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interventions might reduce caesarean sections moderately if not significantly. We will not know how well the project has worked or whether there will be some delayed impact of having merely published the recommendations until early in 1989. What is already clear is that without clearly targeted initiatives the multifaceted causes driving the rate of caesarean section upwards will influence doctors' behaviour far more than continued calls from researchers for a reduced rate.
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J. G. R. Howie (1988) studied this question.
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