Elective Cesarean sections and inductions have become much more common in the past three decades, notes Roberta Carroll, ARM, CPCU, MBA, CPCU, CPHQ, CPHRM, senior vice president with Aon Risk Solutions, a consulting firm in Odessa, FL. In 1965, the U.S. cesarean rate was measured for the first time and it was 4.5% (4.5 C‐sections per 100 primary deliveries), Carroll says. In 2002, the C‐section rate was 27% and by 2009 it had increased to 34% of single live deliveries. (Some of these C-sections occurred at 39 weeks or later).