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The article presents a study on the preventive approach to obstetric care in a rural hospital in the U.S. It aims to compare cesarean delivery rates between physicians who used preventive induction and for those who did not. It used the prostaglandin-assisted preventive labor induction and a cohort design to compare birth outcomes. It was found that labor induction method had a lower cesarean delivery rate without increases in rates of adverse birth outcomes with warranted controlled trials.