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High maternal mortality is associated with inadequate and poor-quality maternal health care. Delivery assisted by skilled providers is the most important proven intervention in reducing maternal mortality [6,7]. Caesarean section is one form of delivery by skilled provider which plays a vital role [8]. There is a strong ecologic association between increasing CS rates and decreasing mortality. Cesarean delivery rates are highly correlated with the proportion of births attended by trained health personnel. It is proposed as a proxy indicator for measuring access, availability or appropriateness of medical care, as well as for monitoring changes in maternal mortality in developing countries.
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