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Available from: <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/www.who.int\/gho\/countries\/en\/\" xlink:type=\"simple\">http:\/\/www.who.int\/gho\/countries\/en\/<\/ext-link>."},{"key":"ref2","article-title":"Guidelines for Monitoring the Availability and Use of Obstetric Services","year":"1997"},{"key":"ref3","article-title":"Monitoring emergency obstetric care: a handbook","year":"2009"},{"issue":"4","key":"ref4","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1111\/j.1523-536X.2006.00118.x","article-title":"Cesarean section rates and maternal and neonatal mortality in low-, medium-, and high-income countries: an ecological study","volume":"33","author":"F Althabe","year":"2006","journal-title":"Birth"},{"issue":"2","key":"ref5","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1111\/j.1365-3016.2007.00786.x","article-title":"Rates of caesarean section: analysis of global, regional and national estimates","volume":"21","author":"AP Betran","year":"2007","journal-title":"Paediatr Perinat Epidemiol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.ijgo.2006.10.010","article-title":"Maternal mortality, stillbirth and measures of obstetric care in developing and developed countries","volume":"96","author":"E Mcclure","year":"2007","journal-title":"Int J Gynaecol Obstet"},{"issue":"5","key":"ref7","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1590\/S1020-49892011000500001","article-title":"Correlation of Cesarean rates to maternal and infant mortality rates: an ecologic study of official international data","volume":"29","author":"FM Volpe","year":"2011","journal-title":"Rev Panam Salud Publica"},{"issue":"4","key":"ref8","first-page":"161","article-title":"Caesarean section in the world: a new ecological approach","volume":"52","author":"A Zizza","year":"2011","journal-title":"Journal of preventive medicine and hygiene"},{"issue":"2","key":"ref9","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1093\/heapol\/czh012","article-title":"Caesarean section rates in the Arab region: a cross-national study","volume":"19","author":"R Jurdi","year":"2004","journal-title":"Health Policy Plan"},{"issue":"10","key":"ref10","doi-asserted-by":"crossref","first-page":"940","DOI":"10.1046\/j.1365-3156.2003.01111.x","article-title":"Maternal mortality and access to obstetric services in West Africa","volume":"8","author":"C Ronsmans","year":"2003","journal-title":"Trop Med Int Health"},{"issue":"3","key":"ref11","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1111\/birt.12104","article-title":"Searching for the Optimal Rate of Medically Necessary Cesarean Delivery","volume":"41","author":"J Ye","year":"2014","journal-title":"Birth"},{"issue":"5","key":"ref12","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1080\/00016340902818196","article-title":"No correlation between cesarean section rates and perinatal mortality of singleton infants over 2,500 g","volume":"88","author":"G Jonsdottir","year":"2009","journal-title":"Acta Obstet Gyn Scan"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1186\/s12978-015-0043-6","article-title":"What is the optimal rate of caesarean section at population level? 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Tackling Unmet Need for Major Obstetric Interventions. Concepts, General Principles and International Network. 2000."},{"key":"ref21","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD006553.pub2","article-title":"Planned caesarean section for women with a twin pregnancy","author":"G Hofmeyr","year":"2011","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"ref22","doi-asserted-by":"crossref","unstructured":"Dodd JM, Crowther C, Huertas E, Guise J-M, Horey D. Planned elective repeat caesarean section versus planned vaginal birth for women with a previous caesarean. 2013.","DOI":"10.1002\/14651858.CD004224.pub3"},{"issue":"1","key":"ref23","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/S0301-2115(00)00360-2","article-title":"Obstetricians say yes to maternal request for elective caesarean section: a survey of current opinion","volume":"97","author":"CS Cotzias","year":"2001","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"4","key":"ref24","first-page":"577","article-title":"Obstetricians&apos; opinions regarding patient choice in cesarean delivery","volume":"99","author":"R Gonen","year":"2002","journal-title":"Obstet Gynecol"},{"issue":"3","key":"ref25","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1111\/j.1523-536X.2009.00331.x","article-title":"Estimating the rate of cesarean section by maternal request: anonymous survey of obstetricians in Australia","volume":"36","author":"SJ Robson","year":"2009","journal-title":"Birth"},{"issue":"1","key":"ref26","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1097\/01.AOG.0000249608.11864.b6","article-title":"Cesarean delivery on maternal request: obstetrician-gynecologists&apos; knowledge, perception, and practice patterns","volume":"109","author":"BA Bettes","year":"2007","journal-title":"Obstet Gynecol"},{"issue":"6","key":"ref27","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1111\/j.1471-0528.2006.00933.x","article-title":"Caesarean section on request: a comparison of obstetricians&apos; attitudes in eight European