March 23, 2026 · American journal of obstetrics and gynecology · DOI: 10.1016/j.ajog.2025.09.037

Analyzing the stagnation of cesarean delivery rates in the United States over the past 15 years

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The authors investigate the factors contributing to the stagnation of cesarean delivery rates in the United States over the past 15 years, utilizing the modified Robson classification to analyze trends in cesarean rates across different categories. While cesarean rates decreased in several categories, they increased in others, particularly among women with previous cesareans and those undergoing induced labor. The study suggests that improved risk management may be influencing these trends, but highlights the need for further research to understand the impact of maternal comorbidities and neonatal outcomes.

Katherine L Grantz, Jun Zhang

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