This article is available to subscribers. Subscribe now. Already have an account? Sign in

Sounding BoardFree Preview

The Risks of Lowering the Cesarean-Delivery Rate

List of authors.
  • Benjamin P. Sachs, M.B., B.S., D.P.H.,
  • Cindy Kobelin, M.D.,
  • Mary Ames Castro, M.D.,
  • and Fredric Frigoletto, M.D.

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 . . .

Continue reading this article

Select an option below:

Create your account to get 2 free subscriber-only articles each month.

Get Free Access Now Subscribe For Full Access

Already have an account?

Sign In

Print subscriber?

Activate your online access.

Benjamin P. Sachs, M.B., B.S., D.P.H.
Cindy Kobelin, M.D.
Beth Israel Deaconess Medical Center, Boston, MA 02215

Mary Ames Castro, M.D.
Fredric Frigoletto, M.D.
Massachusetts General Hospital, Boston, MA 02114

Print Subscriber? Activate your online access.