title: Prevalence and Causes of Cesarean Section in Iran: Systematic Review and Meta-Analysis.
abstract: Unfortunately, the prevalence of cesarean section has increased in recent years. Whereas awareness of the prevalence and causes is inevitable for planning and effective interventions, so aim of this study has designed and conducted for reviewing of systematic Prevalence and caesarean causes in Iran. In this meta-analysis, the required information have been collected using several keywords which are Cesarean section rate, Cesarean section prevalence, delivery, childhood, childbirth, relative causes, relative frequency, Iran and their Persian equivalents have been collected from databases such as CINAHL, Science Direct, PubMed, Magiran, SID, Iranmedex. Finally, we found 706 related articles and selected 34 articles among them for studying of cesarean Prevalence. We used CMA software with random model for Meta-Analysis. The prevalence of Cesarean was estimated48%. Using content analysis, Factors influencing the incidence of cesarean section were divided to 3 categories including social and demographic factors, obstetric-medical causes and non-obstetric-medical causes. Maternal education and grand multiparity in the field of demographic and social factors, previous cesarean in the field of obstetric-medical causes and fear of normal-vaginal delivery (NVD) and doctor's suggestion in the field of non-obstetric-medical causes were major causes of Cesarean. According to the high prevalence of caesarean section and it upward development, it seems to be essential designing and implementing of programs and interventions effectiveness including providing of Possibility of painless childbirth and education and psychological interventions, increasing of quality of natural delivery services, proper culture and prohibiting of doctors from Personal opinions and profit.
authors.affiliation: 1. Health Management and Economics Research Center, Iran University of Medical Sciences , Tehran, Iran.
authors.forename: Saber
authors.initials: S
authors.lastname: Azami-Aghdash
authors.affiliation: 2. Liver & Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences , Tabriz, Iran.
authors.forename: Morteza
authors.initials: M
authors.lastname: Ghojazadeh
authors.affiliation: 3. Hospital Management Research Center, Iran University of Medical Sciences , Tehran, Iran.
authors.forename: Nima
authors.initials: N
authors.lastname: Dehdilani
authors.affiliation: 4. Women's Reproductive Health Research Center, Tabriz University of Medical Sciences , Tabriz, Iran.
authors.forename: Marzieh
authors.initials: M
authors.lastname: Mohammadi
authors.affiliation: 5. Food & Drug Organization Research Center, Tabriz University of Medical Sciences , Tabriz, Iran.
authors.forename: Ramin
authors.initials: R
authors.lastname: Asl Amin Abad
keywords: Caesarean; Causes; Incidence; Iran; Meta-Analysis