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Johanson and colleagues (p 892) argue that there is a growing
trend of obstetric intervention in childbirth; this is associated with
increasing medicolegal pressures, and women are not involved in
decision making. Obstetricians have now taken over responsibility for
normal births, in addition to their role in complicated births. Caesarean rates in Britain have now reached 20% and obstetricians, the
authors say, must be held accountable. If this trend is to be reversed
then the "blame and claim" culture should be addressed, and
childbirth without fear should become a reality for women, midwives,
and obstetricians alike.