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Latin America, Great Britain: trends abroad suggest more elective C-sections in U.S.(Obstetrics)

OB GYN News

| September 01, 2004 | Kirn, Timothy F. | COPYRIGHT 2004 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

YOSEMITE, CALIF. -- None of the goals that have been set for the cesarean section rate are likely to be met because the number of women requesting a primary elective cesarean will continue to increase, speakers predicted at a conference on obstetrics and gynecology sponsored by Symposia Medicus.

The speakers based their predictions primarily on trends in other countries, where primary elective cesarean is already more popular than it is here.

"Around the world it is not a big issue," said Dr. Washington C. Hill, director of maternal-fetal medicine at Sarasota (Fla.) Memorial Hospital. "It is just an issue for us, and perhaps we are behind the times."

In many Latin American countries the rate of primary elective cesarean delivery is about 40%-50%, noted Dr. Thomas R. Moore, chairman of the department of reproductive medicine at the University of California, San Diego.

A recent survey conducted in Brazil showed that in private hospitals, where the wealthiest patients are served, the rate of primary elective cesarean is about 80%-90%.

The same trend appears to have taken hold in Europe, both speakers said. A survey published in 2001 ...

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