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Table 1 Agreement on appropriateness of the scenarios for cesarean section according to the 13 main indications: first 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

0 (0)

3 (16.7)

15 (83.3)

11 (61)

Preterm delivery

49

10(20.4)

18 (36.7)

21(42.9)

4 (8.2)

Acute fetal distress

15

0 (0)

9 (60)

6 (40)

5 (33.3)

Chronic distress

21

1(4.8)

3 (14.3)

17 (81)

7(33.3)

Macrosomia

13

2 (15.4)

1(7.7)

10 (76.9)

3 (23)

Multiple gestation

28

0 (0)

10 (35.7)

18( 64.3)

5 (17.8)

Abnormal presentation (breech)

28

0 (0)

1(3.6)

27 (96.4)

17 (60.7)

Dystocia of soft tissue

14

0 (0)

8 (57.1)

6 (42.9)

1(7.1)

Cephalic Pelvic Disproportion (CPD)

24

0 (0)

8 (33.3)

16 (66.7)

14 (58.3)

Fetal anomaly

5

0 (0)

1(20)

4 (80)

0 (0)

Mother characteristics

41

16 (39)

12 (29.3)

13 (31.7)

10 (43.4)

Uterine anomaly

4

0(0)

2 (50)

2 (50)

2 (50)

Hemorrhage and premature rupture of membrane

16

2 (12.5)

1(6.2)

13 (81.2)

9 (56.2)

Total

276

31(11.2)

77 (27.9)

168 (60.9)

88 (31.9)