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Challenging a 30-year-old message.

The findings of Molina et al. challenge a 30-year-old recommendation that a cesarean delivery rate of less than 15% should be a target for all health care institutions.

The study results also highlight the enormous variation in cesarean rates around the world and the need for the international obstetric community to evaluate this important health care issue. There is no one-size-fits-all optimal level of cesarean delivery that applies to all institutions, all health care systems, or all countries. The goal should be to identify meaningful ranges of risk-adjusted rates of cesarean deliveries for different populations and practices.

Dr. D'Alton and Dr. Hehir are in the department of obstetrics and gynecology at New York Presbyterian Hospital and Columbia University, New York. They reported having no relevant financial disclosures. These comments are adapted from an editorial accompanying the reports by Dr. Molina and Dr. Black (JAMA. 2015 Dec 1;314[21]:2238-40).

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Title Annotation:VIEW ON THE NEWS
Author:D'alton, Mary E.; Hehir, Mark P.
Publication:OB GYN News
Geographic Code:1USA
Date:Jan 1, 2016
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