An official website of the United States government
Reducing Rates of Cesarean Delivery in Rural US Communities: A Systematic Review of Interventions and Approaches to Care
SYSTEMATIC REVIEW — Volume 23 — July 30, 2026
PEER REVIEWED
This flowchart shows that first, 507 studies were identified by searching 4 databases: 382 PubMed, 83 Web of Science, 25 CINAHL, and 17 Cochrane Library. Next, 435 studies were screened after removing duplicates by Rayyan. Next, 420 studies were excluded; 15 studies were retrieved and assessed for eligibility; 7 studies were excluded (2 wrong outcome, 5 wrong population); and 1 study was retrieved through citation chasing. Nine studies were included in the final review.
Figure. Preferred Reporting Items for Systematic Reviews and Meta-Analyses flowchart for systematic review of studies describing interventions for reducing rates of cesarean delivery in rural US communities.
The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors’ affiliated institutions.