President's Commentary on the new Three-part Series on Optimising Caesarean Section Use
Appropriate use of caesarean section globally requires a different approach
Increasing global rates of caesarean section are debated because of evidence that medically unnecessary caesarean sections are associated with worse outcomes for mothers and their children. There is consensus that caesarean sections are overused in some countries and underused in others. As Ties Boerma and colleagues report in this Lancet Series on optimising caesarean section use,1–3 there are unacceptable disparities: caesarean section rates of 44% in Latin American and the Caribbean compared with 4·1% in western and central Africa. Challenges have arisen as low-income and middle-income countries attempt to rectify insufficient access to caesarean sections. The investment in workforce training and facilities to increase access to caesarean sections can bring with it a culture of surgical intervention that leads to variation within countries.
To read the full ICM's Commentary on the series, click here
Authors of the Commentary: Ingela Wiklund, Address Mauakowa Malata, Ngai Fen Cheung, Franka Cadée
To read the Three-part Series on Optimising Caesarean Section Use: https://www.thelancet.com/series/caesarean-section