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August 2008 · Vol. 20, No. 08

Comment & Controversy

Soon, we will have only two options for delivery

“HOW WILL WE KNOW IT WHEN WE’VE GOT THE RIGHT CESAREAN RATE?”
BY ROBERT L. BARBIERI, MD (JUNE EDITORIAL)

Dr. Barbieri touches on a topic that is as fascinating as it is frustrating. On one hand, we keep asking ourselves what is the optimal cesarean delivery rate and aim, insatiably, to make it as low as we can safely achieve. On the other hand, we have neglected to offer residents basic obstetric tools. I have seen young colleagues unable even to rotate a presentation from occipital-posterior to occipital-anterior to ease the delivery.

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