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Wednesday
Dec152010

Virginia Cesarean Rates by Hospital, 2006

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By Jill


Although its 2006 data is now out of date, Virginia Health Information’s Obstetrical Services Guide provides the public with rates of cesareans, VBAC and episiotomies, plus length of hospital stay and average charges. While this alone sets it apart from the majority of states in the U.S. in terms of transparency, Virginia Health Information also provides a database of the intervention rates of individual physicians, who were allowed to review data and comment on their 2006 deliveries before and after the ratings were produced. 

 

 

 

 

Hospital

Total Births

Total C/S

C/S Rate

Augusta Medical Center

1111

394

35.5%

Bedford Memorial Hospital

207

56

27.1%

Bon Secours DePaul Medical Center

974

185

19.0%

Bon Secours Mary Immaculate Hospital

944

272

28.8%

Bon Secours Maryview Medical Center

1012

294

29.1%

Bon Secours Memorial Regional Medical Center

1804

518

28.7%

Bon Secours St. Francis Medical Center

1077

349

32.4%

Bon Secours St. Mary’s Hospital

2726

974

35.7%

CJW Medical Center

3263

1170

35.9%

Carilion Franklin Memorial Hospital

253

80

31.6%

Carilion Medical Center

3305

1050

31.8%

Carilion New River Valley Medical Center

1027

372

36.2%

Centra Health

2318

616

26.6%

Chesapeake General Hospital

3100

1139

36.7%

Clinch Valley Medical Center

478

140

29.3%

Community Memorial Healthcenter

340

83

24.4%

Culpeper Regional Hospital

444

98

22.1%

Danville Regional Medical Center

1055

216

20.5%

Fauquier Hospital

741

215

29.0%

Halifax Regional Hospital

410

151

36.8%

Henrico Doctors’ Hospital

3431

1409

41.1%

Inova Alexandria Hospital

3563

1354

38.0%

Inova Fair Oaks Hospital

3559

1355

38.1%

Inova Fairfax Hospital

11673

4783

41.0%

Inova Loudoun Hospital

2227

654

29.4%

Johnston Memorial Hospital

638

171

26.8%

Lewis-Gale Medical Center

615

223

36.3%

Martha Jefferson Hospital

1700

582

34.2%

Mary Washington Hospital

3702

1279

34.5%

Memorial Hospital of Martinsville & Henry County

571

188

32.9%

Montgomery Regional Hospital

526

185

35.2%

Norton Community Hospital

453

122

26.9%

Potomac Hospital

2644

718

27.2%

Prince William Hospital

2642

652

24.7%

Reston Hospital Center

3014

1330

44.1%

Riverside Regional Medical Center

2922

848

29.0%

Rockingham Memorial Hospital

1760

504

28.6%

Sentara Leigh Hospital

2602

894

34.4%

Sentara Norfolk General Hospital

2717

1134

41.7%

Sentara Obici Hospital

1289

367

28.5%

Sentara Virginia Beach General Hospital

1838

596

32.4%

Sentara Williamsburg Regional Medical Center

958

243

25.4%

Shore Memorial Hospital

566

174

30.7%

Smyth County Community Hospital

304

94

30.9%

Southampton Memorial Hospital

287

81

28.2%

Southside Community Hospital

393

97

24.7%

Southside Regional Medical Center

1286

414

32.2%

Twin County Regional Hospital

400

113

28.3%

University of Virginia Medical Center

1712

526

30.7%

VCU Health System

2135

669

31.3%

Virginia Hospital Center

3248

1315

40.5%

Warren Memorial Hospital

259

80

30.9%

Wellmont Lonesome Pine Hospital

268

80

29.9%

Winchester Medical Center

2197

815

37.1%

Wythe County Community Hospital

250

123

49.2%

 

 

Overall Cesarean Rates in Descending Order by Rate

 

