{"id":"https://openalex.org/W2604498543","doi":"https://doi.org/10.9790/0853-1603134953","title":"To Assess the Efficacy of the Measures Taken to Reduce the Primary Caesarean Rates and Its Impact on Overall Caesarean Rate in a Tertiary Care Hospital","display_name":"To Assess the Efficacy of the Measures Taken to Reduce the Primary Caesarean Rates and Its Impact on Overall Caesarean Rate in a Tertiary Care Hospital","publication_year":2017,"publication_date":"2017-03-01","ids":{"openalex":"https://openalex.org/W2604498543","doi":"https://doi.org/10.9790/0853-1603134953","mag":"2604498543"},"language":"en","primary_location":{"id":"doi:10.9790/0853-1603134953","doi":"https://doi.org/10.9790/0853-1603134953","is_oa":true,"landing_page_url":"https://doi.org/10.9790/0853-1603134953","pdf_url":"https://doi.org/10.9790/0853-1603134953","source":{"id":"https://openalex.org/S2764844500","display_name":"IOSR Journal of Dental and Medical Sciences","issn_l":"2279-0853","issn":["2279-0853","2279-0861"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4323237861","host_organization_name":"International organization of Scientific Research (IOSR)","host_organization_lineage":["https://openalex.org/P4323237861"],"host_organization_lineage_names":["International organization of Scientific Research (IOSR)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IOSR Journal of Dental and Medical Sciences","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://doi.org/10.9790/0853-1603134953","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5108981069","display_name":"S. Prajwal","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210153078","display_name":"Command Hospital Air Force","ror":"https://ror.org/05cx69s52","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I2801959050","https://openalex.org/I4210153078"]},{"id":"https://openalex.org/I4210161889","display_name":"Command Hospital","ror":"https://ror.org/01v16x378","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210161889"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"S Prajwal","raw_affiliation_strings":["Department ofObstetrics andGynaecology, Command Hospital, Bangalore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department ofObstetrics andGynaecology, Command Hospital, Bangalore","institution_ids":["https://openalex.org/I4210153078","https://openalex.org/I4210161889"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045898172","display_name":"Rao Ps","orcid":"https://orcid.org/0000-0002-7537-9057","observed_orcids":["https://orcid.org/0000-0002-7537-9057"]},"institutions":[{"id":"https://openalex.org/I4210153078","display_name":"Command Hospital Air Force","ror":"https://ror.org/05cx69s52","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I2801959050","https://openalex.org/I4210153078"]},{"id":"https://openalex.org/I4210161889","display_name":"Command Hospital","ror":"https://ror.org/01v16x378","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210161889"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Rao PS","raw_affiliation_strings":["Department ofObstetrics andGynaecology, Command Hospital, Bangalore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department ofObstetrics andGynaecology, Command Hospital, Bangalore","institution_ids":["https://openalex.org/I4210153078","https://openalex.org/I4210161889"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112267855","display_name":"Mitra Sujoy","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210153078","display_name":"Command Hospital Air Force","ror":"https://ror.org/05cx69s52","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I2801959050","https://openalex.org/I4210153078"]},{"id":"https://openalex.org/I4210161889","display_name":"Command Hospital","ror":"https://ror.org/01v16x378","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210161889"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Mitra Sujoy","raw_affiliation_strings":["Department ofObstetrics andGynaecology, Command Hospital, Bangalore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department ofObstetrics andGynaecology, Command Hospital, Bangalore","institution_ids":["https://openalex.org/I4210153078","https://openalex.org/I4210161889"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5016265837","display_name":"Indrani Mukhopadhyay","orcid":"https://orcid.org/0000-0003-0276-0102","observed_orcids":["https://orcid.org/0000-0003-0276-0102"]},"institutions":[{"id":"https://openalex.org/I4210153078","display_name":"Command Hospital Air