The Journal of family practice
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The objective of our study was to compare cesarean delivery rates for low-risk nulliparous women in a community hospital and a tertiary-level maternity hospital and to determine factors influencing those rates. ⋯ Differences in use of epidural analgesia may contribute to differences in institutional rates of cesarean delivery. Use of epidural analgesia may be related to use of ambulation, consistency of caregiver during labor, availability of epidural, and suggestion for its use by caregivers.