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Tuesday
Jan052010

Ohio Releases Hospitals’ 2008 C-Section Rates for Low-Risk First Births

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The Ohio Department of Health has released hospital-by-hospital data on 2008 primary cesarean sections. 13,517 of the 49,879 low-risk, first time mothers in Ohio in 2008 gave birth by cesarean section for a state total of 27.1 percent.

Under the section Hospital Performance Measures Explanations and Information on the web site, the measure called “C-section for moms having their first baby with no complications” or “Cesarean Section (C-section) for Low-risk First Births” is explained as follows:

This score tells you the percent of babies delivered by C-section to moms having their first babies with no complications (i.e., babies was not breech, delivery was at full-term and mom was not having twins or multiples)

This information is important because c-section delivery is associated with an increased risk of postpartum (after delivery) maternal death when compared with vaginal delivery. Also, women who have C-sections are at an increased risk for fatal blood clots, infection, and complications of anesthesia. Some hospitals now have C-section rates over 50%. The goal should be to manage the fist delivery well, so it can result in a vaginal delivery and avoid repeat C-sections in future births. Research has found that many of these C-sections can be related to inducing labor and early admissions.

Lower percentages are better.

Total cesarean rates by hospital are not available on the Ohio Department of Health web site.

 

2008 Ohio C-section rates for moms having their first baby with no complications

Miami Valley Hospital

(MONTGOMERY)

 06.69%

88/1315

Southeastern OH Regional Med Ctr

(GUERNSEY)

 11.82%

24/203

Clinton Memorial Hospital

(CLINTON)

 11.93%

26/218

UHHS-Geauga Regional Hospital

(GEAUGA)

 13.54%

47/347

Fulton County Health Center

(FULTON)

 14.71%

20/136

St. John West Shore Hospital

(CUYAHOGA)

 14.81%

12//81

Brown County General Hosptial

(BROWN)

 15.43%

27/175

Fayette County Mem. Hosp.

(FAYETTE)

 15.45%

17/110

Fisher-Titus Medical Center

(HURON)

 15.55%

44/283

Van Wert County Hospital

(VAN WERT)

 16.16%

16/99

Doctors Hospital West

(FRANKLIN)

 16.67%

41/246

Licking Memorial Hospital

(LICKING)

 16.79%

66/393

Southwest Gen. Health Center

(CUYAHOGA)

 17.43%

53/304

Wayne Hospital

(DARKE)

 17.92%

19/106

EMH Regional Medical Center

(LORAIN)

 17.93%

85/474

Fostoria Community Hospital

(SENECA)

 19.28%

16/83

Mercy Medical Center

(STARK)

 19.60%

89/454

Mary Rutan Hospital

(LOGAN)

 20.23%

35/173

Alliance Community Hospital

(STARK)

 20.25%

32/158

Dunlap Memorial Hospital

(WAYNE)

 20.34%

12//59

MetroHealth Medical Center

(CUYAHOGA)

 20.48%

221/1079

Marion General Hospital

(MARION)

 21.27%

87/409

Flower Hospital

(LUCAS)

 21.97%

96/437

Blanchard Valley Regional Hlth Ctr

(HANCOCK)

 22.02%

85/386

Greene Memorial Hospital, Inc

(GREENE)

 22.22%

14/63

Berger Hospital

(PICKAWAY)

 22.22%

36/162

Grant Medical Center

(FRANKLIN)

 22.31%

139/623

Wood County Hospital

(WOOD)

 22.60%

33/146

Fairfield Medical Center

(FAIRFIELD)

 22.75%

81/356

St. Luke`s Hospital

(LUCAS)

 23.27%

47/202

Fort Hamilton Hospital

(BUTLER)

 23.34%

67/287

Riverside Methodist Hospital

(FRANKLIN)

 23.35%

624/2672

Grady Memorial Hospital

(DELAWARE)

 23.38%

36/154

Community Hospitals and Wellness Centers-Bryan

(WILLIAMS)

 23.53%

24/102

Parma Community General Hosp

(CUYAHOGA)

 23.55%

57/242

Jt. Twnshp Dist. Mem. Hospital

(AUGLAIZE)

 24.00%

24/100

Memorial Hospital

(SANDUSKY)

 24.04%

25/104

Lake West Hospital

(LAKE)

 24.25%

105/433

Holzer Medical Center

(GALLIA)

 24.39%

70/287

MedCentral Hlth Sys-Mansfield

(RICHLAND)

