Caesarean section (C-section) rates are rising in many middle-and high-income countries,
with the justification that higher rates of C-section are associated with better outcomes. A
review of 79 studies comparing outcomes of elective caesarean sections with vaginal
deliveries, including both observational studies and randomized trials, suggests that
caesarean sections may have substantially greater risks than vaginal deliveries. In this issue
of Epidemiology, Leung and colleagues present data from Hong Kong on morbidity in …