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Table 2 Agreement on appropriateness of scenarios for cesarean section according to the 13 main indications: second 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

1 (5.6)

1 (5.6)

16 (88.9)

10 (55.5)

Preterm delivery

49

18 (36.7)

10 (20.4)

21 (42.9)

12 (24.5)

Acute fetal distress

15

3(20)

1(6.7)

11(73.3)

8 (53.3)

Chronic distress

39

4 (10.3)

5 (12.8)

30 (76.9)

20 (51.3)

Macrosomia

13

1(7.7)

0 (0)

12 (92.3)

6 (46.2)

Multiple gestation

28

7 (25)

7 (25)

14 (50)

7 (25)

Abnormal presentation (breech)

28

0 (0)

0 (0)

28 (100)

22 (75.6)

Dystocia of soft tissue

14

5 (35.7)

4 (28.6)

5 (35.7)

1(7.1)

Cephalic Pelvic Disproportion (CPD)

24

1(4.2)

6 (25)

17 (70.8)

14 (58.3)

Fetal anomaly

5

1(20)

0 (0)

4 (80)

0 (0)

Mother characteristics

41

19 (46.3)

5 (12.2)

17 (41.5)

12 (29.3)

Uterine anomaly

4

0 (0)

0 (0)

4 (100)

2 (50)

Hemorrhage and premature rupture of membrane

16

3 (18.8)

1(6.2)

12 (75)

11(68.7)

Total

294

63 (21.4)

40 (13.6)

191(65)

125 (42.5)