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WHO Recommendations Non-Clinical Interventions to Reduce Unnecessary Caesarean Sections. Geneva: World Health Organization; 2018.

Cover of WHO Recommendations Non-Clinical Interventions to Reduce Unnecessary Caesarean Sections

WHO Recommendations Non-Clinical Interventions to Reduce Unnecessary Caesarean Sections.

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Web annex 1Strategies to reduce caesarean sections identified in the scoping review

INTERVENTIONSNUMBER OF STUDIES
EDUCATIONAL INTERVENTIONS
Education of health professionals10
Education of women in pregnancy9
Education of the community2
MANAGEMENT OF LABOUR INTERVENTIONS
Continuous support in labour22
Implementation of intrapartum care guidelines21
Active management of labour15
Specific physical ambiance during labour/delivery5
Systematic X-ray pelvimetry in women with previous caesarean1
Non-pharmacological pain relief1
Computer-generated partogram1
REGULATORY/ADMINISTRATIVE INTERVENTIONS
Audit and feedback16
Peer review10
Goal setting for caesarean rates4
Mandatory second opinion for caesarean indication3
Financial incentives2
Public dissemination of caesarean rates2
24-hour in-house physician coverage1
Opinion leaders to encourage guideline use1
OTHERS
Midwife-led continuity-of-care model15
Exercise in pregnancy6
Hospital quality improvement programme4
© World Health Organization 2018.

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Bookshelf ID: NBK532658

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