MinervaBMJ 2003; 326 doi: http://dx.doi.org/10.1136/bmj.326.7400.1222 (Published 29 May 2003) Cite this as: BMJ 2003;326:1222
Soaring caesarean section rates in the United States provide food for thought. The rate in 2001 reached an all time high of 24.4%, while that of women having a vaginal delivery after a previous section dropped to an all time low of 16.5%. An editorial in the Journal of Obstetric, Gynecologic, and Neonatal Nursing (2003;32: 283-4) asks whether this situation has arisen because the demand for perfection forces unnecessary intervention, and calls for a return to common sense guided by evidence rather than fear of litigation.
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