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Friday
Apr162010

Tennessee Cesarean Rates by Hospital, 2008

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Facility # of C/S Total Births C/S Rate
Baptist Treatment Center of Murfreesboro 157 184 85.3%
Hardin Medical Center 174 334 52.1%
Baptist Hospital - West 31 61 50.8%
Hillside Hospital 115 242 47.5%
Saint Mary’s Jefferson Memorial Hospital 6 13 46.2%
Harton Regional Medical Center 380 831 45.7%
Athens Regional Medical Center 215 493 43.6%
McNairy Regional Hospital 79 183 43.2%
Centennial Medical Center 1349 3314 40.7%
Methodist Healthcare - Germantown 1581 3902 40.5%
Saint Francis Hospital - Bartlett 319 793 40.2%
Fort Sanders Regional Medical Center 1129 2823 40.0%
Baptist Memorial Hospital for Women 1980 5082 39.0%
Erlanger Medical Center 1075 2760 38.9%
Williamson Medical Center 498 1291 38.6%
Baptist Memorial Hospital - Union City 122 318 38.4%
Johnson City Medical Center 472 1250 37.8%
Baptist Hospital 2534 6732 37.6%
University Medical Center 265 713 37.2%
Parkwest Medical Center 542 1465 37.0%
University of Tennessee Memorial Hospital 849 2296 37.0%
Sweetwater Hospital Association 112 304 36.8%
Wellmont Holston Valley Medical Center 385 1057 36.4%
Langhlin Memorial Hospital 118 325 36.3%
Parkridge East Hospital 766 2123 36.1%
Middle Tennessee Medical Center 858 2379 36.1%
Southern Hills Medical Center 133 370 35.9%
Henry County Medical Center 107 301 35.5%
Sycamore Shoals Hospital 170 485 35.1%
Johnson City Specialty Hospital 358 1022 35.0%
Indian Path Medical Center 335 963 34.8%
Erlanger East 745 2152 34.6%
StoneCrest Medical Center 501 1457 34.4%
Jellico Community Hospital 77 227 33.9%
Maury Regional Hospital 544 1633 33.3%
Jackson - Madison County General Hospital 1019 3070 33.2%
Saint Francis Hospital 577 1762 32.7%
Livingston Regional Hospital 120 371 32.3%
Baptist Memorial Hospital - Tipton 143 446 32.1%
Hendersonville Medical Center 191 599 31.9%
Regional Medical Center at Memphis 1634 5167 31.6%
Wellmont Bristol Regional Medical Center 280 896 31.3%
Vanderbilt University Hospital 823 2635 31.2%
Summit Medical Center 522 1678 31.1%
Saint Mary’s Medical Center 674 2171 31.0%
Gateway Medical Center 565 1830 30.9%
Jamestown Regional Medical Center 29 94 30.9%
Fort Sanders Sevier Medical Center 312 1020 30.6%
Dyersburg Regional Medical Center 180 600 30.0%
Metro Nashville General Hospital 346 1156 29.9%
Southern Tennessee Medical Center 154 519 29.7%
Skyridge Medical Center 317 1079 29.4%
Cumberland Medical Center 187 641 29.2%
Riverview Regional Medical Center - North 37 130 28.5%
Methodist Medical Center 242 854 28.3%
Cookeville Regional Medical Center 434 1536 28.3%
Lincoln Medical Center 91 323 28.2%
Baptist Hospital of Cocke County 89 327 27.2%
Crockett 96 355 27.0%
River Park Hospital 156 580 26.9%
Regional Hospital of Jackson 172 640 26.9%
Methodist Healthcare - South 325 1212 26.8%
Morristown - Hamblen Healthcare System 211 787 26.8%
Lakeway Regional Hospital 122 472 25.8%
Horizon Medical Center 115 456 25.2%
Blount Memorial Hospital 212 852 24.9%
Methodist Healthcare - North 82 350 23.4%
NorthCrest Medical Center 193 836 23.1%
Heritage Medical Center 38 166 22.9%
Scott County Hospital 32 142 22.5%
Takoma Regional Hospital 69 322 21.4%
Sumner Regional Medical Center 170 839 20.3%
Total 30040 86791 34.6%

 

Data is derived from the Joint Annual Report of Hospitals filed with the Tennessee Department of Health for 2008. Data for each hospital is based on the fiscal year ending in 2008 for the hospital.

