While these medical approaches to lowering the cesarean
delivery rate will likely have some effect if adopted, a larger
problem may be changing the practice environment and
culture in which obstetricians are being trained and working.
Two recent studies have found that medical malpractice
premiums and caps on damages are associated with rates of
cesarean delivery and VBAC rates [33,34]. Thus, from a
policy standpoint, tort reform may be one important approach
to changing the practice environment which, in turn, will
allow for the medical interventions described above to reduce
the rates of cesarean.
While these medical approaches to lowering the cesareandelivery rate will likely have some effect if adopted, a largerproblem may be changing the practice environment andculture in which obstetricians are being trained and working.Two recent studies have found that medical malpracticepremiums and caps on damages are associated with rates ofcesarean delivery and VBAC rates [33,34]. Thus, from apolicy standpoint, tort reform may be one important approachto changing the practice environment which, in turn, willallow for the medical interventions described above to reducethe rates of cesarean.
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