{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T15:51:26Z","timestamp":1781020286895,"version":"3.54.1"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,4,14]],"date-time":"2018-04-14T00:00:00Z","timestamp":1523664000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To identify the frequency of cesarean delivery for non\u2010obstetric indications before and after the introduction of specific measures to lower the rate of elective cesarean, and to evaluate the effectiveness of the introduced measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In the present single\u2010center retrospective cohort study at University Hospital Trnava, Trnava, Slovak Republic, the frequency of elective cesarean was evaluated before (January 1, 2010, to December 31, 2014) and after (January 1, 2015, to December 31, 2016) the implementation of specific measures applied in January 2015 to confirm the indications for primary cesarean delivery. The frequency of elective cesarean delivery for non\u2010obstetric indications was compared between the two periods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Before the intervention in 2015, 229 (2.9%) of 7768 women had elective cesarean deliveries for non\u2010obstetric indications. After implementation of the intervention, the frequency decreased to 27 (0.8%) of 3203 women (<jats:italic>P<\/jats:italic>&lt;0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The frequency of cesarean delivery for non\u2010obstetric indications was reduced significantly by introducing specific reasonable measures. These included all non\u2010obstetric indications for cesarean delivery being approved by a leading specialist of the related department, close cooperation with professionals from other specialties, and, additionally, staff attending professional educational lectures.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12496","type":"journal-article","created":{"date-parts":[[2018,3,26]],"date-time":"2018-03-26T01:56:51Z","timestamp":1522029411000},"page":"23-27","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Impact of introducing specific measures to reduce the frequency of cesarean delivery for non\u2010obstetric indications"],"prefix":"10.1002","volume":"142","author":[{"given":"Petra","family":"Psenkova","sequence":"first","affiliation":[{"name":"2nd Department of Obstetrics and Gynecology Faculty of Medicine in Bratislava of the Comenius University in Bratislava  Bratislava Slovak\u00a0Republic"},{"name":"University Hospital Bratislava  Bratislava Slovak\u00a0Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marek","family":"Bucko","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Trnava University Hospital  Trnava Slovak Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Braticak","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Trnava University Hospital  Trnava Slovak Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Baneszova","sequence":"additional","affiliation":[{"name":"2nd Department of Obstetrics and Gynecology Faculty of Medicine in Bratislava of the Comenius University in Bratislava  Bratislava Slovak\u00a0Republic"},{"name":"University Hospital Bratislava  Bratislava Slovak\u00a0Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jozef","family":"Zahumensky","sequence":"additional","affiliation":[{"name":"2nd Department of Obstetrics and Gynecology Faculty of Medicine in Bratislava of the Comenius University in Bratislava  Bratislava Slovak\u00a0Republic"},{"name":"University Hospital Bratislava  Bratislava Slovak\u00a0Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,4,14]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2010.00459.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1285829"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.4149\/BLL_2017_063"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2015.03.030"},{"key":"e_1_2_7_6_1","unstructured":"Royal College of Obstetricians and Gynaecologist.Cardiac Disease and Pregnancy. 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