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We aimed to identify the appropriateness criteria for the use of cesarean section in Iran.
Considering the magnitude of the problem in low and middle income countries in general, and in Iran in particular, we aimed to identify the appropriateness criteria for the use of cesarean section from the viewpoint of professional stakeholders in the country.
There is also an aim to study trends in delivery place, presence of medical attendance and delivery type, particularly the use of Cesarean section (CS).
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Re "Caesarean Births in U.S. Hit 32% in '07, Heightening Concern Among Doctors" (news article, March 24): As a practicing obstetrician-gynecologist for more than 20 years, I share the concern about the increasing use of Caesarean section.
Their Environmental Services and Sustainable Use of Forests section looks into improving forest management, and carries out research in biodiversity, forest ecosystems and human health, and climate change and forests.
The use of Caesarean section on the other hand delayed initiation.
Particularly in low-resource settings, avoiding liberal use of Caesarean section, even for breech presentation at term, is advised.
At the child level we included sex of the child, birth weight, delivery in hospital and in particular use of Caesarean section as explanatory variables.
The use of Caesarean section as delivery method has been seen to increase the risk for not breastfeeding in Vietnam and China [ 6, 15].
Reductions in intrapartum stillbirth rates observed in the UK have been attributed to more liberal use of Caesarean section [ 20], though this is controversial.
The results of the Cox regressions of exclusive breastfeeding duration on all independent variables within the four strata formed by child sex and area type largely confirmed the association between duration of exclusive breastfeeding and use of Caesarean section.
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