How structured cultural changes can reduce cesarean section rate in a Danish tertiary hospital.

ABSTRACT:

Background

Cesarean section is rising globally, with the risk of over-use and subsequent iatrogenic consequences for child and maternal health and future pregnancies. This study aims to evaluate the impact of a 12-step initiative implemented by a Danish tertiary hospital, targeting organisational structures, healthcare personnel, and the birthing population, on reducing cesarean section rates, compared to control hospitals that did not adopt a similar approach.

Methods

A national retrospective register-based cohort study comparing the index hospital with two control hospitals, five years before implementation until eight years after the initiation of the strategy. Interrupted Time Series Analyses are performed with and without the control group. The study was conducted in a

SUBMITTER: Rydahl E 

PROVIDER: S-EPMC12622832 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature