Relationship between malpractice litigation pressure and rates of cesarean section and vaginal birth after cesarean section.

BACKGROUND Since the 1990s, nationwide rates of vaginal birth after cesarean section (VBAC) have decreased sharply and rates of cesarean section have increased sharply. Both trends are consistent with clinical behavior aimed at reducing obstetricians' exposure to malpractice litigation. OBJECTIVE To estimate the effects of malpractice pressure on rates of… CONTINUE READING