Differences among obstetricians in caesarean section rates

The Australian & New Zealand Journal of Obstetrics & Gynaecology
S M Menticoglou

Abstract

This retrospective study examined the Caesarean section rates of 15 obstetricians at 1 hospital delivering 5,559 nulliparas with a single cephalic baby of birth-weight > or = 2,500 g. There was a wide variation in obstetricians' Caesarean rates, whether considering all their deliveries (5.5% to 20.1%), deliveries of their own patients (8.9% to 28.2%), or deliveries of their colleagues' patients (4.5% to 17.9%). There was no relation between Caesarean rates and perinatal outcome. The different Caesarean section rates among the obstetricians could not be explained by institutional factors, physician convenience, patient differences, or self-serving economic incentives.

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Citations

Jun 1, 2010·Indian Journal of Microbiology·Bandamaravuri Kishore BabuDilip K Arora
Jun 30, 2005·The American Journal of Gastroenterology·Peter FerenciRaffaella Romeo
Jan 30, 2003·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Rachel JoyceJanet Peacock

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