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Nebr Med J. 1991 Aug;76(8):271-3.

The escalating cesarean section rate: a 25 year experience at the University of Nebraska Medical Center.

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  • 1Department of Obstetrics and Gynecology, University of Nebraska College of Medicine.


The cesarean section rate at our medical center has increased gradually from 9.1% in 1965 to 21.9% in 1989, which is lower but similar to national trends. This upward trend was reversed in 1990 by more strongly encouraging vaginal births after cesarean section, attempting more vaginal deliveries in select cases of breech presentations, and complying with national guidelines for defining fetal distress and dystocia. Recommendations are offered for the development of statewide guidelines for peer review and quality assurance.

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