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'High cesarean delivery rates are a major concern in clinical obstetric practice. Even though cesarean deliveries have become much safer than they were many years ago, the procedure still carries a risk of morbidity and mortality and so there is a need to avoid unnecessary cesareans. There are many factors driving the rising rates of cesarean deliveries, with this paper examining the views of Turkish obstetricians as a cause. The results of this study suggest that fear of malpractice litigation is a leading factor for high cesarean delivery rates in Turkey. Attempts to reduce rates of caesarean deliveries in Turkey should consider this factor.'