Global efforts towards optimising caesarean section use: Is it time for the UK to consider a different approach?

Abstract

The global programme for optimising caesarean section (CS) use is relevant across all world regions. In this article, I draw on my global health research learnings and apply them to the UK context where some women and birthing people experience excellent maternity care, others suffer poorer outcomes when care is too little or too late, and many encounter the overuse of interventions without evidence of benefit. Getting the balance right between CS underuse and overuse is complex. It matters because it impacts the health of the mother, her child(ren), future pregnancies, health services, and society. Medical need is an important factor that drives CS use. Contextual and cultural factors also play a part. As a social scientist and maternity care researcher, I contributed to the development of the global approach towards optimising CS use, addressing the role of women and communities, interacting with health professionals, in organisations and healthcare systems.