Toward Fewer Cesarean Sections — The Role of a Trial of Labor

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Abstract
The delivery of one of every four infants by cesarean section in the United States during the late 1980s and early 1990s aroused concern that many of these operations were unnecessary. Professional organizations established guidelines in an attempt to reduce the rate of cesarean section, with the goal being a rate of 15 percent for cesarean deliveries by the year 2000. Currently, one third of the cesarean sections performed are elective operations in women who have previously had cesarean sections, and the goal for the year 2000 is far from being achieved.1,2 If the high rate of cesarean delivery . . .