Caesarean section rates: Evaluate the reasons for surgery

BMJ 1994; 308 doi: https://doi.org/10.1136/bmj.308.6921.133d (Published 08 January 1994) Cite this as: BMJ 1994;308:133
  1. C R Leitch,
  2. J J Walker
  1. Department of Obstetrics and Gynaecology, University of Glasgow, Royal Infirmary, Glasgow G31 2ER.

    EDITOR, - Pieter E Treffers and Maria Pel's editorial on the rising trend for caesarean birth seems to be simply another opinion on the problem, with little substantial evidence. The fact that a particular type of care is associated with a certain outcome does not prove a causal relation.

    We work in a large teaching centre, where the rate of caesarean section has changed little over the past 20 years (figure), although it has been consistently higher than the national average. Recently, the rate of …

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