The Green Bay cesarean section study

摘要: This study was designed to identify the determinants of cesarean birth rates. The population included all 1030 deliveries performed on singleton pregnancies by 11 obstetricians practicing at two Green Bay hospitals from 1986 through 1988; 1076 control patients with vaginal were selected for comparison purposes. represented 14% 7335 that occurred during period. Individual physician rates ranged 5.6% 19.7%. Cesarean groups 9.8% 18%. variances in among individual and physicians not attributable patient obstetric risk factors, socioeconomic status, service or duration physician's practice. Higher did result better neonatal outcome. practice style only apparent determinant obstetricians. Current can be substantially reduced without sacrificing fetal newborn safety.