Because of the rise in cesarean births in the united states, medical authorities currently recommend use of fetal monitors.

The answer in the space provided is less, because of cesarean births, the medical authorities in the Unites States has advised that the use of fetal monitors should be lessen as this is beneficial and more safe for the woman who are giving birth.

an informal structure in a bureaucracy would be something like so-called "office politics". where there's a formal structure set up for the organization, but then an informal subculture as well that has a way of organizing the bureaucracy further. this can be positive because it sets up an added degree of organization, albeit informal, within the bureaucracy.