(Abstracted from Eur J Obstet Gynecol Reprod Biol 2018;229:148–152)
Cesarean delivery rates have increased worldwide, despite several recommendations by the World Health Organization to curb this increase. A World Health Organization ecological study found that rates above 10% are not associated with improved maternal and perinatal outcomes.
Department of Obstetrics, Leiden University Medical Centre, Leiden (A.F.K., J.v.R., T.v.d.A.); Department of Obstetrics and Gynecology, Isala Hospital, Zwolle (J.M.S.); and Athena Institute, VU University, Amsterdam (J.v.R.), the Netherlands