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A great effort has been made to reduce cesarean section rates at
Princess Basma Teaching Hospital in North Jordan. With an annual
delivery rate of about 8250, the hospital has worked to decrease its
cesarean section rate from 13.5% to 6.5%. The rate has been almost
constant since then. In 1987, cephalopelvic disproportion and fetal
distress were responsible for nearly 65% of cesarean section rates;
this rate dropped to about 30% in 1990. This decrease is due to the
change in the approach to management of the two conditions. The
reduction in cesarean section rates in the four-year period was
associated with a drop in the perinatal mortality rate, showing that
cesarean section rates can be reduced without increasing the perinatal
mortality rate. Ann Saudi Med 1995; 15(1):29-31
http://www.kfshrc.edu.sa/annals/151/93303.html for the entire study


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