Health System Reform and Changes in Delivery Method, Height and Weight of the Past 25 Years in the Villages of East Azarbaijan Province at Birth, Six and Twelve Months Old

Introduction: Improving maternal and child health and reducing cesarean delivery are expectations of Iranian health system reform initiatives. In addition, the relationship between excessive cesarean delivery and maternal and neonatal health is one of the hot matters in scientific documents. The aim of this study was to evaluate the trend of changes in cesarean section, height, and birth weight at birth, six and twelve months of age at recent 25 years Data on delivery method, height and weight of about 5000 mothers and children in the last 25 years were selected as a sample with Multi-stage random sampling method from the contents of the household health files. Finally data were analyzed and compared in three reform periods in Iran health system.Result and Discussion: The findings show that the percentage of natural childbirth declined from 84.6% in 1994 to 48.6% in 2017.However the birth weight of infants at birth, 12 months of gestation in normal delivery group is slightly higher than cesarean section group. This change does not show any definite trends in the study years. Neonatal weight is the lowest in the family physician reform period. But weight and height at 6 and 12 months showed an increase in all three periods of reform. There was no significant relationship between labor method and birth weight, high changes and birth weight. These findings are consistent with the results of other studies.Conclusion: Reforms had no significant effect on the variables of study and cesarean section seems to be associated with weight loss at birth, which needs further investigation.