The trend of caesarean delivery in the Islamic Republic of Iran

The Islamic Republic of Iran has witnessed a sharp increase in the number of caesarean sections in the past two decades. This study shows the trend of caesarean sections in the country, focusing on the probable causes of the increase during the past 30 years. The caesarean section rate was 35% in 2000 and increased to 48% in 2009. The study shows that there is a very wide range of prevalence of caesarean section rates in the country. This would indicate that most caesarean sections in our country are not medically indicated, although perhaps in some areas there are not enough caesarean sections. There is a need for research on health outcomes for mothers and infants associated with caesarean delivery without a medical or obstetrical indication. A more detailed examination is needed of mother, insurer, hospital and provider attitudes toward elective caesareans.