Force","ror":"https://ror.org/05cx69s52","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I2801959050","https://openalex.org/I4210153078"]},{"id":"https://openalex.org/I4210161889","display_name":"Command Hospital","ror":"https://ror.org/01v16x378","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210161889"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Mukhopadhyay Indrani","raw_affiliation_strings":["Department ofObstetrics andGynaecology, Command Hospital, Bangalore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department ofObstetrics andGynaecology, Command Hospital, Bangalore","institution_ids":["https://openalex.org/I4210153078","https://openalex.org/I4210161889"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.04546839,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"16","issue":"03","first_page":"49","last_page":"53"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cesarean-section-rate","display_name":"cesarean section rate","score":0.847000002861023},{"id":"https://openalex.org/keywords/robson-classification","display_name":"Robson classification","score":0.9570000171661377},{"id":"https://openalex.org/keywords/multiparous-women","display_name":"multiparous women","score":0.5479999780654907},{"id":"https://openalex.org/keywords/previous-vaginal-delivery","display_name":"previous vaginal delivery","score":0.47699999809265137},{"id":"https://openalex.org/keywords/quality-of-obstetric-care","display_name":"obstetric care quality","score":0.3959999978542328},{"id":"https://openalex.org/keywords/tertiary-hospital","display_name":"tertiary care hospital","score":0.9419999718666077}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9629841446876526},{"id":"https://openalex.org/C2991842025","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Tertiary care","level":2,"score":0.7151967287063599},{"id":"https://openalex.org/C2908597655","wikidata":"https://www.wikidata.org/wiki/Q228036","display_name":"Caesarean delivery","level":4,"score":0.7067328691482544},{"id":"https://openalex.org/C2776279924","wikidata":"https://www.wikidata.org/wiki/Q228036","display_name":"Caesarean section","level":3,"score":0.6394397020339966},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.5370783805847168},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.4498351216316223},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.17670172452926636},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.16831821203231812},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.11252832412719727},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.9790/0853-1603134953","doi":"https://doi.org/10.9790/0853-1603134953","is_oa":true,"landing_page_url":"https://doi.org/10.9790/0853-1603134953","pdf_url":"https://doi.org/10.9790/0853-1603134953","source":{"id":"https://openalex.org/S2764844500","display_name":"IOSR Journal of Dental and Medical Sciences","issn_l":"2279-0853","issn":["2279-0853","2279-0861"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4323237861","host_organization_name":"International organization of Scientific Research (IOSR)","host_organization_lineage":["https://openalex.org/P4323237861"],"host_organization_lineage_names":["International organization of Scientific Research (IOSR)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IOSR Journal of Dental and Medical Sciences","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.9790/0853-1603134953","doi":"https://doi.org/10.9790/0853-1603134953","is_oa":true,"landing_page_url":"https://doi.org/10.9790/0853-1603134953","pdf_url":"https://doi.org/10.9790/0853-1603134953","source":{"id":"https://openalex.org/S2764844500","display_name":"IOSR Journal of Dental and Medical Sciences","issn_l":"2279-0853","issn":["2279-0853","2279-0861"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4323237861","host_organization_name":"International organization of Scientific Research (IOSR)","host_organization_lineage":["https://openalex.org/P4323237861"],"host_organization_lineage_names":["International organization of Scientific Research (IOSR)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IOSR Journal of Dental and Medical