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Cesarean delivery rates and obstetric culture - an Italian register-based study

Plevani et al.

Editor's comment: Prof. Jim Thornton: Inverse correlation between rates of operative vaginal delivery and Caesarean

A large Italian registry study has shown, perhaps unsurprisingly, a significant inverse correlation between rates of overall Caesarean birth and operative vaginal delivery rates.  The authors note the rising rate of second stage Caesareans, which are often very morbid for both mother and baby, and advocate a careful change in obstetric culture to encourage vaginal instrumental delivery in delayed second stage of labour. 

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Commentaries by Editor Prof. Jim Thornton