The Cesarean Section Rate

Paul R. Overhulse, MD
JAMA. 1990;264(8):971. doi:10.1001/jama.1990.03450080057020.
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To the Editor.—  In response to the Special Communication by Dr Stafford1 regarding cesarean sections, I would like to make a few comments.Why is the trend toward more and more cesarean sections? I submit that, in this day of advanced anesthesiological and surgical techniques, cesarean section is both easier and safer than vaginal delivery. Why should the modern woman undergo the sweaty, gut-wrenching ordeal of labor that may last 12 to 24 hours or more? Why must she face the frantic rush to the operating room for a stat section when the fetal heart rate drops? Why should she and her physician worry about the cord wrapped around the neck, fetal distress, breech presentation, pelvic dystocia, injured fetal parts (arms or necks), retained placenta, or transmitting herpesvirus to the infant during vaginal delivery? The mortality and morbidity rates of planned cesarean section, I am sure, are as low


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