Forgot username or password? Not a member? Need further assistance? Please call Member Services at More than half don't publicly report their cesarean rates, depriving families of key information. By Tara Haelle. Last updated: May 16, Sharing is Nice Yes, send me a copy of this email. Send We respect your privacy. Oops, we messed up. Try again later. When you shop through retailer links on our site, we may earn affiliate commissions.
Learn more. The hospitals without publicly available C-section rates include 28 with more than 5, births. Tara Haelle Tara Haelle is a freelance health and science journalist who contributes to Consumer Reports on a range of health-related topics. Show comments commenting powered by Facebook. Make a Donation Newsletters Give a Gift.
Yale-New Haven Hospital. Joseph's Hospital. Tampa General Hospital. Northside Hospital. This rate is 2. It is interesting to note that the level of maternal-infant care RPC, Levels 1, 2, or 3 for the 10 hospitals with the lowest cesarean rates 1, 2, 2, 1, 2, 3, RPC, 2, 1, and 2, respectively was almost identical to that for the 10 hospitals with the highest rates 1, 2, 2, 2, 1, 2, 3, 1, 2, and 2, respectively.
If the average cesarean rate for New York hospitals in our subset were This means there would have been 33, fewer cesareans that year than the 85, that actually were done. Thus, more than one-third of the cesarean sections in New York in may well have been unnecessary. Primary cesareans — defined as cesarean delivery among women who have not had a previous cesarean — are considered a more accurate indicator of current practice than overall cesareans because the overall cesareans also reflect the now almost automatic repeat cesarean in women who have had one previously.
The primary cesarean rate is computed by dividing the number of women having a cesarean for the first time by the total number of deliveries by women who have never had a cesarean section. Women who have had prior cesareans or a VBAC are thus subtracted from the denominator in computing the rate.
Our numbers may therefore err on the conservative side, understating the primary cesarean rate. Rates by County The primary cesarean rate in New York is County-specific rates range from 7. Individual Hospital Rates Even wider variations are seen between hospitals within the state See Table 2. The weighted average for the 10 hospitals with the lowest primary cesarean rates is The weighted average for the 10 hospitals with the highest primary cesarean rates is The 10 hospitals with the lowest primary cesarean rates include rural and urban hospitals in the following counties: Bronx, Cayuga, Westchester, Suffolk, Jefferson, Schenectady, Rensselaer, Sullivan, and Rockland.
Similarly, the 10 hospitals with the highest rates include hospitals from rural and urban areas in the following counties: Orange, Westchester, Suffolk, New York, and Saint Lawrence. As indicated above, the average primary cesarean rate in the 10 hospitals with the highest rates is Because of concerns about increased complications with some VBACs [2] and several high-profile cases in which women undergoing a VBAC ruptured their uterus, the American College of Obstetrics and Gynecology revised its guidelines in and in and adopted more restrictive conditions for the performance of VBAC.
Hospitals that do not meet this standard have stopped doing VBACs: nationally, that means that 28 percent of hospitals that have labor and delivery wards did not allow VBACs in As expected, within New York this rate varies by hospital, county, level of perinatal care, and size of hospital.
Nineteen of the hospitals we examined, accounting for Among those that performed this type of delivery, the VBAC rate varied more than fold, from. The average for the 10 hospitals with the highest VBAC rates is This average is 2. Other counties with at least one hospital performing VBACs on at least 15 percent of women with a previous cesarean section include Monroe, Rockland, and Wayne counties.
This information also does not tell you about your doctor's or licensed midwife's practice. However, the information can be used when discussing your wishes with your doctor or licensed midwife, and to find out if his or her use of special procedures is similar to or different from that of the hospital.
You should play an active role in making your childbirth the kind of experience you want. To do so, you need information. Take part in childbirth preparation classes and read books about childbirth. Ask questions and discuss your choices and wishes with your doctor or licensed midwife.
Anesthesia: A medication or other agent is used to cause a loss of feeling. For General Anesthesia, a gas or intravenous medication is used to make the mother unconscious during delivery. For Spinal Anesthesia, a drug is injected into the lower spinal area to numb the vaginal region.
For Epidural Anesthesia, a drug is given through a fine tube inserted in the mother's lower back to numb the vaginal area and lower abdomen. For Paracervical Anesthesia, a drug is injected into the cervix opening of the womb to relieve the pain of labor.
In a Pudendal block, a drug is injected into the vaginal wall shortly before delivery to relieve pain between the vagina and anus in case of an episiotomy or tear during delivery. Birthing Room: An in-hospital arrangement in which labor, birth and immediate recovery after birth all occur in the same room.
Cesarean section: A surgical operation in which the baby is delivered through incisions cuts made in the mother's abdomen and uterus. A Primary Cesarean Section is the mother's first, even if she has given birth vaginally before. A Repeat Cesarean Section is when the mother has had one or more cesarean sections previously.
Fetal Monitoring: Electronic recording of contractions and the baby's heartbeat. External Fetal Monitoring involves the use of small instruments held in place on the mother's abdomen by belts. Internal Fetal Monitoring involves inserting a small tube with a fine wire into the uterus and attaching the wire to the baby's scalp. Also, a soft tube may be placed alongside of the baby's head to measure contractions. Forceps Delivery: Spoon-shaped instruments, called forceps, are used to help deliver the baby's head.
In a Low Forceps Delivery, the instruments are not used until the baby's head has moved through the pelvis. In a Mid Forceps Delivery, the instruments are used before the baby's head has moved through the pelvis.
Induction of Labor: Labor can be induced in several ways, including by medication or by artificially rupturing the membranes. This describes what the infant was fed between birth and discharge from the hospital or day 5 of life for infants hospitalized more than 5 days. Licensed Midwife: A registered nurse who has had specialized midwifery training to care for women and babies during pregnancy, childbirth, and after birth. Rooming-In: An arrangement in which the mother and infant are cared for in the same room for all or a substantial part of the day.
If you choose to leave the hospital earlier, your inpatient coverage will be extended to include at least one home care visit. The home care visit will provide parent education, assistance and training in breast or bottle feeding, and any necessary maternal or newborn clinical assessments.
This visit will be in addition to any home care coverage available under your insurance policy. After you give birth, you may feel tired and a little overwhelmed by the huge task of caring for your baby.
Your hormone levels have also gone through some major changes.
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