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Cesarean sections in Brazil's teaching hospitals: an analysis using Robson Classification.

Rev Panam Salud Publica · 2021 · PMC7905749 · PMID 33643399

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an increasing trendno p-value reported
This is contradicted by a study ( 23 ) which found that as early as 1993, the average CS rate of TH in São Paulo state was 39.1%, ranging from 26.6% to 75.5% with an increasing trend, reinforced by the fact that in this state, the 2017 average TH rate was 44.8%, ranging from 31.8% to 70.0% (data not shown).

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