Cesarean Sections & VBACs

This presentation examines trends in cesarean section and VBAC (vaginal birth after cesarean) rates in the U.S., incorporating 2023 data. It highlights the persistently high cesarean rate, demographic disparities by race, age, and insurance status, and state-level variations. The presentation challenges common explanations for high cesarean rates, such as maternal age, obesity, and patient preference, while emphasizing systemic factors and medical practice cultures. It also compares U.S. cesarean and VBAC rates to other industrialized countries, showing the decline of VBAC and its slow recovery. The discussion concludes with implications for maternal health policy and practice.