Data from the National Center for H...

Data from the National Center for Health Statistics forward the total and primary cesarean rates and vaginal birth after previous cesarean delivery (VBAC) rate in the United States from 1989 to 2003 were published in the January 21 2005 recommendations and reports series of Morbidity and Mortality Weekly Report.

Preliminary data from 2003 indicated that 276 percent of all U births ensueed from cesarean deliveries, representing the highest percentage for aye reported in the United States and a 6 percent increase from 2002 The total cesarean delivery rate and the primary cesarean delivery rate (i.e., percentage among women with no previous cesarean delivery) have increased each year since 1997 after declines during 1989 to 1996 The rate of VBAC decreased through 63 percent to 10.6 percent in 2003 after increasing from 1989 to 1996 Among women with previous cesarean deliveries, the likelihood of futurity cesarean deliveries was approximately 90 percent in 2003 The accompanying figure indicates the trends in rates of VBAC, total cesarean deliveries, and primary cesarean deliveries from 1989 to 2003

Answers to This Issue's Clinical Quiz

Q1 D Q2 A Q3 B Q4 B Q5 E Q6 D Q7 C Q8 C Q9 A Q10 A, B Q11 C D Q12 C D Q13 A, B C D Q14 A, C

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