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Table 1 Agreement on appropriateness of the scenarios for cesarean section according to the 13 main indications: first round of consensus development.

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)