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[Correspondence] Caesarean section in Iran

Caesarean section is recommended when the life of the mother or fetus is at risk. WHO recommends that the reasonable proportion for caesarean section is 5–15% of all deliveries and more than this proportion is considered unnecessary and inappropriate.1–2 Unfortunately, despite this recommendation, caesarean section without any medical indication has increased dramatically worldwide during the past decades and has become a concern for health systems in many countries. This concern is warranted because the procedure has higher maternal and neonatal mortality, morbidities, and complications than does vaginal delivery.