In 1995, the rate of cesarean delivery in the United Stateswas 21 percent.1 The goal of Healthy People 2000, a projectof the Department of Health and Human Services, is to reducethis rate to 15 percent by the year 2000.2 The advantages ofa safe vaginal delivery over a cesarean delivery are clear:a vaginal delivery is associated with lower maternal and neonatalmorbidity, and it costs less. We contend that these advantagesapply only to safe vaginal deliveries and that reducing therate of cesarean delivery may lead to higher costs and morecomplications 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
Related Letters:
The Risks of Lowering the Cesarean-Delivery Rate
DeMott R. K., Sandmire H. F., Halpern S. H., Leighton B. L., DeJoy S., O'Grady J. P., Burkman R. T., Sirio C. A., Satcher D., Sachs B. P., Kobelin C., Frigoletto F.
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N Engl J Med 1999;
341:53-55, Jul 1, 1999.
Correspondence
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