Reducing unnecessary caesarean sections: scoping review of financial and regulatory interventions.

ABSTRACT:

Background

Caesarean sections (CS) are increasing worldwide. Financial incentives and related regulatory and legislative factors are important determinants of CS rates. This scoping review examines the evidence base of financial, regulatory and legislative interventions intended to reduce CS rates.

Methods

We searched MEDLINE, EMBASE, CINAHL and two trials registers in June 2019. Both experimental and observational intervention studies were eligible for inclusion. Primary outcome measures were: CS, spontaneous vaginal and instrumental birth rates. We assessed quality of evidence using Grading of Recommendations, Assessment, Development and Evaluation (GRADE) method.

Results

We identified 9057 articles and assessed 65 full-texts. We included 16 observational studies. M

SUBMITTER: Opiyo N 

PROVIDER: S-EPMC7457477 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature