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The Short-term Failure of the National Consensus Development Conference in 1980

Norbert Gleicher, MD

JAMA. 1984;252(23):3273-3276.

Abstract
The magnitude of cesarean section rates in the United States has been of increasing public concern. A consensus development conference in 1980 formulated recommendations that were expected to lead to a decrease in national cesarean section rates. A review of cesarean section patterns for the last five years in many representative states revealed, contrary to expectations, a continuing increase in cesarean section delivery rates even after the conference. A review of underlying causes for these developments suggests that only a more efficient peer review process, involving individual physicians as well as institutions, will lead to a decline of unacceptably high cesarean section rates in this country.

(JAMA 1984;252:3273-3276)

Author Affiliations
From the Department of Obstetrics and Gynecology, Mount Sinai Hospital Medical Center, and Rush Medical College, Chicago.

Footnotes
Presented in part at the 31st Annual Meeting of the Society for Gynecologic Investigation, San Francisco, March 21-24, 1984.

Reprint requests to Mount Sinai Hospital Medical Center, California Avenue at 15th Street, Chicago, IL 60608 (Dr Gleicher).

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