The Influence of Practice Management on Primary Cesarean Birth

Michael L. Socol*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations


As the cesarean delivery rate has increased to once unimaginable levels, obstetricians should question the loss of our credibility. Older mothers, obesity, larger birth weights, too many twins, and no more breech vaginal deliveries have all been cited as contributing factors to the increase in primary cesarean birth, but one cannot neglect the influence of physician practice style. Attempts to curtail or reverse the escalating incidence of primary abdominal deliveries should focus on caution with inductions of labor, patience with the management of arrest disorders, more accurate assessment of fetal compromise, patient education and informed decision making about the benefits/risks of operative delivery, and improvement in the medicolegal environment.

Original languageEnglish (US)
Pages (from-to)399-402
Number of pages4
JournalSeminars in Perinatology
Issue number5
StatePublished - Oct 2012


  • Arrest disorders
  • Fetal intolerance of labour
  • Induction of labor
  • Patient autonomy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology


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