The Atlantic

Why the C-Section Rate Is So High

A doctor and an economist note that doctors are generally paid quite a bit more for a C-section than for a vaginal birth.
Source: Getty Images

Every day, roughly 10,000 babies are born in the United States, and about a third of them are born via Cesarean section. This share has gone up significantly over time, and many in the scientific community believe that it’s higher than is necessary. Increases in C-section rates have not translated to healthier moms or babies. Although it’s impossible to know the “necessary” rate with real precision, the World Health Organization says it is closer to 10 or 15 percent.

Why do doctors perform so many unnecessary (or “non-indicated,” in the medical vernacular) C-sections?

This is a question both patients and doctors worry over, with an answer that is by no means straightforward. But here’s a data point to consider: While most people agree that what matters most is that mother and baby come through the process safely, doctors are generally paid quite a bit more for a C-section than for a vaginal birth. This financial

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