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Sunday
Mar282010

Maryland Cesarean Rates by Hospital, July 2008 to June 2009

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Facility - July 2008 to June 2009 All Births Total C/S All Vag Births VBAC

First-time  C/S

Repeat C/S C/S Rate
Anne Arundel Medical Center 5344 2050 3294 51 1165 884 38.4%
Calvert Memorial Hospital 858 311 547 N/A 194 117 36.2%
Carroll Hospital Center 1138 449 689 N/A 268 181 39.5%
Chester River Hospital Center 237 62 175 N/A 37 25 26.2%
Civista Medical Center 794 230 564 N/A 137 93 29.0%
Franklin Square Hospital Center 2586 744 1842 61 456 286 28.8%
Frederick Memorial Hospital 2305 740 1565 38 411 326 32.1%
Garrett County Memorial Hospital 250 53 197 N/A 27 26 21.2%
Greater Baltimore Medical Center 4491 2012 2479 36 1189 822 44.8%
Harbor Hospital Center 1664 539 1125 38 306 230 32.4%
Holy Cross Hospital 8735 3016 5719 162 1779 1231 34.5%
Howard County General Hospital 3000 963 2037 52 522 439 32.1%
Johns Hopkins Bayview Medical Center 1783 542 1241 45 300 228 30.4%
Johns Hopkins Hospital 2053 635 1418 80 350 237 30.9%
Laurel Regional Hospital 612 189 423 N/A 94 95 30.9%
Maryland General Hospital 1055 225 830 44 127 97 21.3%
Memorial Hospital/Med Ctr Cumberland 1046 317 729 N/A 186 130 30.3%
Memorial Hospital At Easton 1204 271 933 N/A 166 104 22.5%
Mercy Medical Center 2771 894 1877 49 507 384 32.3%
Montgomery General Hospital 887 362 525 N/A 217 145 40.8%
Peninsula Regional Medical Center 2155 739 1416 N/A 380 359 34.3%
Prince George s Hospital Center 2282 652 1630 80 352 298 28.6%
Shady Grove Adventist Hospital 4771 1692 3079 68 928 764 35.5%
Sinai Hospital 2389 732 1657 78 438 293 30.6%
Southern Maryland Hospital Center 1707 701 1006 N/A 433 266 41.1%
St. Agnes Hospital 1975 772 1203 23 483 285 39.1%
St. Joseph Medical Center 2066 683 1383 47 412 268 33.1%
St. Mary s Hospital 1096 282 814 20 154 126 25.7%
Union Hospital Of Cecil County 720 251 469 N/A 161 89 34.9%
University Of Maryland Medical Center 1518 407 1111 48 232 170 26.8%
Upper Chesapeake Medical Center 1419 372 1047 31 228 144 26.2%
Washington Adventist Hospital 2046 836 1210 N/A 488 346 40.9%
Washington County Hospital 1950 631 1319 N/A 362 267 32.4%

 

 

Source: The Maryland Health Care Commission

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Reader Comments (8)

Yikes GBMC is up to 44.8%! I barely escaped with my vaginal birth with #1. *shudders*

March 29, 2010 | Unregistered CommenterVanessa Manz

Yeah. I will never stop feeling horrified by 40-plus cesarean rates.

March 29, 2010 | Registered CommenterJill

Ahhh I love when people post numbers with nothing to back them up or explain them. Nothing here mentions how many of those hospitals have Level 3 NICUs which often perform emergency c-sections to save the baby because it's too small for a vag delivery. For repeat c-sections nothing says how many of those are because the mom didn't want to wait after the first c-section to try for a vbac. Or as in my SILs case didn't want to attempt vbac after her 1st c-section since her first delivery had so many complications. There are LOTS of us out there who have no problem with doctors being involved in our delivery process and using the advancements of medicine to help us during delivery and to intercede if things are going as they should. Perhaps we should move the viabilty age back to 32 weeks and stop doing c-sections and other means to save babies who go into labor to early. That will certainly lower the c-section rate. But as long as you want doctors to try and save babies and mother's lives then you have to accept medical assitance for the process.

March 29, 2010 | Unregistered CommenterClare

Clare, that's all quite interesting but has nothing to do with the post. It's great that your SIL had the option to choose an elective repeat cesarean. Women who would like to VBAC often find it difficult to find someone to attend their birth.

As labeled, this is a list of Maryland cesarean rates. I didn't see a link to a table on the Maryland Health Care Commission web site called Cesarean Rates a Maryland Hospitals Which Have Level 3 NICUs Which Often Perform Emergency C-sections to Save the Baby Because It's Too Small for a Vag Delivery. If I had, I definitely would have posted it.

March 29, 2010 | Registered CommenterJill

Thank you so much for this information.

To address Clare's concern: from my own personal experience, I am choosing between Montgomery General and Shady Grove Adventist; the former is much smaller yet has a 40.8% rate, while the latter, with a much larger birth rate in general, has a level IIIB NICU yet a lower c-section rate of 35.5%.

30+% (really, more like 20%) should certainly be sufficient to allot for the situations where c-setions are unavoidable/actually necessary. As those numbers steadily creep up, I certainly agree with Jill that the increasing c-section rate since 1990 is very concerning.

March 30, 2010 | Unregistered CommenterMarianne

Clare- I am not sure why everyone believes that babies less than 32 (or even 35 weeks, at our local hospital) need to be born by c-section? My twin sister and I were born at 31 weeks and were in no way injured by being born vaginally. I mentioned this to my mother who was surprised- at the time no one suggested sectioning her just because we were only 31 weeks. All research says that labor is beneficial for babies, and don't preemies need all of the help they can get?

March 30, 2010 | Unregistered CommenterSara

The "Level 3 NICU" idea is a red herring. The closest hospital to me in NJ is a small community hospital - no fancy-pants high-risk set up - with a 46% c/s rate.

Jill, I hope NJ is on your list of states to post. Some of our hospitals' numbers are fully deserving of public humilation. You can find the list on ICAN Somerset or at this newspaper site: http://www.starledger.com/str/indexpage/environment/hospitals.asp

March 30, 2010 | Unregistered CommenterMegan

Hi Megan,

I'm going in no particular order but am thinking about chipping away at the extremes (high and low) first. NJ obviously meets that criterion as Worst in the Nation. I'll go with what's available to the general public first, even if it's just primary cesarean rates, then I'll hit up local ICAN chapters. We'll see what we can come up with. Thanks!

Jill

March 30, 2010 | Registered CommenterJill
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