Article: Rates of cesarean delivery among Puerto Rican women--Puerto Rico and the U.S. Mainland, 1992-2002.

Cesarean delivery has been associated with greater risks for maternal morbidity (1,2), longer hospital stays, and rehospitalization after childbirth (2,3) than vaginal delivery. On the U.S. mainland (i.e., 50 states and District of Columbia), rates of total cesarean delivery and primary cesarean delivery (i.e., for women without a previous cesarean) per 100 live births decreased from 1992 to 1996 before increasing from 1996 to 2002. During 2002, among all U.S. mainland births (approximately 4 million), 26% were by cesarean delivery; among all mainland births to women without a previous cesarean delivery, 18% were by primary cesarean (4). Cesarean delivery rates for Puerto ...

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