From: Developing criteria for Cesarean Section using the RAND appropriateness method
Cesarean Indications | Total number of scenarios | Appropriateness of scenarios | Agreement on appropriateness | ||
---|---|---|---|---|---|
 |  | Inappropriate N (%) | Equivocal N (%) | Appropriate N (%) |  |
Repeat cesarean | 18 | 0 (0) | 3 (16.7) | 15 (83.3) | 11 (61) |
Preterm delivery | 49 | 10(20.4) | 18 (36.7) | 21(42.9) | 4 (8.2) |
Acute fetal distress | 15 | 0 (0) | 9 (60) | 6 (40) | 5 (33.3) |
Chronic distress | 21 | 1(4.8) | 3 (14.3) | 17 (81) | 7(33.3) |
Macrosomia | 13 | 2 (15.4) | 1(7.7) | 10 (76.9) | 3 (23) |
Multiple gestation | 28 | 0 (0) | 10 (35.7) | 18( 64.3) | 5 (17.8) |
Abnormal presentation (breech) | 28 | 0 (0) | 1(3.6) | 27 (96.4) | 17 (60.7) |
Dystocia of soft tissue | 14 | 0 (0) | 8 (57.1) | 6 (42.9) | 1(7.1) |
Cephalic Pelvic Disproportion (CPD) | 24 | 0 (0) | 8 (33.3) | 16 (66.7) | 14 (58.3) |
Fetal anomaly | 5 | 0 (0) | 1(20) | 4 (80) | 0 (0) |
Mother characteristics | 41 | 16 (39) | 12 (29.3) | 13 (31.7) | 10 (43.4) |
Uterine anomaly | 4 | 0(0) | 2 (50) | 2 (50) | 2 (50) |
Hemorrhage and premature rupture of membrane | 16 | 2 (12.5) | 1(6.2) | 13 (81.2) | 9 (56.2) |
Total | 276 | 31(11.2) | 77 (27.9) | 168 (60.9) | 88 (31.9) |