Hospital

Total Births

Total C/S

C/S Rate

Wythe County Community Hospital

250

123

49.2%

Reston Hospital Center

3014

1330

44.1%

Sentara Norfolk General Hospital

2717

1134

41.7%

Henrico Doctors’ Hospital

3431

1409

41.1%

Inova Fairfax Hospital

11673

4783

41.0%

Virginia Hospital Center

3248

1315

40.5%

Inova Fair Oaks Hospital

3559

1355

38.1%

Inova Alexandria Hospital

3563

1354

38.0%

Winchester Medical Center

2197

815

37.1%

Halifax Regional Hospital

410

151

36.8%

Chesapeake General Hospital

3100

1139

36.7%

Lewis-Gale Medical Center

615

223

36.3%

Carilion New River Valley Medical Center

1027

372

36.2%

CJW Medical Center

3263

1170

35.9%

Bon Secours St. Mary’s Hospital

2726

974

35.7%

Augusta Medical Center

1111

394

35.5%

Montgomery Regional Hospital

526

185

35.2%

Mary Washington Hospital

3702

1279

34.5%

Sentara Leigh Hospital

2602

894

34.4%

Martha Jefferson Hospital

1700

582

34.2%

Memorial Hospital of Martinsville & Henry County

571

188

32.9%

Sentara Virginia Beach General Hospital

1838

596

32.4%

Bon Secours St. Francis Medical Center

1077

349

32.4%

Southside Regional Medical Center

1286

414

32.2%

Carilion Medical Center

3305

1050

31.8%

Carilion Franklin Memorial Hospital

253

80

31.6%

VCU Health System

2135

669

31.3%

Smyth County Community Hospital

304

94

30.9%

Warren Memorial Hospital

259

80

30.9%

Shore Memorial Hospital

566

174

30.7%

University of Virginia Medical Center

1712

526

30.7%

Wellmont Lonesome Pine Hospital

268

80

29.9%

Inova Loudoun Hospital

2227

654

29.4%

Clinch Valley Medical Center

478

140

29.3%

Bon Secours Maryview Medical Center

1012

294

29.1%

Riverside Regional Medical Center

2922

848

29.0%

Fauquier Hospital

741

215

29.0%

Bon Secours Mary Immaculate Hospital

944

272

28.8%

Bon Secours Memorial Regional Medical Center

1804

518

28.7%

Rockingham Memorial Hospital

1760

504

28.6%

Sentara Obici Hospital

1289

367

28.5%

Twin County Regional Hospital

400

113

28.3%

Southampton Memorial Hospital

287

81

28.2%

Potomac Hospital

2644

718

27.2%

Bedford Memorial Hospital

207

56

27.1%

Norton Community Hospital

453

122

26.9%

Johnston Memorial Hospital

638

171

26.8%

Centra Health

2318

616

26.6%

Sentara Williamsburg Regional Medical Center

958

243

25.4%

Southside Community Hospital

393

97

24.7%

Prince William Hospital

2642

652

24.7%

Community Memorial Healthcenter

340

83

24.4%

Culpeper Regional Hospital

444

98

22.1%

Danville Regional Medical Center

1055

216

20.5%

Bon Secours DePaul Medical Center

974

185

19.0%

 

 

 

Primary Cesareans

 

