author | Ramos, Silvina Romero, Mariana Perrotta, Carla Sguassero, Yanina Straw, Cecilia Gialdini, Celina Righetti, Natalia Betran, Ana P. |
author_facet | Ramos, Silvina Romero, Mariana Perrotta, Carla Sguassero, Yanina Straw, Cecilia Gialdini, Celina Righetti, Natalia Betran, Ana P. |
author_sort | Ramos, Silvina |
collection | PubMed |
description | BACKGROUND: While cesarean section is an essential life-saving strategy for women and newborns, its current overuse constitutes a global problem. The aim of this formative research is to collect information from hospitals, health professionals and women regarding the use of cesarean section in Argentina. This article describes the methodology of the study, the characteristics of the hospitals and the profile of the participants. METHODS: This formative research is a mixed-method study that will be conducted in seven provinces of Argentina. The eligibility criteria for the hospitals are (a) use of the Perinatal Information System, (b) cesarean section rate higher than 27% in 2016, (c) ≥ 1000 deliveries per year. Quantitative and qualitative research techniques will be used for data collection and analysis. The main inquiry points are the determining factors for the use of cesarean section, the potential interventions to optimize the use of cesarean section and, in the case of women, their preferred type of delivery. DISCUSSION: It is expected that the findings will provide a situation diagnosis to help a context-sensitive implementation of the interventions recommended by the World Health Organization to optimize cesarean section use. Trial registration IS002316 PLAIN ENGLISH SUMMARY: Cesarean section is an essential medical tool for mothers and their children, but nowadays its overuse is a problem worldwide. Our purpose is to get information from hospitals, health professionals and women about how cesarean section is used in Argentina. In this protocol we describe how we will carry out the study and the characteristics of the hospitals and participants. We will implement this study in seven provinces of Argentina, in hospitals that have more than 1,000 births each year, had a cesarean section rate higher than 27% in 2016 and use the Perinatal Information System. We will gather information using forms, surveys and interviews. We want to identify the factors that decide the use of a cesarean section, the potential interventions that can improve the use of cesarean section and, in the case of women, the type of delivery they prefer. We expect that this study will give us a diagnosis of how cesarean section is used in Argentina, and that this will help to apply the interventions that the World Health Organization recommends to optimize the use of cesarean section in our specific context. |
format | Online Article Text |
id | pubmed-7836162 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-78361622021-01-26 Optimizing the use of cesarean section in Argentina: design and methodology of a formative research for the development of interventions Ramos, Silvina Romero, Mariana Perrotta, Carla Sguassero, Yanina Straw, Cecilia Gialdini, Celina Righetti, Natalia Betran, Ana P. Reprod Health Study Protocol BACKGROUND: While cesarean section is an essential life-saving strategy for women and newborns, its current overuse constitutes a global problem. The aim of this formative research is to collect information from hospitals, health professionals and women regarding the use of cesarean section in Argentina. This article describes the methodology of the study, the characteristics of the hospitals and the profile of the participants. METHODS: This formative research is a mixed-method study that will be conducted in seven provinces of Argentina. The eligibility criteria for the hospitals are (a) use of the Perinatal Information System, (b) cesarean section rate higher than 27% in 2016, (c) ≥ 1000 deliveries per year. Quantitative and qualitative research techniques will be used for data collection and analysis. The main inquiry points are the determining factors for the use of cesarean section, the potential interventions to optimize the use of cesarean section and, in the case of women, their preferred type of delivery. DISCUSSION: It is expected that the findings will provide a situation diagnosis to help a context-sensitive implementation of the interventions recommended by the World Health Organization to optimize cesarean section use. Trial registration IS002316 PLAIN ENGLISH SUMMARY: Cesarean section is an essential medical tool for mothers and their children, but nowadays its overuse is a problem worldwide. Our purpose is to get information from hospitals, health professionals and women about how cesarean section is used in Argentina. In this protocol we describe how we will carry out the study and the characteristics of the hospitals and participants. We will implement this study in seven provinces of Argentina, in hospitals that have more than 1,000 births each year, had a cesarean section rate higher than 27% in 2016 and use the Perinatal Information System. We will gather information using forms, surveys and interviews. We want to identify the factors that decide the use of a cesarean section, the potential interventions that can improve the use of cesarean section and, in the case of women, the type of delivery they prefer. We expect that this study will give us a diagnosis of how cesarean section is used in Argentina, and that this will help to apply the interventions that the World Health Organization recommends to optimize the use of cesarean section in our specific context. BioMed Central 2021-01-26 /pmc/articles/PMC7836162/ /pubmed/33499893 http://dx.doi.org/10.1186/s12978-021-01080-4 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Study Protocol Ramos, Silvina Romero, Mariana Perrotta, Carla Sguassero, Yanina Straw, Cecilia Gialdini, Celina Righetti, Natalia Betran, Ana P. Optimizing the use of cesarean section in Argentina: design and methodology of a formative research for the development of interventions |
title | Optimizing the use of cesarean section in Argentina: design and methodology of a formative research for the development of interventions |
title_full | Optimizing the use of cesarean section in Argentina: design and methodology of a formative research for the development of interventions |
title_fullStr | Optimizing the use of cesarean section in Argentina: design and methodology of a formative research for the development of interventions |
title_full_unstemmed | Optimizing the use of cesarean section in Argentina: design and methodology of a formative research for the development of interventions |
title_short | Optimizing the use of cesarean section in Argentina: design and methodology of a formative research for the development of interventions |
title_sort | optimizing the use of cesarean section in argentina: design and methodology of a formative research for the development of interventions |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7836162/ https://www.ncbi.nlm.nih.gov/pubmed/33499893 http://dx.doi.org/10.1186/s12978-021-01080-4 |
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