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Panel Urges New Look at Caesarean Guidelines

03.13.2010 - Value Based Purchasing

A panel of medical experts on Wednesday recommended steps to reverse a trend that has dismayed many pregnant women: the increasing difficulty of finding doctors and hospials that will let a woman try to give birth normally if she has had a Caesarean section in the past.

The new recommendations came at a conference held in Bethesda, Md., by the National Institutes of Health to examine why the rate of vaginal birth after Caesarean, or VBAC (pronounced VEE-back), has plummeted, to less than 10 percent from 28.3 percent in 1996. The repeat operations are feeding the nation’s overall Caesarean rate of 31.8 percent, which has been rising steadily for the last 11 years.

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http://www.nytimes.com/2010/03/11/health/11birth.html?scp=9&sq=health%20quality&st=cse