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Table 5 Comparison of the CS indications by hospital peer-group in Iran, 21 March 2019–21 March 2021

From: Cesarean delivery in Iran: a population-based analysis using the Robson classification system

Indication

Public

Private

Other Hospitals

OR (CI, 95%)

Public VS Other Hospitals

OR (CI, 95%)

Private VS Other Hospitals

OR (CI, 95%)

Public VS Private

n (%)

n (%)

n (%)

Repeated CS

308,701 (55.6)

162,615 (44.1)

163,522 (59.5)

0.85 (0.84, 0.86)

0.53 (0.53, 0.54)

1.58 (1.57, 1.60)

Fetal Distress

95,218 (17.1)

34,713 (9.4)

32,935 (12)

1.52 (1.50, 1.54)

0.76 (0.75, 0.77)

1.99 (1.96, 2.01)

Dystocia

22,063 (4)

14,869 (4)

12,555 (4.6)

0.86 (0.84, 0.88)

0.87 (0.85, 0.89)

0.98 (0.96, 1.00)

Placenta and Cord Conditions

11,703 (2.1)

7311 (2)

3540 (1.3)

1.65 (1.58, 1.71)

1.55 (1.48, 1.61)

1.06 (1.03, 1.09)

Multiple Pregnancy

12,430 (2.2)

5750 (1.6)

3963 (1.4)

1.75 (1.68, 1.82)

1.21 (1.16, 1.26)

1.44 (1.40, 1.49)

Malpresentation

38,353 (6.9)

16,425 (4.5)

14,078 (5.1)

1.37 (1.34, 1.40)

0.86 (0.84, 0.88)

1.59 (1.56, 1.62)

Maternal Request

4153 (0.7)

53,494 (14.5)

19,847 (7.2)

0.097 (0.094, 0.100)

2.18 (2.14, 2.21)

0.044 (0.043, 0.046)

Undefined Indications

62,692 (11.3)

73,658 (20)

24,503 (8.9)

1.30 (1.28, 1.32)

2.55 (2.51, 2.59)

0.51 (0.50, 0.51)

P value

<  0.001

  1. Each indication was compared with the rest of the indications to calculate Odds Ratio (OR)