Hospital

Total

Primary C/S

Primary

C/S Rate

Risk Adjusted

Primary C/S Rate

Augusta Medical Center

229

24.5%

26.7%

Bedford Memorial Hospital

39

20.7%

16.5%

Bon Secours DePaul Medical Center

127

14.3%

17.8%

Bon Secours Mary Immaculate Hospital

169

20.3%

21.4%

Bon Secours Maryview Medical Center

172

19.6%

18.1%

Bon Secours Memorial Regional Medical Center

332

21.0%

21.2%

Bon Secours St. Francis Medical Center

216

23.3%

22.4%

Bon Secours St. Mary’s Hospital

652

27.6%

25.8%

CJW Medical Center

705

25.6%

20.7%

Carilion Franklin Memorial Hospital

43

20.0%

23.4%

Carilion Medical Center

652

23.0%

25.9%

Carilion New River Valley Medical Center

235

26.9%

27.6%

Centra Health

377

18.6%

21.1%

Chesapeake General Hospital

674

25.8%

25.4%

Clinch Valley Medical Center

91

21.3%

19.5%

Community Memorial Healthcenter

51

17.2%

20.5%

Culpeper Regional Hospital

57

14.6%

18.4%

Danville Regional Medical Center

132

13.9%

17.5%

Fauquier Hospital

132

21.0%

18.2%

Halifax Regional Hospital

102

28.7%

25.2%

Henrico Doctors’ Hospital

784

28.2%

23.6%

Inova Alexandria Hospital

863

28.4%

26.1%

Inova Fair Oaks Hospital

763

26.1%

24.4%

Inova Fairfax Hospital

2913

30.1%

25.5%

Inova Loudoun Hospital

367

19.2%

24.9%

Johnston Memorial Hospital

96

17.1%

19.1%

Lewis-Gale Medical Center

154

28.7%

21.9%

Martha Jefferson Hospital

353

24.4%

27.2%

Mary Washington Hospital

774

24.5%

24.2%

Memorial Hospital of Martinsville & Henry County

114

23.0%

14.3%

Montgomery Regional Hospital

109

24.5%

18.5%

Norton Community Hospital

75

18.5%

20.8%

Potomac Hospital

406

17.9%

21.4%

Prince William Hospital

373

16.3%

24.6%

Reston Hospital Center

832

33.5%

31.5%

Riverside Regional Medical Center

497

19.7%

21.9%

Rockingham Memorial Hospital

295

19.4%

22.2%

Sentara Leigh Hospital

540

24.1%

27.3%

Sentara Norfolk General Hospital

702

31.9%

33.0%

Sentara Obici Hospital

206

18.7%

20.7%

Sentara Virginia Beach General Hospital

362

22.9%

24.9%

Sentara Williamsburg Regional Medical Center

140

16.5%

19.1%

Shore Memorial Hospital

88

18.8%

18.6%

Smyth County Community Hospital

61

22.5%

21.6%

Southampton Memorial Hospital

37

15.4%

18.8%

Southside Community Hospital

46

13.7%

13.0%

Southside Regional Medical Center

258

23.0%

19.4%

Twin County Regional Hospital

72

20.1%

16.9%

University of Virginia Medical Center

338

22.6%

28.6%

VCU Health System

423

23.0%

29.5%

Virginia Hospital Center

827

30.7%

29.8%

Warren Memorial Hospital

47

21.3%

20.5%

Wellmont Lonesome Pine Hospital

43

18.6%

13.8%

Winchester Medical Center

470

25.6%

22.1%

Wythe County Community Hospital

85

40.1%

27.0%

 

 

Repeat Cesareans

 

Hospital

# Repeat C/S

RCS “Actual Rate”

RCS “Expected Rate”

