In 1937, an article in the Journal describing 10 years of birthsat Boston City Hospital revealed an overall rate of cesareandelivery of about 3%.1 Recently released 2005 data on cesareandeliveries show that contemporary rates are 10 times as high,having climbed above 30% (see graph).2 Indeed, of the 20th century'smany changes in obstetrical care — the wholesale movefrom home to hospital delivery, increasing use of anesthesia,the advent of in vitro fertilization — few have generatedmore attention and debate or had a greater effect on the processof delivery than this seemingly inexorable . . . [Full Text of this Article]
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Dr. Ecker is an associate professor and Dr. Frigoletto a professor of obstetrics, gynecology, and reproductive biology at Harvard Medical School, and both are obstetricians at Massachusetts General Hospital, Boston.
An interview with Dr. Ecker can be heard and a slide presentation can be seen at www.nejm.org.
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