Sciences","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2604498543.pdf","grobid_xml":"https://content.openalex.org/works/W2604498543.grobid-xml"},"referenced_works_count":4,"referenced_works":["https://openalex.org/W2085744854","https://openalex.org/W2161041675","https://openalex.org/W2261610123","https://openalex.org/W6683974552"],"related_works":["https://openalex.org/W4390479508","https://openalex.org/W2767020264","https://openalex.org/W2964745451","https://openalex.org/W4413852842","https://openalex.org/W2809822917","https://openalex.org/W3005910762","https://openalex.org/W3170201032","https://openalex.org/W4241046349","https://openalex.org/W4400392814","https://openalex.org/W4411088381"],"abstract_inverted_index":{"Introduction:Caesarean":[0],"delivery":[1,29,43,327,364,376],"defines":[2],"the":[3,27,54,57,62,85,89,106,114,122,135,145,181,185,191,194,201,209,218,223,247,264,293,315,348,352,395,400,406,416,421,441,450],"birth":[4,100],"of":[5,38,48,59,82,91,108,116,124,134,144,193,203,231,245,282,306,317,335,374],"a":[6,131,140,302,392],"fetus":[7],"via":[8],"laparotomy":[9],"and":[10,53,61,69,102,112,161,236,241,259,263,290,297,330,345,379,436,440],"then":[11],"hysterotomy.Caesarean":[12],"section":[13,74,168,319,337,397],"rates":[14,30,182,213,338],"have":[15],"continued":[16],"to":[17,34,64,95,104,120,152,172,179,199,208,222,405,414,449],"increase":[18,25,35,361],"worldwide":[19],"in":[20,26,36,50,72,98,130,206,233,251,267,292,314,320,340,362,394,399,428,443,452,459],"recent":[21],"years.The":[22,212],"reasons":[23],"for":[24,79,84,216,347,365],"caesarean":[28,42,73,92,125,167,249,273,318,336,396,426,445,454],"may":[31],"be":[32,77],"due":[33],"number":[37,230],"elderly":[39],"primi":[40],"gravidae,":[41],"on":[44,56],"maternal":[45],"request,":[46],"fear":[47],"litigation":[49],"obstetric":[51],"practice":[52],"reluctance":[55],"part":[58],"obstetricians":[60],"patients":[63,146,283,307],"accept":[65],"even":[66],"minute":[67],"errors":[68],"many":[70],"more.Rise":[71],"rate":[75,90,123,250,266,274,316,398,427,446,455],"should":[76],"assessed":[78],"improving":[80],"quality":[81],"care":[83,142,188,424],"pregnant":[86],"woman.We":[87],"evaluated":[88],"births":[93],"according":[94,171,221],"Robson":[96],"criteria":[97],"our":[99],"centre":[101],"aimed":[103],"determine":[105],"cause":[107],"this":[109],"rising":[110],"trend":[111,370],"assess":[113,200],"efficacy":[115,202],"various":[117,224],"measures":[118,176,205,411],"taken":[119,413],"reduce":[121,180,415],"section.Methods:The":[126],"study":[127,386],"was":[128,253,257,261,271,275,287,339,359,383,391,430,434,438],"conducted":[129],"Command":[132],"Hospital":[133],"Armed":[136],"Forces":[137],"which":[138,246,300,382],"is":[139],"tertiary":[141],"centre.Data":[143],"who":[147,164,323],"delivered":[148,165],"between":[149],"January":[150],"2014":[151,252,429],"December":[153],"2016":[154,196,237,260,298,402,437],"were":[155,169,177,214,238,412],"collected":[156],"from":[157],"labour":[158],"room":[159],"register":[160],"those":[162,204],"women":[163,322],"by":[166,456],"classified":[170],"Robson's":[173,228],"classification.As":[174],"strict":[175],"instituted":[178],"as":[183,226,403,419],"per":[184,227,420],"ACOG":[186,422],"Obstetric":[187,423],"consensus":[189],"at":[190],"beginning":[192],"year":[195,294,401],"we":[197,355],"undertook":[198],"comparison":[207],"previous":[210,325],"two":[211],"calculated":[215],"all":[217],"three":[219,269,349],"years":[220,270,350],"groups":[225],"classification.Results:Total":[229],"deliveries":[232],"2014,":[234,295],"2015":[235,256,296,433],"984,":[239],"973":[240],"980":[242],"respectively,":[243],"out":[244],"annual":[248],"30.38%":[254,431],",":[255,432],"30.6%":[258],"28.57%":[262,439],"average":[265],"last":[268],"29.86%.The":[272],"higher":[276],"than":[277],"stipulated":[278],"WHO":[279],"15%.The":[280],"percentage":[281,305,334],"falling":[284,308],"into":[285,309],"Robson-2":[286],"20.46%,":[288],"16.11%":[289],"11.07%":[291],"respectively":[299],"showed":[301,311,368],"significant":[303,312],"reduction.The":[304],"Robson-4":[310],"reduction":[313,373,442],"multiparous":[321],"had":[324],"vaginal":[326,363],"(4.01%,":[328],"3.36%":[329],"0.36%":[331],"respectively).The":[332],"major":[333],"Robson-5":[341],"group,":[342],"57.68%,":[343],"64.43%":[344],"72.50%":[346],"respectively.Regarding":[351],"Robson-8":[353],"group":[354],"determined":[356],"that":[357,389],"there":[358,390],"an":[360],"twin":[366],"pregnancy.Robson-10,":[367],"decreasing":[369],"with":[371],"complete":[372],"preterm":[375],"(4.68%,":[377],"1.34%":[378],"0.0%":[380],"respectively)":[381],"statistically":[384],"significant.Our":[385],"has":[387],"found":[388],"fall":[393],"compared":[404],"preceding":[407],"2":[408],"years.Conclusion:":[409],"Various":[410],"primary":[417,444],"caesareans":[418],"consensus.The":[425],"30.62%":[435],"contributed":[447],"significantly":[448],"decrease":[451],"overall":[453],"2.05":[457],"%":[458],"2016.":[460]},"counts_by_year":[],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2017-04-14T00:00:00"}