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C-sections now most common delivery method in England, NHS Alliance warns of closures

Caesarean sections have become the most common method of delivery in England, with 45% of births last year, while the NHS Alliance has indicated that up to 20 smaller maternity units may close.

  • Last year, 45% of births in England were by C-section, marking the first time this method was the most common.
  • The NHS Alliance has announced that up to 20 of the country’s 155 smaller, consultant-led maternity units might have to close.
  • These potential closures are primarily in rural or coastal areas, raising concerns about safety and access to alternatives.

Caesarean sections accounted for 45% of births in England last year, surpassing natural vaginal births (44%) for the first time as the most common delivery method. Both elective and emergency C-sections reached their highest recorded levels.

The NHS Alliance has stated that up to 20 of the 155 smaller, consultant-led maternity units in the UK may need to close due to safety concerns. These units are predominantly located in rural or coastal regions, where alternative facilities are not readily available.

One midwifery professor, Soo Downe, suggested that women may not believe they will receive adequate support for a safe labour and birth in hospital. This follows a 2025 national maternity investigation which highlighted issues such as toxic workplace cultures and avoidable deaths in 14 trusts.

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