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Previous Volume 340:54-57 January 7, 1999 Number 1 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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In 1995, the rate of cesarean delivery in the United States was 21 percent.¹ The goal of Healthy People 2000, a project of the Department of Health and Human Services, is to reduce this rate to 15 percent by the year 2000.² The advantages of a safe vaginal delivery over a cesarean delivery are clear: a vaginal delivery is associated with lower maternal and neonatal morbidity, and it costs less. We contend that these advantages apply only to safe vaginal deliveries and that reducing the rate of cesarean delivery may lead to higher costs and more complications for mothers and . . . [Full Text of this Article]

Childbirth Safety

Cesarean Delivery

Causes of the Increase in Cesarean Deliveries

Programs to Reduce the Rate of Cesarean Delivery

Vaginal Delivery after Cesarean Delivery

Operative Vaginal Deliveries

Cost of Childbirth

Conclusions and Recommendations

References

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The Risks of Lowering the Cesarean-Delivery Rate
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Extract | Full Text  
N Engl J Med 1999; 341:53-55, Jul 1, 1999. Correspondence

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