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February 25, 1983

Physician Bias in Cesarean Section-Reply

Author Affiliations

Mount Sinai Hospital Medical Center and Rush Medical College Chicago
Mount Sinai Medical Center New York
Stony Brook, NY

JAMA. 1983;249(8):1006. doi:10.1001/jama.1983.03330320013013

In Reply.—  We are pleased to respond to the interesting comments made by Drs Goodlin and Poma.The Table is a short summary of an analysis performed on the same patient populations as described in our original communication. The data represent only preliminary results and will be followed by a more detailed report elsewhere.We analyzed primary cesarean section patterns according to time separately for our ward population, primarily treated by the house staff, and our private patient population, primarily treated by their private individual obstetrician. As may be seen from the Table, only a rather minute difference in cesarean section distribution could be noticed between these two groups. What was noteworthy, however, was the timing of the individual peak incidence. While the cesarean section incidence for ward patients usually peaked in the early afternoon hours, private patients generally peaked in the early morning hours.Even though these peak time