 24.43%

118/483

St. Joseph Health Center

(TRUMBULL)

 24.50%

61/249

Hocking Valley Community Hosp

(HOCKING)

 24.53%

13/53

Marietta Memorial Hospital

(WASHINGTON)

 24.61%

63/256

Mt. Carmel West

(FRANKLIN)

 24.78%

142/573

McCullough-Hyde Memorial Hosp

(BUTLER)

 24.86%

44/177

Lake East Hospital

(LAKE)

 25.00%

82/328

Blanchard Valley Reg. Hlth Ctr-Bluf

(ALLEN)

 25.49%

26/102

Charles F. Kettering Mem. Hosptial

(MONTGOMERY)

 25.62%

208/812

Community Memorial Hospital

(DEFIANCE)

 25.71%

9//35

Mercy Hospital Anderson

(HAMILTON)

 25.84%

170/658

East Ohio Regional Hospital

(BELMONT)

 25.99%

46/177

Bethesda Hospital

(MUSKINGUM)

 25.99%

323/1243

The Ohio State University Hospitals

(FRANKLIN)

 26.05%

367/1409

University Hospitals of Cleveland

(CUYAHOGA)

 26.26%

224/853

Dublin Methodist Hospital

(FRANKLIN)

 26.49%

89/336

Highland District Hospital

(HIGHLAND)

 26.50%

31/117

Lakewood Hospital

(CUYAHOGA)

 26.63%

90/338

Toledo Hospital

(LUCAS)

 27.12%

384/1416

Wadsworth-Rittman Hospital

(MEDINA)

 27.27%

27/99

Mount Carmel St. Ann`s

(FRANKLIN)

 27.50%

313/1138

Bethesda North Hospital

(HAMILTON)

 27.63%

389/1408

Mercy Hospital of Tiffin

(SENECA)

 27.78%

40/144

Cuyahoga Falls Gen. Hospital

(SUMMIT)

 27.78%

25/90

Trumbull Mem. Hospital

(TRUMBULL)

 28.03%

111/396

Trinity Medical Center West

(JEFFERSON)

 28.14%

47/167

Robinson Memorial Hospital

(PORTAGE)

 28.27%

80/283

Akron City Hospital

(SUMMIT)

 28.30%

279/986

Galion Community Hospital

(CRAWFORD)

 28.35%

36/127

Good Samaritan Hospital

(HAMILTON)

 28.48%

647/2272

Aultman Health Foundation

(STARK)

 28.53%

196/687

Mount Carmel East

(FRANKLIN)

 28.74%

261/908

Pomerene Hospital

(HOLMES)

 28.77%

42/146

Good Samaritan Hospital

(MONTGOMERY)

 29.13%

127/436

Summa Health System Barberton Hospital

(SUMMIT)

 29.36%

64/218

St. Vincent Mercy Medical Center

(LUCAS)

 29.39%

139/473

Knox Community Hospital

(KNOX)

 29.65%

51/172

Mercy Hospital Fairfield

(BUTLER)

 29.69%

258/869

East Liverpool City Hospital

(COLUMBIANA)

 29.70%

30/101

Springfield Regional Medical Center

(CLARK)

 29.72%

167/562

St. Rita`s Medical Center

(ALLEN)

 29.88%

193/646

Coshocton County Mem. Hosp

(COSHOCTON)

 29.91%

35/117

Memorial Hosp. of Union County

(UNION)

 30.23%

78/258

Southview Hospital

(MONTGOMERY)

 30.35%

224/738

Madison County Hospital

(MADISON)

 30.39%

31/102

Union Hospital Assoc.

(TUSCARAWAS)

 30.45%

81/266

Marymount Hospital

(CUYAHOGA)

 30.64%

110/359

Wooster Community Hospital

(WAYNE)

 30.65%

118/385

Community Health Partners

(LORAIN)

 30.79%

117/380

Defiance Regional Medical Center

(DEFIANCE)

 31.14%

71/228

Firelands Reg. Med Ctr-Main Campus

(ERIE)

 31.25%

80/256

Wilson Memorial Hospital

(SHELBY)

 31.38%

75/239

University Hospital, The

(HAMILTON)

 31.49%

188/597

Fairview Hospital

(CUYAHOGA)

 31.64%

479/1514

Bay Park Community Hospital

(LUCAS)

 32.59%

73/224

Hillcrest Hospital

(CUYAHOGA)

 32.62%

471/1444

Adena Regional Medical Center

(ROSS)

