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=== Cesarean section === The proportion of pregnancies delivered by C section between 1976 and 1996 in the U.S. increased from 6.7% in 1976 to 14.2% in 1996, with maternal choice the most frequent reason given.<ref>{{cite journal |last1=MacKenzie |first1=I. Z. |last2=Cooke |first2=Inez B |last3=Annan |first3=B. |year=2003 |title=Indications for caesarean section in a consultant obstetric unit over three decades |url=https://www.tandfonline.com/doi/abs/10.1080/0144361031000098316 |url-status=live |journal=Journal of Obstetrics and Gynaecology |volume=23 |issue=3 |pages=233β238 |doi=10.1080/0144361031000098316 |pmid=12850849 |s2cid=25452611 |archive-url=https://web.archive.org/web/20230316163728/https://www.tandfonline.com/doi/abs/10.1080/0144361031000098316 |archive-date=16 March 2023 |access-date=16 March 2023}}</ref> By 2018 the rate had climbed to one-third of all births.<ref>{{cite journal |last1=Kozhimannil |first1=K. B. |last2=Graves |first2=A. J. |last3=Ecklund |first3=A. M. |last4=Shah |first4=N. |last5=Aggarwal |first5=R. |last6=Snowden |first6=J. M. |year=2018 |title=Cesarean Delivery Rates and Costs of Childbirth in a State Medicaid Program After Implementation of a Blended Payment Policy |url=https://pubmed.ncbi.nlm.nih.gov/29912840/ |url-status=live |journal=Medical Care |volume=56 |issue=8 |pages=658β664 |doi=10.1097/MLR.0000000000000937 |pmid=29912840 |s2cid=49305610 |archive-url=https://web.archive.org/web/20230317150724/https://pubmed.ncbi.nlm.nih.gov/29912840/ |archive-date=17 March 2023 |access-date=17 March 2023}}</ref>
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