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Question

1) A hospital’s UM committee discovers that the rate of cesarean section births at the hospital is higher than the rate at other hospitals in the region. A higher percentage of women at other hospitals are having vaginal deliveries. The UM committee wants to evaluate the medical necessity of cesarean section births at the hospital using clinical practice guidelines on this topic. Go to the website of the National Guidelines Clearinghouse (www.guidelines.gov) to find the most current recommendations that address the indication for a cesarean section birth, and write a summary of the indications for the committee to consider. 

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