International | Childbirth

Caesar’s legions

The global rise of Caesarean sections is being driven not by medical necessity but by growing wealth—and perverse financial incentives for doctors

|NEW YORK AND SÃO PAULO

A YEAR ago a hospital in São Paulo announced that its maternity ward would henceforth only admit clients from 10am to 4pm, Monday to Friday. The message was clear: births by appointment only—that is, by Caesarean section. For Arthur Chioro, Brazil’s health minister, it was equally unequivocal: the country’s attitude to birth “has become absurd”.

This article appeared in the International section of the print edition under the headline “Caesar’s legions”

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