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Cesarean section rate: a comparison between family physicians and obstetricians.

Authors
  • Applegate, J A
  • Walhout, M F
Type
Published Article
Journal
Family practice research journal
Publication Date
Sep 01, 1992
Volume
12
Issue
3
Pages
255–262
Identifiers
PMID: 1414429
Source
Medline
License
Unknown

Abstract

This retrospective study compared the cesarean section rates of family physicians and obstetricians for low-risk pregnancies. The study populations (n = 492) were demographically similar. The overall cesarean section rate for the study was 7.5%. Chi-square analysis revealed a statistically significant higher rate of cesarean section for obstetricians compared to family physicians. Obstetricians were overall three times more likely to deliver by cesarean section than were family physicians (11.3% compared to 3.8%). This pattern persisted for normal-length Stage I and Stage II labors. Equal cesarean section rates were noted in prolonged labor patterns. The rate of fetal distress, meconium, or other complications was equal between family physicians and obstetricians; equivalent fetal outcomes and Apgar scores were noted. None of the studied patient factors explained the difference in cesarean section rates between family physicians and obstetricians.

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