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High rates of operative vaginal interventions in private patients need analysis
| The first 150 words of the full text of this article appear below. |
Pregnant women in Australia who give birth in
private hospitals have higher rates of operative delivery (caesarean
sections, forceps procedures, and vacuum extractions) than those who
use public hospitals. Do they need to have more caesarean sections? In
this edition of the BMJ, Roberts and colleagues (p 137)
examine the risk profiles of these two populations among women having babies in New South Wales, Australia.1 They found that
similar rates of women were classified as low risk (48% in private
hospitals and 49% in public). Within these low risk groups, private
patients were more likely to be 30-34 years old, but the proportion of women classed as being at low risk was the same in each group. The
authors, therefore, reasonably argue that this counters the commonly
held view that the reason for higher rates of caesarean sections in
private patients in Australia is because women at higher risk
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