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The Green Bay cesarean section study III. Falling cesarean birth rates without a formal curtailment program

American Journal of Obstetrics and GynecologyPublished 1 June 1994
Herbert F. Sandmire, Robert K. DeMott
Citations17
SJR quartileQ1
SJR score2.77
SNIP2.75

TL;DR

Books reports, residency training, continuing medical education attendance, and liability risks were the major determinants of cesarean birth as perceived by the 10 physicians in the study, and the least important determinant, rated fifteenth of 15, was the national cesar birth rate.

Abstract

The total, primary, and repeat cesarean birth rates declined from 13.3% to 10.2%, 8.6% to 6.8%, and 4.7% to 3.4%, respectively, between 1986 to 1988 and 1990 to 1992. Variations in cesarean rates occurred among physicians and groups of physicians. Higher cesarean rates did not result in better perinatal outcome. Literature reports, residency training, continuing medical education attendance, and liability risks were the major determinants of cesarean birth as perceived by the 10 physicians in the study. The least important determinant, rated fifteenth of 15, was the national cesarean birth rate.

Keywords

Medicine