July 2, 2026 · BJOG : an international journal of obstetrics and gynaecology · DOI: 10.1111/1471-0528.70297

Impact of a Structured Caesarean Reduction Strategy on Perinatal Outcomes: A Retrospective Ecological Time-Trend Study

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The authors aimed to evaluate the long-term effects of a structured, multidisciplinary strategy to reduce cesarean section (CS) rates in a high-complexity Italian hospital. Their findings indicated a significant decline in CS rates post-2016 without adverse impacts on maternal or neonatal outcomes, suggesting that the implemented strategies were effective in achieving their goal. Overall, the study highlights the potential for structured interventions to influence perinatal outcomes positively.

Stefania Fieni, Giovanni Morganelli, Gabriella Maria Celora, Biancamaria Mastrandrea, Tullio Ghi

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