 32.80%

164/500

Northside Med Ctr & Tod Children`s

(MAHONING)

 33.02%

107/324

MedCentral Hlth Syst-Shelby Hosp

(RICHLAND)

 33.33%

16/48

O`Bleness Memorial Hospital

(ATHENS)

 34.24%

88/257

Mercer Co. Joint Twnshp Comm Hosp

(MERCER)

 34.31%

35/102

Samaritan Hospital

(ASHLAND)

 34.68%

43/124

Salem Community Hospital

(COLUMBIANA)

 34.98%

85/243

Southern Ohio Medical Center

(SCIOTO)

 34.99%

162/463

Middletown Regional Hospital

(WARREN)

 35.05%

129/368

Bellevue Hospital

(SANDUSKY)

 35.06%

54/154

St. Charles Mercy Hospital

(LUCAS)

 35.25%

98/278

Henry County Hospital

(HENRY)

 36.07%

22/61

Akron General Medical Center

(SUMMIT)

 36.32%

365/1005

AffinityMedical Center-Massillon Campus

(STARK)

 36.84%

21/57

Ashtabula Co. Medical Center

(ASHTABULA)

 36.87%

73/198

Christ Hospital

(HAMILTON)

 36.98%

436/1179

Huron Hospital

(CUYAHOGA)

 38.46%

110/286

Medina General Hospital

(MEDINA)

 38.82%

125/322

Upper Valley Medical Center

(MIAMI)

 40.00%

134/335

St. Elizabeth Health Center

(MAHONING)

 40.53%

244/602

Lima Memorial Hospital

(ALLEN)

 45.74%

86/188

Wyandot Memorial Hospital

(WYANDOT)

 61.82%

34/55

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Reader Comments (13)

Well, hooray for the Ohio Department of Health! Transparency, education AND a little swipe at hospitals with outrageous c-section rates to watch themselves. Nice to see birth-related news that actually gives one hope for the future.

January 6, 2010 | Unregistered CommenterMegan

Interesting.

Hospital where I was born in 1974, still below 18%. I was totally natural.

Hosptial where my sister was born in 1978, just below 35%. She was induced by AROM, but nothing else, because doctor was going out of town and my mom was dilated 5 cm for like 2 weeks or something.

Neither of us were c/sec...but interesting the disparity.

January 6, 2010 | Unregistered CommenterAnonymous

as a Cleveland, Oh resident, i have to say it is nice to see this information being posted to the public. now what to do change these numbers?! have your babies @ home! :)

January 6, 2010 | Unregistered Commentershel

Anonymous,

It's always interesting to ask women who gave birth in the 70's and before about their experiences. My mom's doctor did x-rays for pelvimetric purposes because he wanted her to avoid a cesarean. My mom was induced at 43 weeks and I was 9#2. Everyone was fine. Times have changed.

January 6, 2010 | Registered CommenterJill

Interesting! Nice to see some progress being made to separating the low- from the high-risk. I don't think you could do any better with vital statistics; still, the hospitals can very legitimately argue that there are many term, singleton, vertex pregnancies that are still high-risk and drive up their c-section rates.

January 6, 2010 | Unregistered CommenterRebecca

Wyandot Memorial Hospital has only 3 OB beds and 6 bassinets. Do you think that has anything to do with their c-section numbers? I just saw a WV hospital that had 87% of deliveries as c-sections. Williamson Mem is also a small, rural hosp. Like Wyandot. Small, rural hospital. Probably only a few docs doing OB/GYN care. Few options for patients is what I am thinking.......

January 6, 2010 | Unregistered CommenterMichelle

I noticed the high C/s rate at that last hospital, and wondered if it was a similar situation as that PA hospital -- it was a high-level pediatric hospital that only allowed births if the baby was known to be high-risk and/or needing immediate post-birth surgery or something like that. Anybody know?

January 6, 2010 | Unregistered CommenterKathy

That hospital is a small - 3 OB beds, 6 bassinets - rural hospital. Someone is scheduling births. Thats what that score means.

January 6, 2010 | Unregistered CommenterMichelle

What's especially disconcerting is that this rate EXCLUDES breech, multiple, pre-term, and repeat cesareans. This means that the overall c-section rate for the state (and for many of the individual hospitals) must be OUTRAGEOUS.

January 6, 2010 | Unregistered CommenterBirthingBeautifulIdeas

For those that may not be familiar, Miami Valley has an attached birthing center. That's probably why their rates are so low.

January 6, 2010 | Unregistered CommenterJ
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