[Is a cesarean section rate of less than 12% possible in a tertiary level hospital center?].

In the last few years, the C-section rate has steadily increased to more than 20% in many medical centers. In 1985-1986, the obstetrical department of the Centre hospitalier universitaire de Sherbrooke, the tertiary perinatal care center for region 05, Province of Quebec, adopted a policy in favor of vaginal delivery following a previous C-section (VBAC) and vaginal delivery for breech presentation. In less than five years, this policy has brought down the C-section rate from 20 to 15% and an analysis of the data shows that this rate could even be lowered to less than 12%.