Gleicher N
JAMA. 1984 Dec 21;252(23):3273-6.
The magnitude of cesarean section rates in the United States has been of increasing public concern. A consensus development conference in 1980 formulated recommendations that were expected to lead to a decrease in national cesarean section rates. A review of cesarean section patterns for the last five years in many representative states revealed, contrary to expectations, a continuing increase in cesarean section delivery rates even after the conference. A review of underlying causes for these developments suggests that only a more efficient peer review process, involving individual physicians as well as institutions, will lead to a decline of unacceptably high cesarean section rates in this country.
美国剖宫产率之高一直日益引发公众关注。1980年召开的一次共识发展会议制定了一些建议，期望能降低全国的剖宫产率。对许多代表性州过去五年剖宫产模式的审查显示，与预期相反，即使在会议之后，剖宫产分娩率仍在持续上升。对这些发展背后原因的审查表明，只有一个更有效的同行评议过程，包括个体医生和机构参与其中，才会使该国高得不可接受的剖宫产率下降。
