Non-Clinical Interventions to reduce overall cesarean sections

- Acknowledgements

The Egyptian Guideline Development Group gratefully acknowledge the contributions that many individuals and organizations have made to the development of this guideline.

The members of the Steering Group who managed the guideline development process were: Mohamed Hamed Salama, Hamdy Bakry Alqenawy, Asmaa Fahmy Kassem, Yasmeen Nashaat, Essam Eldin Abdelrehim, and Ashraf Fawzy Nabhan. Ashraf Nabhan coordinated the guideline development project and chaired the GDG.

We would also like to thank the following National advisers for their contributions: Mohamed Mourad Youssef.

We would also like to thank External Review Group members who provided valuable comments and suggestions to improve the guideline.

Funding for this guideline: None.

Acronyms and abbreviations

DECIDE	Developing and Evaluating Communication strategies to support Informed Decisions and practice based on Evidence
EtD	Evidence to Decision
GDG	Guideline Development Group
GRADE-ADOLPMENT	GRADE Evidence to Decision frameworks for adoption, adaptation, and de novo development of trustworthy recommendations
GRADE	Grading of Recommendations Assessment, Development and Evaluation
GREAT	Guideline-driven, Research priorities, Evidence synthesis, Application of evidence and Transfer of knowledge
NTSV	Nulliparous women with a term, singleton baby in a vertex position
PICO	Population, Intervention, Comparator, Outcome
WHO	World Health Organization

General scope of the guideline

Title	Non-clinical interventions to reduce cesarean sections
Purpose	to reduce cesarean sections
Perspective	an individual patient, community
Target population	low-risk pregnancy
Key coexisting conditions	prior cesarean section should be considered when making recommendations
Setting	health care level providing labor and delivery services
Types of interventions	Preventive
Key stakeholders and users	obstetricians, nurses, general medical practitioners, managers of maternal and child health programs and public health policy-makers
Key resources to consider	need for adequate human resources, appropriate infrastructure, and supportive system changes (financial, legislative)
Key issues for implementation	Several barriers may hinder the effective implementation and scale-up of the recommendations in this guideline. These factors include behaviors of patients (women or families), the behavior of health-care professionals, to the organization of care, health service delivery or to financial arrangements.
Existing guideline that has been adapted	WHO recommendations non-clinical interventions to reduce unnecessary cesarean sections. Geneva: World Health Organization; 2018.