Augusta Medical Center

165

92.7%

88.7%

Bedford Memorial Hospital

17

89.5%

N/A

Bon Secours DePaul Medical Center

58

69.9%

84.2%

Bon Secours Mary Immaculate Hospital

103

92.0%

86.0%

Bon Secours Maryview Medical Center

122

89.7%

88.2%

Bon Secours Memorial Regional Medical Center

186

83.0%

90.6%

Bon Secours St. Francis Medical Center

133

89.9%

90.8%

Bon Secours St. Mary’s Hospital

322

88.7%

91.3%

CJW Medical Center

465

91.5%

90.8%

Carilion Franklin Memorial Hospital

37

97.4%

92.3%

Carilion Medical Center

398

84.5%

86.5%

Carilion New River Valley Medical Center

137

90.1%

89.2%

Centra Health

239

83.0%

89.2%

Chesapeake General Hospital

465

96.3%

89.0%

Clinch Valley Medical Center

49

98.0%

88.4%

Community Memorial Healthcenter

32

74.4%

83.4%

Culpeper Regional Hospital

41

75.9%

89.1%

Danville Regional Medical Center

84

78.5%

86.8%

Fauquier Hospital

83

74.1%

87.0%

Halifax Regional Hospital

49

90.7%

86.1%

Henrico Doctors’ Hospital

625

95.9%

90.4%

Inova Alexandria Hospital

491

93.2%

90.1%

Inova Fair Oaks Hospital

592

93.2%

90.7%

Inova Fairfax Hospital

1870

93.7%

91.2%

Inova Loudoun Hospital

287

91.1%

90.8%

Johnston Memorial Hospital

75

98.7%

91.1%

Lewis-Gale Medical Center

69

87.3%

88.9%

Martha Jefferson Hospital

229

90.5%

89.9%

Mary Washington Hospital

505

92.7%

89.6%

Memorial Hospital of Martinsville & Henry County

74

98.7%

90.8%

Montgomery Regional Hospital

76

93.8%

92.7%

Norton Community Hospital

47

100.0%

90.0%

Potomac Hospital

312

84.3%

88.5%

Prince William Hospital

279

78.6%

88.3%

Reston Hospital Center

498

93.8%

92.4%

Riverside Regional Medical Center

351

88.4%

89.7%

Rockingham Memorial Hospital

209

87.8%

89.1%

Sentara Leigh Hospital

354

97.3%

90.0%

Sentara Norfolk General Hospital

432

84.1%

88.7%

Sentara Obici Hospital

161

85.6%

89.6%

Sentara Virginia Beach General Hospital

234

90.0%

89.9%

Sentara Williamsburg Regional Medical Center

103

92.8%

89.0%

Shore Memorial Hospital

86

86.9%

86.2%

Smyth County Community Hospital

33

100.0%

91.1%

Southampton Memorial Hospital

44

93.6%

90.5%

Southside Community Hospital

51

91.1%

87.1%

Southside Regional Medical Center

156

95.1%

90.6%

Twin County Regional Hospital

41

100.0%

90.0%

University of Virginia Medical Center

188

87.0%

89.0%

VCU Health System

246

82.3%

86.9%

Virginia Hospital Center

488

87.9%

90.8%

Warren Memorial Hospital

33

86.8%

90.2%

Wellmont Lonesome Pine Hospital

37

100.0%

88.8%

Winchester Medical Center

345

95.8%

89.4%

Wythe County Community Hospital

38

100.0%

91.2%

 

 

Episiotomies

 

