While the US is averaging an all-time high cesarean rate of 29 percent, one hospital in Israel puts its average at 10 percent. Prof. Arnon Samueloff, chairman of Sha’are Tzedek’s Department of Obstetrics, says that the culture and religion of patients accounts for the difference. “A large percentage of our patients are ultra-orthodox, and will give birth to many children in their lifetime,” he said. “In fact, one in every four is giving birth to her seventh child or more. This produces a very different attitude in both the doctors and the patients.” Samueloff said that in the US, where most women have one or two children, there isn’t as much concern for how a cesarean will affect future births.