Abstract
Over the past three decades numerous publications have documented a dramatic rise in North American cesarean delivery rates. The increase in cesarean rates in Europe has also been well documented. In contrast little has been written about cesarean rates in Central and South America. Reports of extremely high cesarean rates in Brazil and Chile have caused many individuals with an interest in childbirth to wonder what is actually going on south of the United States border. The mystery is solved with the recent publication by Belizan and associates of an eye-opening review of cesarean delivery rates in 19 Latin American countries. The authors acknowledge that data came from several different sources and that for some countries national rates had to be estimated by using data from different institutions and was thus subject to error. Nevertheless this publication is probably the clearest look at Latin American cesarean rates ever published. (excerpt)
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