Lessons from a multidisciplinary partnership involving women parliamentarians to address the overuse of caesarean section in Italy.

BMJ Global Health
Pilar MontillaAna Pilar Betran

Abstract

The increase of caesarean sections (CS) represents a global concern. Interventions tested to reduce unnecessary caesareans have shown limited success to date, partly because they have focused on medical perspectives or on single faceted interventions targeting only one group of stakeholders. Limited attention has been given to examining multidisciplinary and advocacy activities that could reduce unnecessary CS by raising awareness and engaging the media, advocacy groups, healthcare professionals and politicians. In 2009 in Italy, the national CS rate was the highest in Europe and momentum was building for action. This case study includes a description of the activities conducted in Italy during 2009-2012 by a partnership that included the non-governmental organisation Osservatorio Nazionale sulla Salute della Donna, a bipartisan group of Italian women parliamentarians and the WHO. The objectives were to generate awareness about the increase and overuse of CS in Italy, to foster political actions to reverse this trend, to engage with the media and journalists and to better understand women's birth preferences and needs. A reduction of the CS rate has been observed in Italy following the activities of the initiative from 38.4% in...Continue Reading

References

May 20, 2003·Birth·Serena DonatiSilvia Andreozzi
Jul 28, 2004·Obstetrical & Gynecological Survey·Joseph R WaxJacquelyn Blackstone
Jun 6, 2006·Acta Obstetricia Et Gynecologica Scandinavica·Alfredo MancusoAnnamaria Giacobbe
Nov 6, 2008·Clinical Orthopaedics and Related Research·Francesco Traina
Jan 27, 2011·BMJ : British Medical Journal·Maria Regina TorloniMario Merialdi
Apr 3, 2012·American Journal of Obstetrics and Gynecology·Luz GibbonsFernando Althabe
Mar 28, 2013·BMC Pregnancy and Childbirth·Maria Regina TorloniMario Merialdi
Jan 29, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·M R TorloniA P Betrán
Jan 7, 2020·Bulletin of the World Health Organization·Newton OpiyoAna Pilar Betrán

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