home *** CD-ROM | disk | FTP | other *** search
- <text id=93TT2388>
- <title>
- Feb. 01, 1993: Defensive Deliveries
- </title>
- <history>
- TIME--The Weekly Newsmagazine--1993
- Feb. 01, 1993 Clinton's First Blunder
- </history>
- <article>
- <source>Time Magazine</source>
- <hdr>
- THE WEEK
- HEALTH & SCIENCE, Page 23
- Defensive Deliveries
- </hdr>
- <body>
- <p>Do doctors perform caesareans just to avoid malpractice suits?
- </p>
- <p> Having a baby is no harder or riskier than it ever was. So
- why are caesarean sections now used in 23% of all U.S. births, up
- from only 5% in 1965? Most people have long suspected, and many
- doctors agree, that fear of malpractice suits haunts the
- delivery rooms. When complications arise, or the labor is
- unusually long and hard, many physicians apparently feel safer
- bringing out the scalpel than trying to let nature take its
- course.
- </p>
- <p> But evidence linking caesareans to malpractice fears was
- scant--until a new report in the Journal of the American
- Medical Association. Scientists analyzed data on 60,490 births
- at New York hospitals and insurance premiums paid by doctors in
- various regions. Their finding: the odds of having a caesarean
- section were three times as great in areas where premiums--and
- the frequency of suits--were high as in regions where
- malpractice costs are lower. Critics charge that as many as half
- a million caesareans each year are medically unnecessary.
- </p>
-
- </body>
- </article>
- </text>
-
-