Cesarean Increase Driven by Subjective Indications

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According to a new study, half of the increasing rate of cesarean births is attributable to primary cesarean births. Among primary cesarean births, subjective indications, such as nonreassuring fetal status and arrest of dilation, contributed to a greater proportion of such deliveries than objective indications such as malpresentation, maternal-fetal, and obstetric conditions ...

The rate of primary cesearean deliveries increased at 6.0% per year ...

... [higher] cesarean delivery rates ... add to costs but do not improve maternal or neonatal outcomes.