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Keynote to American Ob-Gyns: C-section rates linked to hospital complexities

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Ariadne Labs Delivery Decisions Initiative Dr. Neel Shah delivers a keynote address during the opening ceremony of the American College of Obstetricians and Gynecologists with ACOG President Dr. Tom Gellhaus.

SAN DIEGO — Science and technology have improved patient care, but they also have created complexities that may cause needless suffering and increased costs.

During the May 6 Anna Marie D’Amico Lecture, “System Complexity and the Challenge of Too Much Medicine, ” at the opening ceremony of the American Congress of Obstetricians and Gynecologists Annual Meeting, Neel T. Shah, MD, MPP, executive director of the Ariadne Labs Delivery Decisions Initiative and an ob-gyn at Beth Israel Deaconess Medical Center, outlined a goal to reduce the number of Caesarean deliveries by implementing simple solutions to complex processes.

“About half the C-sections we do in the United States today are probably avoidable,” said Dr. Shah, noting that statistics show a 500-percent increase in this major surgery in the last generation or two.