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Cesarean Section Rates in the United States

Bruce A. Harris Jr, MD
JAMA. 1985;253(22):3247. doi:10.1001/jama.1985.03350460043004.
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To the Editor.—  The recent study by Gleicher1 and the comments on it by Dr Rosen2 are most interesting.It appears that all studies on cesarean delivery will be incomplete until the publication of a well-designed study relative to the influence of litigation on the obstetrician's choice of procedure. The consensus conference of 1980 was unable to reach any firm conclusion in this area. This is because there are very few data on this important subject.When the average obstetrician is faced with a large neonate in the occiput posterior position and a questionable fetal heart tracing, it is much easier for him to do a cesarean than it is to stand by and wait for vaginal delivery—knowing that 20 years hence (when he is in his old age) he may well be the object of a malpractice suit by the child he is about to deliver. Such


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