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Using Cochrane Collaboration EPOC taxonomy, interventions were classified after searches in multiple indexed databases. Mixed interventions combining implementation strategies and governance showed the greatest effectiveness, while overall impact varied by context and evidence certainty.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/strategies-for-reducing-cesarean-section-rates-an-overview-of-organizational-interventions-read-online-free/445561/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/strategies-for-reducing-cesarean-section-rates-an-overview-of-organizational-interventions-read-online-free/445561.png","ImageObject",300,407,{"name":42,"@type":43},"Eliana","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-31","2026-09-29",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",7,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Why are cesarean section rates targeted for reduction?","Question",{"text":63,"@type":64},"C-section rates have increased markedly worldwide, with especially high observed growth in Latin America and the Caribbean from the 1990s to 2014. International organizations recommend reducing rates in response to concerns about overuse.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How were interventions identified and evaluated?",{"text":68,"@type":64},"The study overview examined systematic reviews of interventions aimed at reducing C-sections. Review quality was assessed using AMSTAR, and interventions were classified using the Cochrane EPOC taxonomy after comprehensive database searches.",{"name":70,"@type":61,"acceptedAnswer":71},"Which intervention approach showed the strongest effectiveness?",{"text":72,"@type":64},"Among EPOC-classified intervention types, mixed interventions—combining implementation strategies and governance—demonstrated the most significant effectiveness in reducing C-section rates.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},445561,1790814417,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":107,"slug":108},40,"healthcare",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},8,"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":55,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":30,"preview_page_count":4},4398048949847,"https://ap-avatar.wpscdn.com/avatar/400002536579ef2da7f?_k=1778318612642679267","PD51 Strategies For Reducing Cesarean Section Rates: An Overview Of Organizational Interventions  \nAvila Vidal (avi[la.vidal@fiocruz.br](la.vidal@fiocruz.br)) and Jorge Barreto  \nIntroduction: The increase in Cesarean section (C-section) rates is a global phenomenon, but it is mainly observed in Latin America and the Caribbean, which from the 1990sthrough to 2014 saw the average rate ofC-sections increase from 22.8 to 42.2 percent. Recommendations from international organizations on the need to reduce rates of C-sections, as well as initiatives in several countries, can be highlighted in this scenario.  \nMethods: This study involved an overview of systematic reviews to evaluate interventions aimed at reducing rates of C-sections. The methodological quality of the reviews was assessed using the AMSTAR tool. Comprehensive searches were performed in indexed databases, including PubMed, the Cochrane Library, the Virtual Health Library Regional Portal, Epistemonikos, and Health Systems Evidence. Identified interventions were classified using the Effective Practice and Organization of Care (EPOC) taxonomy from the Cochrane Collaboration, ensuring a structured evaluation of effective practices and care organization.  \nResults: Out of 969 identified studies, twelve were duplicates. Following the screening of titles and abstracts, nine studies were selected for full-text analysis, ultimately resulting in six studies included in thereview. According to the EPOC taxonomy, the most prevalent intervention types were financing and mixed interventions. Notably, mixed interventions, which combined implementation strategies and governance, demonstrated the most significant effectiveness in reducing C-section rates.  \nConclusions: The effectiveness of interventions to reduce rates of C-sections varied based on context and evidence certainty. Public policies must account for the existing healthcare system and cultural norms, ensuring that they adapt to local contexts to effectively address resistance. Tailoring strategies to align with community values is essential for successful implementation and for achieving desired outcomes in reducing C-section rates.  \nPD52 Prevalence Of Low Back Pain In The Adult Population Living In Brazil: A Systematic Review And Meta-Analysis  \nMaria Augusta de Araujo Mota ([dramariaaugustaaraujo@gmail.com](dramariaaugustaaraujo@gmail.com)), Yara Marques, Alne Toledo and Rodrigo Carregaro  \nIntroduction: Although several studies have explored the prevalence of low back pain (LBP) in Brazilian individuals, no meta-analysis has yet been carried out to comprehensively estimate epidemiological aspects, such as the point, period, and lifetime prevalence of LBP in this population. The aim of this systematic review and meta-analysis was to investigate the one-off, annual, and lifetime prevalence of LBPin the Brazilian population.  \nMethods: Systematic searches were carried out in the following databases, with no restriction on publication date: MEDLINE (Ovid), Embase, Web of Science, Scientific Electronic Library Online, and LILACS. Google Scholar was also checked. The reference lists of included studies were also screened for potentially relevant studies. Prevalence rates per period were combined and calculated.  \nResults: Sixty-seven studies were included in the review. Eight of these studies (11.8%) were of higher methodological quality. The pooled prevalence of LBP was 23 percent (95% confidence interval: 11, 43) based on a random-effects model. Heterogeneity was extremely high (I²=99.5%; p\u003C0.0001), indicating significant variability between studies. Each study contributed equally to the analysis (approximately 12.5% weight). Conclusions: LBP prevalence in Brazil exceeds global averages, affecting a significant portion of the population. This study highlighted the need for policies focused on LBP prevention and management, to improve health outcomes for Brazilians and potentially benefit a large global population.  \nPD53","cbCais1zh5WgF5E3","https://ap.wps.com/l/cbCais1zh5WgF5E3","pdf",29886,"English","# Introduction\n# Methods\n# Results\n# Conclusions","[{\"question\":\"Why are cesarean section rates targeted for reduction?\",\"answer\":\"C-section rates have increased markedly worldwide, with especially high observed growth in Latin America and the Caribbean from the 1990s to 2014. International organizations recommend reducing rates in response to concerns about overuse.\"},{\"question\":\"How were interventions identified and evaluated?\",\"answer\":\"The study overview examined systematic reviews of interventions aimed at reducing C-sections. Review quality was assessed using AMSTAR, and interventions were classified using the Cochrane EPOC taxonomy after comprehensive database searches.\"},{\"question\":\"Which intervention approach showed the strongest effectiveness?\",\"answer\":\"Among EPOC-classified intervention types, mixed interventions—combining implementation strategies and governance—demonstrated the most significant effectiveness in reducing C-section rates.\"}]","Strategies For Reducing Cesarean Section Rates: An Overview Of Organizational Interventions - read online free | PDF",1790712393]