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Trends in cesarean section rates.

G J Halpin, E Rose, E Shapiro

    New Jersey Medicine : the Journal of the Medical Society of New Jersey
    |November 1, 1989
    PubMed
    Summary
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    Cesarean section rates significantly increased from 1967 to 1986. This analysis recommends strategies to reduce cesarean section utilization in hospitals and among physicians.

    Area of Science:

    • Obstetrics and Gynecology
    • Public Health
    • Healthcare Management

    Background:

    • The period between 1967 and 1986 witnessed a notable rise in cesarean section rates.
    • Understanding the drivers of this increase is crucial for maternal and infant health outcomes.

    Purpose of the Study:

    • To analyze trends in primary cesarean section rates.
    • To identify hospitals with exceptionally high cesarean section rates (exceeding 20%).
    • To propose recommendations for reducing cesarean section utilization.

    Main Methods:

    • Analysis of primary cesarean section rates stratified by perinatal designation.
    • Examination of individual hospital cesarean section rates.
    • Data collection covering the period from 1967 to 1986.

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    Main Results:

    • Significant increase in the utilization of cesarean sections observed between 1967 and 1986.
    • Identification of specific hospitals exhibiting cesarean section rates above 20%.

    Conclusions:

    • The study highlights a concerning trend of increased cesarean section rates over two decades.
    • Recommendations are provided for both hospital-level and physician-level interventions to curb this rise.