 

 

Special thanks to Keith Reisman, Esq., for compiling this data.

 

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Reader Comments (8)

It was interesting to me, as someone who grew up in Morristown, TN, to see Morristown Hamblen and Lakeway Regional right next to one another in the list - those are both in my hometown, and the only two hospitals in that town - I feel like there's a "community standards" comment in there somewhere... ;) I'd be very interested in whether anyone knowledgeable about Baptist in Murfreesboro could comment on that, if the number is just wrong, or what. That facility is just a county over from Vanderbilt, Southern Hills, Centennial, Metro general and others that are more in the 30-40% range.

April 17, 2010 | Unregistered CommenterRachelW

One thing to keep in mind is the type of hospital, which is not identified in the list. A tertiary care center, such as Erlanger or Johnson City Medical Center, takes high risk transfers and has a high percentage of deliveries that are high risk. These deliveries, often babies who are severely premature or have fetal abnormalities, should have a higher cesarean delivery rate than a small community hospital that has mostly low risk deliveries.

April 25, 2010 | Unregistered CommenterJess

It looks like all the Memphis hospitals are around 40%. :-( I keep rereading it, hoping I'll recognize one that's lower.

Methodist Healthcare - Germantown, Saint Francis Hospital - Bartlett, and one of the "Baptist" hospitals, which is known as "Baptist East" in our area, but is probably "Baptist Memorial Hospital for Women." Ugh, ugh, ugh.

April 27, 2010 | Unregistered CommenterKathy

Thanks so much for posting this information!!!

I think it should be noted that CPMs are legal to practice in Tennessee, and with there being less than half the number of births reported as in AL for the same year, can we assume that there were a significant number of births occurring in private homes? So were 34% of *all* births by cesarean, or were 34% of *hospital* births by cesarean? A small distinction, but important in terms of women's decision-making.

I know for example that Ina May Gaskin is quoted as having <2% cesarean rate.

May 2, 2010 | Unregistered CommenterKaren

Oops, don't crucify me. It's late and I can't read. :P 86K births - um, that's MORE than in AL for 2008. It's the "new math"... yeah, that's it. :::blush:::

In any case, I still am curious to know how the home birth rate compares.

May 2, 2010 | Unregistered CommenterKaren

I doubt that there would be a statistically significant difference in C/s rates due to home birth in TN. I just checked the CDC Wonder query for 2005, and there were fewer than 800 out-of-hospital births in TN, compared to over 80,000 in-hospital births. These o-o-h births could have been anything from precipitous births at 24 weeks to births on the side of the road at 38 weeks to planned midwife-attended home births. Even if 100% of the o-o-h births had been by C-section (had the mothers chosen a hospital birth), that would only raise the state total C/s rate from 32% to 33% [note that this was in 2005, not the latest figures].

May 3, 2010 | Unregistered CommenterKathy

Thanks, Kathy. I didn't know how to find that information! My individual perception was of there being more out-of-hospital births in TN, perhaps because I know AL families travel across the state line to birth with a midwife. Thanks for indulging my curiosity!

May 3, 2010 | Unregistered CommenterKaren

You're welcome!

It is a valid assumption to make -- that there would be more home-births in TN than elsewhere, being the home of Ina May Gaskin and also having AL families cross the state line; unfortunately, that's not the case. :-( Even here in MS where you don't have to be a CPM to practice midwifery, there aren't that many home births -- only about 0.2% of all births in 2005. It's more the culture of the South than anything else. You'd think with midwifery having a much stronger presence for longer than most of the rest of the country (due to poverty and being so rural), that it would have remained more prominent, but that doesn't seem to be the case.

May 3, 2010 | Unregistered CommenterKathy
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