Journal of perinatology : official journal of the California Perinatal Association
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To determine whether the increase in frequency of cesarean section is associated with a decreased incidence of major birth trauma. ⋯ With a 4% increase in rate of cesarean section at our institution, a significant decrease in the occurrence of major birth trauma was observed. This finding cannot be explained by a decreased risk of neonatal trauma in patients delivering vaginally, but rather by a decreased risk of neonatal trauma at cesarean section during the latter period.