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Table 2 Agreement on appropriateness of scenarios for cesarean section according to the 13 main indications: second 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 1 (5.6) 1 (5.6) 16 (88.9) 10 (55.5)
Preterm delivery 49 18 (36.7) 10 (20.4) 21 (42.9) 12 (24.5)
Acute fetal distress 15 3(20) 1(6.7) 11(73.3) 8 (53.3)
Chronic distress 39 4 (10.3) 5 (12.8) 30 (76.9) 20 (51.3)
Macrosomia 13 1(7.7) 0 (0) 12 (92.3) 6 (46.2)
Multiple gestation 28 7 (25) 7 (25) 14 (50) 7 (25)
Abnormal presentation (breech) 28 0 (0) 0 (0) 28 (100) 22 (75.6)
Dystocia of soft tissue 14 5 (35.7) 4 (28.6) 5 (35.7) 1(7.1)
Cephalic Pelvic Disproportion (CPD) 24 1(4.2) 6 (25) 17 (70.8) 14 (58.3)
Fetal anomaly 5 1(20) 0 (0) 4 (80) 0 (0)
Mother characteristics 41 19 (46.3) 5 (12.2) 17 (41.5) 12 (29.3)
Uterine anomaly 4 0 (0) 0 (0) 4 (100) 2 (50)
Hemorrhage and premature rupture of membrane 16 3 (18.8) 1(6.2) 12 (75) 11(68.7)
Total 294 63 (21.4) 40 (13.6) 191(65) 125 (42.5)