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Gibbons, Luz, MSc; Belizan, José M., MD, PhD; Lauer, Jeremy A., PhD; Betran, Ana P., MD, PhD; Merialdi, Mario, MD, PhD, MPH; Althabe, Fernando, MD, MPH
American journal of obstetrics and gynecology, 04/2012, Volume: 206, Issue: 4Journal Article
Objective The purpose of this study was to describe the unequal distribution in the performance of cesarean section delivery (CS) in the world and the resource-use implications of such inequity. Study Design We obtained data on the number of CSs performed in 137 countries in 2008. The consensus is that countries should achieve a 10% rate of CS; therefore, for countries that are below that rate, we calculated the cost to achieve a 10% rate. For countries with a CS rate of >15%, we calculated the savings that could be made by the achievement of a 15% rate. Results Fifty-four countries had CS rates of <10%, whereas 69 countries showed rates of >15%. The cost of the global saving by a reduction of CS rates to 15% was estimated to be $2.32 billion (US dollars); the cost to attain a 10% CS rate was $432 million (US dollars). Conclusion CSs that are potentially medically unjustified appear to command a disproportionate share of global economic resources.
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