Rev Bras Ginecol Obstet 2018;40:377-378. In the last decade, childbirth care in Brazil has undergone profound changes, which when properly applied in the daily practice of doctors and administrators of maternity wards will undoubtedly bring a great benefit to our patients. During this period, we also had intense debates and questions, focused mainly on the high rates of cesarean deliveries throughout Brazil, and without any doubts this is a situation that really mustchange.However, for an adequate decision making, it is imperative that the measures to be taken are based on reliable data and on a simple analysis, so that we have an easier way to reach the goal of adjusting the cesarean delivery rates. In this sense, stratifying each of the women who arrive at our hospitals for delivery is of fundamental importance. Monitoring the indications for cesarean delivery is an essential strategy, among other measures, to achieve cesarean delivery rates at the appropriate levels. Over the years, several classifications have been tried.
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