Tabatabai Shima, Simforoosh Nasser, Khatibani Seyed Esmaeil Azimi
Medical Education Department, Shahid Labbafi Nedjad Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Urology and Nephrology Research Center, Shahid Labbafi Nedjad Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iran J Public Health. 2021 Oct;50(10):2085-2094. doi: 10.18502/ijph.v50i10.7509.
To study the current trends in Obstetrics-Gynecology (Ob-Gyn) education and workforce in Iran since 1979 and to discuss the consequences and implications.
This descriptive-analytical study was conducted to describe the Ob-Gyn residency and fellowship growth and workforce profile in Iran (1979-2017).The first-hand data gathered from MOHME and Iran's Medical Council. The Obstetrician-Gynecologist (Ob-Gyns) per 100000 populations' ratio and the percentage changes calculated and the trends analyzed.
Between 1979 and 2017, the proportion of trained Ob-Gyns at national universities increased by 86.27%, the number of certified Ob-Gyns increased by 333% and, female Ob-Gyns increased by 1142%.The ratio of active gynecologists per 100,000 people was 5.0 in 1979 and 8.05 in 2017, represents an increase of 70%. Since 1979 the number of active gynecologists has increased by 278 and the number of active female gynecologists has increased by 996%. Since 1990 the maternal mortality per 100,000 live births decreased by 79.9% in Iran. However, since 1980 the Cesarean proportion increased by 203% in Iran.
Ob-Gyn education has undergone remarkable growth. Ongoing research should focus on Ob-Gyn's geographic distribution, and potential implications of female Ob-Gyns practice pattern and technologies on women's health.
研究1979年以来伊朗妇产科教育和劳动力的当前趋势，并讨论其后果和影响。
本描述性分析研究旨在描述伊朗（1979 - 2017年）妇产科住院医师培训和专科进修的增长情况以及劳动力概况。从伊朗卫生部和伊朗医学委员会收集一手数据。计算每10万人口中妇产科医生的比例及百分比变化，并分析趋势。
1979年至2017年期间，国立大学培训的妇产科医生比例增长了86.27%，获得认证的妇产科医生数量增长了333%，女性妇产科医生数量增长了1142%。1979年每10万人中活跃的妇科医生比例为5.0，2017年为8.05，增长了70%。自1979年以来，活跃的妇科医生数量增加了278人，活跃的女性妇科医生数量增加了996%。自1990年以来，伊朗每10万例活产中的孕产妇死亡率下降了79.9%。然而，自1980年以来，伊朗的剖宫产比例增长了203%。
妇产科教育取得了显著增长。正在进行的研究应关注妇产科医生的地理分布，以及女性妇产科医生的执业模式和技术对女性健康的潜在影响。
