Cesareans can also be necessary if the mother has uncontrolled high blood pressure or diabetes, or when she is pregnant with twins, triplets, or other multiples. But for most pregnancies, which are low-risk, C-sections are not necessary : Researchers estimate that almost half of the C-sections performed in the U.S. are not required. And performing a surgical birth can pose added risks to the mother and her child and also raise costs, research shows. While many medical institutions across the U.S. are now taking steps to reduce unnecessary C-sections, women themselves can take steps to reduce their own risk of having one, including through their choice of hospital. A study in the journal Birth , for example, found that more than half of women said they would travel 20 miles farther to have their baby at a hospital with a C-section rate that was 20 percentage points lower. “Women understand that the quality of care differs depending on the hospital they pick, and this study shows that it is possible for women, if properly armed with data, to vote with their feet and send a signal to the medical community by choosing—if possible—a hospital with a lower C-section rate,” explains Doris Peter, Ph.D., director of the Consumer Reports Health Ratings Center. That said, some women may not have the option to choose a different hospital.
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