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Relationship Between Cesarean Delivery Rate and Maternal and Neonatal Mortality

Molina, George MD, MPH; Weiser, Thomas G. MD, MPH; Lipsitz, Stuart R. ScD; Esquivel, Micaela M. MD; Uribe-Leitz, Tarsicio MD, MPH; Azad, Tej BA; Shah, Neel MD, MPP; Semrau, Katherine PhD, MPH; Berry, William R. MD, MPA, MPH; Gawande, Atul A. MD, MPH; Haynes, Alex B. MD, MPH

doi: 10.1097/01.aoa.0000504695.85376.b3
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(JAMA 2015;314(21):2263–2270)

Cesarean deliveries can be lifesaving for women with obstructed labor and other emergency conditions. As per the World Health Organization (WHO) recommendation, cesarean delivery rates should not exceed 10% to 15% of deliveries. However, actual rates are higher in many countries. The aim of this study was to provide better estimates of the contemporary relationship between national cesarean delivery rates and neonatal and maternal mortality.

Ariadne Labs at Brigham and Women’s Hospital and the Harvard T. H. Chan School of Public Health, Boston, MA

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