Cesarean delivery performed before onset of labor and membrane rupture lowers the risk for HIV transmission compared with vaginal delivery in certain populations of women.

Cesarean delivery resulted in a 50% reduction in perinatal HIV transmission overall among HIV-infected women who had cesarean deliveries compared with women delivering vaginally (28).

Cesarean delivery is recommended for women with a genital herpes prodrome or visible HSV genital lesions at the onset of labor (BII) (724).

Cesarean delivery is not known to prevent this condition in infants and children (950--952) (954).

Thus, women who have had myomectomy (with the exception of small submucosal myoma removal via hysteroscopy, or largely pedunculated myoma removal) should get Cesarean delivery to avoid the risk of uterine rupture that is commonly fatal to the fetus.

Cesarean delivery is not associated with reduced perinatal transmission of HCV infection and is not recommended for this purpose for women with chronic HCV infection who are HIV-uninfected.

Cesarean delivery substantially lowers the risk for transmission (829,834,835).

Cesarean delivery is recommended to avoid uterine rupture during labor.

New York State health officials yesterday announced a joint effort with the American College of Obstetricians and Gynecologists to try to reduce the number of Cesarean deliveries in New York.

Cesarean deliveries are substantially more expensive than vaginal deliveries; the hospital is being judged by managed care companies on its ability to hold down costs.