Hospital

Vaginal Births

# of Epis

Epis Rate

Augusta Medical Center

717

68

9.5%

Bedford Memorial Hospital

151

7

4.6%

Bon Secours DePaul Medical Center

789

20

2.5%

Bon Secours Mary Immaculate Hospital

672

102

15.2%

Bon Secours Maryview Medical Center

718

83

11.6%

Bon Secours Memorial Regional Medical Center

1286

137

10.7%

Bon Secours St. Francis Medical Center

728

118

16.2%

Bon Secours St. Mary’s Hospital

1752

344

19.6%

CJW Medical Center

2093

457

21.8%

Carilion Franklin Memorial Hospital

173

13

7.5%

Carilion Medical Center

2255

544

24.1%

Carilion New River Valley Medical Center

655

223

34.0%

Centra Health

1702

131

7.7%

Chesapeake General Hospital

1961

323

16.5%

Clinch Valley Medical Center

338

166

49.1%

Community Memorial Healthcenter

257

23

8.9%

Culpeper Regional Hospital

346

66

19.1%

Danville Regional Medical Center

839

43

5.1%

Fauquier Hospital

526

153

29.1%

Halifax Regional Hospital

259

29

11.2%

Henrico Doctors’ Hospital

2022

465

23.0%

Inova Alexandria Hospital

2209

441

20.0%

Inova Fair Oaks Hospital

2204

490

22.2%

Inova Fairfax Hospital

6890

1413

20.5%

Inova Loudoun Hospital

1573

255

16.2%

Johnston Memorial Hospital

467

169

36.2%

Lewis-Gale Medical Center

392

209

53.3%

Martha Jefferson Hospital

1118

57

5.1%

Mary Washington Hospital

2423

298

12.3%

Memorial Hospital of Martinsville & Henry County

383

115

30.0%

Montgomery Regional Hospital

341

29

8.5%

Norton Community Hospital

331

55

16.6%

Potomac Hospital

1926

323

16.8%

Prince William Hospital

1990

399

20.1%

Reston Hospital Center

1684

304

18.1%

Riverside Regional Medical Center

2074

348

16.8%

Rockingham Memorial Hospital

1256

169

13.5%

Sentara Leigh Hospital

1708

255

14.9%

Sentara Norfolk General Hospital

1583

101

6.4%

Sentara Obici Hospital

922

63

6.8%

Sentara Virginia Beach General Hospital

1242

192

15.5%

Sentara Williamsburg Regional Medical Center

715

78

10.9%

Shore Memorial Hospital

392

49

12.5%

Smyth County Community Hospital

210

67

31.9%

Southampton Memorial Hospital

206

36

17.5%

Southside Community Hospital

296

26

8.8%

Southside Regional Medical Center

872

260

29.8%

Twin County Regional Hospital

287

86

30.0%

University of Virginia Medical Center

1186

49

4.1%

VCU Health System

1466

37

2.5%

Virginia Hospital Center

1933

392

20.3%

Warren Memorial Hospital

179

34

19.0%

Wellmont Lonesome Pine Hospital

188

70

37.2%

Winchester Medical Center

1382

286

20.7%

Wythe County Community Hospital

127

34

26.8%

 

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Reader Comments (10)

Wow - this is good information to have, if you live in Virginia! The thing that shocked me most was the episiotomy rates ... there is one place with an episiotomy rate over 50%! What's their excuse for that? You can easily see that WHERE you go will have a huge influence on what happens to you. Thanks for posting!

December 15, 2010 | Unregistered CommenterAndrea von Schoening

In some ways, the statistics here help me understand the limitations of statistics. I mean, we talk here a lot about hospital policies (sometimes versus OB or midwifery care/requirements), but sometimes it's not the hospital, but the practitioner. I guess a'll I'm trying to say is that it's difficult to discern just by looking at the numbers how much is a "hospital" problem and how much is an "OB" problem (that said I would NEVER birth at a hospital with a C/S rate over 30%, no matter who's "fault" it is). This issue occurs to me because I birthed at Martha Jefferson hospital, which is a small private hospital, with no NICU. It deals primarily with low risk women - in fact you have to be of certain gestation etc or you get moved to the hospital in town with a NICU. It has what I would call very mother-baby friendly policies (eating and drinking during labor- there's actually a "snack" room for laboring moms), option of doppler monitoring, rooming-in, on-site lactation consultant, and just general little interference as one often reads about). And it's primary C-section rate is STILL 25%, with very high repeat C-section rate (which means very few VBACs). I had a midwife (there's only one midwife with admitting privileges there), and she made sure I moved around, didn't need an IV, ate and drank, got into the tub, labored in a squatting position, maintained low lights and low voices in the room at all times, etc etc. But if no OB will do a breech, even a baby B twin breech, or vaginal birth of twins, and VBACs aren't supported, there's only so far the C-section rate can fall, I guess, even without hospital "bans" on them.

December 15, 2010 | Unregistered CommenterErin

"In some ways, the statistics here help me understand the limitations of statistics."

Yes!

My longstanding promise is that I *will* address context with regards to c/s rates. :)

December 15, 2010 | Registered CommenterJill

Wow, the individual provider info is amazing! I also appreciate knowing what they are charging (and comparing to my birth center birth).

December 15, 2010 | Unregistered CommenterEmily

Erin- do you live in Charlottesville area? I live 5 minutes from Martha Jefferson Hospital, and about 2 minutes from University of Virginia hospital. I think it's interesting that everyone talks up MJH maternity services, and I'm sure that their maternity ward is "nicer" than UVA, but the c-section rate is 4% points higher. (Although, the episiotomy rate is only 4% and 5%, which is pretty awesome for a hospital, if you ask me!) Very interesting numbers; I will be sure to save this for my friends who are pregnant around the state. Also I'm working through Doula training, so this is really valuable information!

I am currently auditing a childbirth prep class sponsored by Martha Jefferson Hospital, and while it seems that they're *trying* to teach women how to give birth as normally as possible, it also seems like they don't want to push it too much, probably for financial reasons. The maternity ward is really the bread and butter of that hospital. It's frustrating because the teacher is very wishy-washy when it comes to questions about the c-section rate and hospital policies like birthing within 24 hours of your water breaking. Not a whole lot of evidence or statistics are mentioned, just "this terrible thing happened when policy wasn't followed", and "hmm...sometimes the c-section rate is really high because of twins and preemies..." (umm...you are not a level 3 NICU and twins and preemies don't have to be born by c-section. I am living proof).

