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The authors conducted a systematic review to identify, critically appraise and synthesize the analyses of the ecologic association between CS rates and maternal, neonatal and infant outcomes. The findings suggest that at CS rates below this threshold, socio-economic development may be driving the ecologic association between CS rates and mortality. On the other hand, at rates higher than this threshold, there is no association between CS and mortality outcomes regardless of adjustment. The ecological association between CS rates and relevant morbidity outcomes needs to be evaluated before drawing more definite conclusions at population level.
http://www.reproductive-health-journal.com/content/12/1/57/abstract
References
Appropriate technology for birth. Lancet. 1985;2(8452):436–7
Betran AP, Merialdi M, Lauer JA, Bing-shun W, Thomas J, Van Look P, et al. Rates ofcaesarean section: analysis of global, regional and national estimates. Paediatr Perinat Epidemiol. 2007;21:98–113
Gibbons L, Belizan JM, Lauer JA, Betran AP, Merialdi M, Althabe F. Inequities in the use of cesarean section deliveries in the world. Am J Obstet Gynecol. 2012;206(4):331. e1-19