الفهرس 
Cesarean section, an overviewOnly 14 pages are availabe for public view
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Abstract
Background: Cesarean Section (CS) rates are rising significantly worldwide. Egypt is amongst countries with the highest CS rates in the world as reported the CAPMAS in their (EFHS) 2022 that CS rate has reached 72% in 2021 from 52% in 2014. Several CSs are not medically indicated, and there are many interventions to reduce CS rate.
Aim: This study aims to assess knowledge, attitude and practice of obstetricians and gynecologists towards CS and the relation between these concepts at public and private healthcare facilities in Fayoum governorate, Egypt.
Methods: This cross-sectional study was done on 168 obstetricians and gynecologists. A self-administered questionnaire was used to cover the socio-demographic and work-related data, knowledge, attitude and practice of the participants, in addition to an open-ended questions interview of 5 questions for 10 participants.
Results: The knowledge median (IQR) score of the participants was generally good 60, (56-64) of the expected total (82), but not correlating with their attitude or practice although, their attitude was statistically significantly positively correlated with their practice (r =0.705, p < 0.001). The attitude median (IQR) score was: 8.0 (4.0-12.0) of the expected total (24), which was towards increasing CS rate. The total practice median (IQR) score was: 7.0 (5.0-8.0) of the expected total practice score (12).
Conclusion: In conclusion, the attitude and practice of our participants explained the high rates of CS rates in our community and assumed a relationship between this attitude and this practice regardless of good knowledge of the indications of CS.