That said, I get the impression that Martha Jefferson Hospital is a good place to go, but only if you're informed in the first place, or, if you walk in with the baby crowning, like I did. The doctor that was on call had no problem waiting to clamp the cord, and I even co-slept with my daughter the first night in the hospital, and no one said anything about it. The only thing that irritated me is that they insisted upon raising her body temperature with a warmer, even though I wanted to hold her. Also the one day I was in there was bloody expensive...

December 16, 2010 | Unregistered CommenterSara

Yeah, see....how the HECK is a VAGINAL delivery only 3000$ less than a CESAREAN delivery?! The doctor who was there at my birth (I caught her, but thanks anyway, doc) averages over 6000$ for a vaginal delivery, and over 9000 for c-section. He has a 23% cesarean rate, which I guess isn't bad for most OBs.

I'm going to be plugging names into this thing ALL DAY. Now to check on the one who gave my friend her surgical delivery at 4:30 pm after 8 hours of "labor"...

December 16, 2010 | Unregistered CommenterSara

Sorry to be posting AGAIN, but this is so COOL. The statistics show that my instincts were right! The one doctor that I liked the most out of the practice that I went to has a 1% episiotomy rate and 18% c-section rate! He would have been on call if I had been in labor just a few hours later, bummer. Now I know who I want to do my shadow OB coverage with when we have another baby. He was also the one who first signed off on my birth plan and told me that he never did internal exams starting at 37 weeks until he was with this practice, and that they were fairly useless until one was having contractions.

So, if you're in Charlottesville and want a good doctor, check out Dr. Heider at Jefferson OB/Gyn. I notice that he also does VBACs.

December 16, 2010 | Unregistered CommenterSara

Sara, I was in Charlottesville when my baby was born. I had Donna Vinal, and working with her was amazing, and I'm sure changes the experience of being at the hospital, because she totally owned that room. What I mean is, everything was done her way in terms of normal birth. Unfortunately, she's the only midwife with admitting privileges, and she's *very* difficult to get an appointment with as a result. MJH is one of those weird places that attracts the "birth spa" folks and the natural birth folks. It's nice to know that there are other normal-birth friendly OBs in Cville! So my impression of MJH is that it's the *provider* that makes the experience. But they have the facilities to support normal birth. While UVA's C-section rates might be lower, I wonder about the possibilities of a non-interventionist birth there. Do they do doppler? Tubs? Let you eat and drink? etc. I liked the nurses at MJH and felt like it was a place where my views were respected, and nobody tried to do anything to me or my baby without my permission. And also, that's so funny that two of Jill's readers had babies born at MJH!

December 16, 2010 | Unregistered CommenterErin

Erin- I tried to get in with Donna Vidal, but as you already know, it's very difficult! She didn't have any openings when I was pregnant. In my case, however, I don't think it would have mattered much. I'm glad to hear that you had such a positive experience there. I think that next time I will use the local homebirth midwives, even though insurance won't cover them currently. Last labor was 5 hours start to finish and probably would have been shorter had we not had to drive to the hospital, so who knows what will happen next time?

I agree with you- it probably is the provider that is much more important than the hospital. The hospital is equipped to handle non-interventatice birth, but if the mother isn't aware of her options, and the doctor and/or nurses don't offer, she may get the same experience as any other hospital.

My mother delivered my sister and I in 1982 at UVA, at 31 weeks gestation. She had a lot of interventions, of course, since they tried to stop labor, then when they couldn't, sped it up with Pitocin (?!) but we were born vaginally, and my mom was very supported in breastfeeding us even though we were so early. I don't know if that has changed much since then. It seems like many moms of preemies here in town don't end up breastfeeding, which I think is so sad.

December 16, 2010 | Unregistered CommenterSara

I live in Northern Virginia and am set to give birth in Spring 2011 with my 2nd child (VBAC attempt), and these statistics reaffirm my choice in selecting a Home Birth Midwife and opting out of the hospital experience alltogether. I knew the C-Section rates at Inova et al. were nearing 40%, but had no clue about the also high episiotomy rate. Basically, whether you birth via surgery or vaginally, you're doomed to get cut either way it seems. HELL NO, not going near those hospitals! Thank God for Midwives!

December 17, 2010 | Unregistered CommenterCrystal
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