New push to cut caesarean birth rates

The guidelines, titled Safe Prevention of the Primary Cesarean Delivery, aim to curb national caesarean rates by preventing women with low risk pregnancies from undergoing the procedure with their first birth.

In 2011, one in three US women gave birth by caesarean, an increase of 60% since 1996. The recommendations include allowing women to spend more time in the first stage of labour, considering cervical dilation of 6cm (instead of 4cm) as the start of active labour, and allowing women to push for at least three hours for a first delivery and two hours if they have delivered