Why caesarean is more unequally concentrated among better-off people in Tehran? A concentration index decomposition approach

Omani-Samani, Reza; Almasi‐Hashiani, Amir; Safiri, Saeid; Rezaeinejad, Mahroo; Shokri, Fatemeh; Morasae, Esmaeil Khedmati; Maroufizadeh, Saman; Sepidarkish, Mahdi

doi:10.1136/jech-2017-210432

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…This increase is significant in developing countries such as Iran with the caesarean section rate of 48%. This prevalence rate is much more than global rate [3]. The growth of caesarean section rate increases unpleasant outcomes of delivery and neonatal complications such as respiratory distress syndrome, transient tachypnea of newborn and increased NICU admission [4,5].…”

Section: Delivery and Its Processmentioning

confidence: 99%

Effects of date fruit (Phoenix dactylifera L.) on labor and delivery outcomes: a systematic review and meta-analysis

Karimi

Elmi

Mirghafourvand

et al. 2020

BMC Pregnancy Childbirth

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Background: The rate of cesarean section is increasing in all over the world with different drafts in various countries. This growth increases unpleasant outcomes of delivery. Recent studies explained the benefits of date palm fruit on labor process improvement. Date fruit can be considered as a factor for increasing vaginal delivery and also reducing the frequency of caesarean section in order to prevent its great complications. This systematic review has been designed to review clinical studies that investigate the effects of date palm fruit on labor outcomes (duration of labor stages, bishop score, and frequency of cesarean section) compared with routine cares. Methods: This study was performed in 2019. Required data has been collected from electronic databases and manual searches. All randomized clinical trials evaluating the effects of date palm fruit on labor and delivery that in English and Persian languages, were incorporated in this systematic review. The methodological quality of the included studies was evaluated according to the risk of bias assessment of Cochrane handbook of systematic reviews, and were then reported using Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. Results: Eight studies were included in the qualitative and quantitative synthesis. Meta-Analysis showed that date fruit consumption can significantly reduce active phase of labor (three trials with 380 participants; (MD = − 109.3, 95%CI (− 196.32, − 22.29; I 2 = 89%), P = 0.01), and also it can significantly improve the bishop score (two trials with 320 participants; MD = 2.45, 95%CI (1.87, 3.04; I 2 = 0%), P < 0.00001). Date fruit consumption had no effects on the duration of first, second, and third stages of labor, and the frequency of cesarean section. Conclusion: Date can reduce the duration of active phase and improve the bishop score; however, due to from the low to mediate quality of the studies; it seems that the other studies are needed to prove these results better than this.

show abstract

Section: Delivery and Its Processmentioning

confidence: 99%

Effects of date fruit (Phoenix dactylifera L.) on labor and delivery outcomes: a systematic review and meta-analysis

Karimi

Elmi

Mirghafourvand

et al. 2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…significant in developing countries such as Iran with the caesarean section rate of 48%. This prevalence rate is much more than global rate [3]. The growth of caesarean section rate increases unpleasant outcomes of delivery and neonatal complications such as respiratory distress syndrome, transient tachypnea of newborn and increased NICU admission [4,5].…”

mentioning

confidence: 99%

Effects of Date Fruit (Phoenix Dactylifera L.) on Labor and Delivery Outcomes: A Systematic Review and Meta-Analysis

Karimi

Elmi

Mirghafourvand

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: The rate of cesarean section is increasing in all over the world with different drafts in various countries. This growth increases unpleasant outcomes of delivery. Recent studies explained the benefits of date palm fruit on labor process improvement. Date fruit can be considered as a factor for increasing vaginal delivery and also reducing the frequency of caesarean section in order to prevent its great complications. This systematic review has been designed to review clinical studies that investigate the effects of date palm fruit on labor outcomes (duration of labor stages, bishop score, and frequency of cesarean section) compared with routine cares. Methods: This study was performed in 2019. Required data has been collected from electronic databases and manual searches. All clinical trials evaluating the effects of date palm fruit on labor and delivery that were in English and Persian languages, were incorporated in this systematic review. The methodological quality of the included studies was evaluated according to the risk of bias assessment of Cochrane handbook of systematic reviews, and were then reported using Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement.Results: Nine studies were included in the qualitative and quantitative synthesis. Meta-Analysis showed that date fruit consumption can significantly reduce active phase of labor (three trials with 380 participants; (MD= -109.3, 95%CI (-196.32, -22.29; I2=89%), P=0.01), and also it can significantly improve the bishop score (two trials with 320 participants; MD = 2.45, 95%CI (1.87, 3.04; I2=0%), P<0.00001). Date fruit consumption had no effects on the duration of first, second, and third stages of labor, and the frequency of cesarean section. Conclusion: Date can reduce the duration of active phase and improve the bishop score; however, due to from the low to mediate quality of the studies; it seems that the other studies are needed to prove these results better than this.

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Socioeconomic Inequalities in Metastasis, Recurrence, Stage and Grade of Breast Cancer: A Hospital-based Retrospective Cohort Study

Taheri

Tavakol

Akbari

et al. 2019

Journal of Preventive Medicine and Hygiene

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Why caesarean is more unequally concentrated among better-off people in Tehran? A concentration index decomposition approach

Cited by 3 publications

References 22 publications

Effects of date fruit (Phoenix dactylifera L.) on labor and delivery outcomes: a systematic review and meta-analysis

Effects of date fruit (Phoenix dactylifera L.) on labor and delivery outcomes: a systematic review and meta-analysis

Effects of Date Fruit (Phoenix Dactylifera L.) on Labor and Delivery Outcomes: A Systematic Review and Meta-Analysis

Socioeconomic Inequalities in Metastasis, Recurrence, Stage and Grade of Breast Cancer: A Hospital-based Retrospective Cohort Study

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