countries","volume":"113","author":"M Habiba","year":"2006","journal-title":"Bjog"},{"issue":"3","key":"ref28","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1111\/j.0001-6349.2004.0312.x","article-title":"Danish obstetricians&apos; personal preference and general attitude to elective cesarean section on maternal request: a nation-wide postal survey","volume":"83","author":"T Bergholt","year":"2004","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"1","key":"ref29","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/S0301-2115(01)00423-7","article-title":"A national confidential survey of obstetrician&apos;s personal preferences regarding mode of delivery","volume":"97","author":"P Mc Gurgan","year":"2001","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"1","key":"ref30","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S0301-2115(96)02692-9","article-title":"Survey of obstetricians&apos; personal preference and discretionary practice","volume":"73","author":"R Al-Mufti","year":"1997","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"ref31","unstructured":"Stanton C, Tuncalp O, Castro A, Lattof S, Blanc A, Langer A. Opinion on a plausible range for emergency caesarean section in low income countries. 2013 [Unpublished]."},{"issue":"6","key":"ref32","doi-asserted-by":"crossref","first-page":"1513","DOI":"10.1007\/s00404-011-2168-3","article-title":"Short stature as an independent risk factor for cephalopelvic disproportion in a country of relatively small-sized mothers","volume":"285","author":"R Toh-adam","year":"2012","journal-title":"Archives of Gynecology and Obstetrics"},{"issue":"4","key":"ref33","doi-asserted-by":"crossref","first-page":"331.e1","DOI":"10.1016\/j.ajog.2012.02.026","article-title":"Inequities in the use of cesarean section deliveries in the world","volume":"206","author":"L Gibbons","year":"2012","journal-title":"American Journal of Obstetrics and Gynecology"},{"key":"ref34","unstructured":"DHS. The DHS Program\u2014Country List [15th April 2014]. Available from: <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/www.dhsprogram.com\/Where-We-Work\/Country-List.cfm\" xlink:type=\"simple\">http:\/\/www.dhsprogram.com\/Where-We-Work\/Country-List.cfm<\/ext-link>."},{"key":"ref35","unstructured":"WHO. Alphabetical List of WHO Member States [15th April 2014]. Available from: <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/www.who.int\/choice\/demography\/by_country\/en\/\" xlink:type=\"simple\">http:\/\/www.who.int\/choice\/demography\/by_country\/en\/<\/ext-link>."},{"key":"ref36","unstructured":"World Bank. Country and Lending Groups [15th April 2014]. Available from: <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/data.worldbank.org\/about\/country-classifications\/country-and-lending-groups\" xlink:type=\"simple\">http:\/\/data.worldbank.org\/about\/country-classifications\/country-and-lending-groups<\/ext-link>."},{"issue":"12","key":"ref37","doi-asserted-by":"crossref","first-page":"1657","DOI":"10.1111\/tmi.12598","article-title":"Role of the private sector in childbirth care: cross-sectional survey evidence from 57 low- and middle-income countries using Demographic and Health Surveys","volume":"20","author":"L Benova","year":"2015","journal-title":"Tropical Medicine & International Health"},{"issue":"5","key":"ref38","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1053\/j.semperi.2012.04.026","article-title":"Impact of Non-Clinical Factors on Primary Cesarean Deliveries","volume":"36","author":"J Bailit","year":"2012","journal-title":"Seminars in Perinatology"},{"issue":"7275","key":"ref39","doi-asserted-by":"crossref","first-page":"1501","DOI":"10.1136\/bmj.321.7275.1501","article-title":"Relation between private health insurance and high rates of caesarean section in Chile: qualitative and quantitative study","volume":"321","author":"SF Murray","year":"2000","journal-title":"BMJ"},{"issue":"1","key":"ref40","doi-asserted-by":"crossref","first-page":"e45","DOI":"10.1016\/j.wombi.2012.09.004","article-title":"Iranian obstetricians\u2019 views about the factors that influence pregnant women&apos;s choice of delivery method: A qualitative study","volume":"26","author":"A Bagheri","year":"2013","journal-title":"Women and Birth"},{"issue":"7","key":"ref41","doi-asserted-by":"crossref","first-page":"e41436","DOI":"10.1371\/journal.pone.0041436","article-title":"Increase in Caesarean Deliveries after the Australian Private Health Insurance Incentive Policy Reforms","volume":"7","author":"K Einarsd\u00f3ttir","year":"2012","journal-title":"PLoS ONE"},{"issue":"7","key":"ref42","doi-asserted-by":"crossref","first-page":"903","DOI":"10.3109\/00016349.2010.484044","article-title":"High cesarean prevalence in a national population-based study in Brazil: the role of private practice","volume":"89","author":"F Rebelo","year":"2010","journal-title":"Acta Obstetricia et Gynecologica Scandinavica"},{"issue":"1","key":"ref43","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1108\/09654280310459112","article-title":"The Delphi method and health research","volume":"103","author":"Meyrick Jd","year":"2003","journal-title":"Health Education"},{"key":"ref44","doi-asserted-by":"crossref","unstructured":"Hofmeyr GJ, Hannah ME, Lawrie TA. 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