title: [Is a cesarean section rate of less than 12% possible in a tertiary level hospital center?].
abstract: In the last few years, the C-section rate has steadily increased to more than 20% in many medical centers. In 1985-1986, the obstetrical department of the Centre hospitalier universitaire de Sherbrooke, the tertiary perinatal care center for region 05, Province of Quebec, adopted a policy in favor of vaginal delivery following a previous C-section (VBAC) and vaginal delivery for breech presentation. In less than five years, this policy has brought down the C-section rate from 20 to 15% and an analysis of the data shows that this rate could even be lowered to less than 12%.
authors.affiliation: Département d'obstétrique-gynécologie, Faculté de médecine, Université de Sherbrooke.
authors.forename: D
authors.initials: D
authors.lastname: Blouin
mesh_terms: D001946:Breech Presentation; D002585:Cesarean Section / Q000706:statistics & numerical data*; D036861:Delivery, Obstetric / Q000706:statistics & numerical data; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D009775:Obstetrics and Gynecology Department, Hospital / Q000706:statistics & numerical data*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology; D011256:Pregnancy Outcome / Q000453:epidemiology; D011792:Quebec / Q000453:epidemiology; D016064:Vaginal Birth after Cesarean / Q000706:statistics & numerical data
vernacular_title: Un taux de césariennes inférieur à 12%, est-ce possible dans un centre hospitalier de niveau tertiaire?