Illinois Cesarean Rates by Hospital, 2008

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By Jill

 

County	Hospital	C/S Rate	# C/S	All Deliveries	Live     Births
Iroquois	Iroquois Memorial Hospital	47.6%	59	124	124
Cook	Rush University Med Ctr	43.4%	894	2061	1950
Madison	Gateway Regional Med Ctr	42.4%	137	323	321
Lake	Advocate Good Shepherd Hospital	40.5%	698	1724	1714
Kane	Delnor Community Hospital	40.0%	691	1729	1722
Crawford	Crawford Memorial Hospital	40.1%	67	167
Peoria	OSF Saint Francis Med Ctr	38.5%	984	2558	2535
Lake	Advocate Condell Med Ctr	38.2%	691	1811	1806
Lake	Lake Forest Hospital	37.0%	915	2474	2467
Winnebago	Rockford Memorial Hospital	36.0%	708	1967	1919
McLean	BroMenn Regional Med Ctr	36.5%	615	1687	1673
Cook	St. Alexius Med Ctr	36.4%	1154	3172	3162
Cook	Adventist LaGrange Memorial Hospital	36.0%	252	700	692
DuPage	Central DuPage Hospital	36.0%	1135	3153	3129
Cook	Advocate Christ Med Ctr	35.9%	1520	4233	4226
Cook	Advocate Lutheran General Hospital	35.2%	1425	4044	4024
Will	Provena Saint Joseph Med Ctr	34.9%	698	2000	1984
St. Clair	Memorial Hospital	34.7%	574	1654	1642
DuPage	Advocate Good Samaritan Hospital	34.5%	619	1793	1778
Kane	Rush Copley Memorial Hospital	34.3%	1265	3683	3660
Cook	Saint Joseph Hospital	34.1%	647	1895	1887
Wayne	Fairfield Memorial Hospital	34.3%	61	178	178
Cook	Gottlieb Memorial Hospital	34.0%	222	653	651
Jefferson	Good Samaritan Regional  Health Center	33.7%	289	857	852
Cook	Northwest Community Hospital	33.2%	1053	3172	3112
Rock Island	Genesis Med Ctr - Illini Campus	33.8%	232	686	686
Effingham	St Anthony Memorial Hospital	33.6%	278	827	823
DuPage	Edward Hospital	33.3%	1290	3869	3852
Whiteside	CGH Med Ctr	33.0%	194	587	587
Stephenson	Freeport Memorial Hospital	32.7%	179	547	545
Lake	Vista Med Ctr East	32.7%	638	1953	1943
Kane	Provena Saint Joseph Hospital	32.2%	127	395	391
Morgan	Passavant Area Hospital	32.3%	122	378	377
Grundy	Morris Hospital & Healthcare Centers	32.0%	218	681	678
Champaign	Carle Foundation Hospital	31.8%	741	2333	2328
Lake	Highland Park Hospital	31.7%	469	1480	1475
Cook	Resurrection Med Ctr	31.5%	362	1148	1139
Champaign	Provena Covenant Med Ctr	31.3%	353	1126	1120
St. Clair	Touchette Regional Hospital	31.1%	165	530	525
Winnebago	Swedish American Hospital	31.3%	802	2565	2556
Bureau	St. Margaret’s Hospital	31.2%	123	394	394
Peoria	Proctor Hospital	31.1%	178	573	571
Kankakee	Provena St. Mary’s Hospital	30.9%	124	401	399
DeKalb	Kishwaukee Community Hospital	31.0%	261	843	840
Peoria	Methodist Med Ctr	30.5%	560	1839	1815
Kane	Provena Mercy Center	30.7%	407	1327	1322
Will	Adventist Bolingbrook	30.2%	218	723	710
Cook	MetroSouth Med Ctr	30.4%	419	1377	1366
Henry	Hammond Henry Hospital	30.6%	38	124	124
Cook	Palos Community Hospital	30.2%	420	1393	1377
DuPage	Adventist Glen Oaks Hospital	30.3%	165	545	543
Bond	Greenville Regional Hospital, Inc.	30.4%	51	168	168
Vermilion	Provena United Samaritans Med Ctr	29.9%	245	819	815
Will	Silver Cross Hospital	29.7%	568	1911	1901
McHenry	Centegra Hospital - Woodstock	29.7%	319	1073	1068
Cook	University Of Chicago Med Ctr	29.1%	585	2013	1965
Cook	Advocate Illinois Masonic Med Ctr	29.5%	866	2931	2924
