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Giulia Muraca and colleagues examine differences in the rates of cesarean delivery between British Columbia, Canada and Sweden over time using the Robson classification with and without adjusting for maternal, fetal/infant, and obstetric practice factors.

Monte carloUnited kingdomGordonc smithCambridge universitySwedish national board of healthMichael smith foundation for health researchWorld health organizationCanadian classification of health interventionsPerinatal servicesCanadian institutes of health researchSwedish ethical review authorityPerinatal services british columbiaSwedish research council for healthHealth problemsInternational statistical classification of diseasesBc children hospital research institute