Cook	Little Company of Mary Hospital	29.4%	321	1093	1086
Washington	Washington County Hospital	29.4%	10	34	34
Jackson	Memorial Hospital Of Carbondale	29.1%	570	1960	1947
Cook	Saint Mary Of Nazareth Hospital	29.1%	602	2068	2061
Madison	Anderson Hospital	29.1%	570	1957	1957
Sangamon	St. John’s Hospital	28.8%	570	1976	1959
Cook	John H. Stroger Hospital of Cook County	28.6%	261	914	903
Cook	Northwestern Memorial Hospital	28.6%	3418	11958	11884
Hancock	Memorial Hospital	28.3%	28	99	99
Cook	Ingalls Memorial Hospital	28.0%	370	1321	1310
LaSalle	Community Hospital of Ottawa	27.9%	103	369	365
Henry	Kewanee Hospital	27.7%	48	173	171
Macon	Decatur Memorial Hospital	27.9%	266	952	948
McDonough	McDonough District Hospital	27.6%	100	362	360
Cook	Rush North Shore Med Ctr	27.3%	56	205	202
Cook	Evanston Hospital	26.9%	966	3590	3490
McHenry	Centegra Hospital - McHenry	27.4%	268	977	972
Cook	Advocate South Suburban Hospital	27.4%	378	1381	1372
McLean	St. Joseph Med Ctr	27.1%	200	737	730
Kankakee	Riverside Med Ctr	27.3%	332	1218	1214
Cook	Alexian Brothers Med Ctr	27.1%	759	2798	2789
Marion	St. Mary’s Hospital	26.8%	107	399	397
Cook	St. Bernard Hospital	26.5%	287	1084	1070
Fulton	Graham Hospital	26.3%	70	266	261
Kane	Sherman Hospital	26.7%	664	2484	2477
Cook	St. James Hospital & Health Center	26.5%	399	1504	1489
Knox	Galesburg Cottage Hospital	26.5%	102	385	382
DuPage	Elmhurst Memorial Hospital	26.2%	374	1426	1425
DuPage	Adventist Hinsdale Hospital	26.1%	588	2252	2241
Sangamon	Memorial Med Ctr	26.1%	446	1711	1701
Cook	Mount Sinai Hospital Med Ctr	25.9%	1036	3997	3958
Lee	Katherine Shaw Bethea Hospital	26.0%	107	412	409
Knox	St. Mary Med Ctr	25.9%	95	367	367
Coles	Sara Bush Lincoln Health Center	25.8%	212	823	820
Cook	MacNeal Memorial Hospital	25.6%	462	1806	1799
Richland	Richland Memorial Hospital	25.6%	83	324	324
Cook	Swedish Covenant Hospital	25.1%	618	2464	2459
Madison	Saint Anthony’s Hospital	24.6%	134	544	541
Macon	St. Mary’s Hospital	24.2%	186	769	765
DeKalb	Valley West Community Hospital	24.2%	59	244	243
Adams	Blessing Hospital @ 11th Street	23.9%	278	1163	1157
Cook	Advocate Trinity Hospital	23.8%	397	1668	1656
Cook	Jackson Park Hosp. Foundation	23.0%	63	274	263
St. Clair	St. Elizabeth’s Hospital	23.4%	279	1190	1174
Cook	St. Francis Hospital	23.5%	203	864	858
Rock Island	Trinity Med Ctr	23.6%	352	1492	1489
LaSalle	Illinois Valley Community Hospital	23.6%	106	449	449
Clinton	St. Josephs  Hospital	22.8%	105	461	461
Cook	Westlake Community Hospital	22.6%	312	1380	1375
Jersey	Jersey Community Hospital	22.3%	46	206	206
Cook	Mercy Hospital & Med Ctr	21.6%	690	3194	3174
Randolph	Sparta Community Hospital	20.6%	40	194	189
Tazewell	Pekin Memorial Hospital	21.0%	105	499	499
Cook	West Suburban Hospital	20.8%	453	2175	2155
Cook	Provident Hospital of Cook County	19.6%	72	368	361
Cook	Saint  Anthony Hospital	18.9%	379	2008	1999
Bureau	Perry Memorial Hospital	18.4%	30	163	163
Cook	Holy Cross Hospital	15.8%	53	335	334
Cook	Our Lady of Resurrection Med Ctr	0.0%	0	2	1

Listed by County

County	Hospital	C/S Rate	# C/S	All Deliveries	Live     Births
Adams	Blessing Hospital @ 11th Street	23.9%	278	1163	1157
Bond	Greenville Regional Hospital, Inc.	30.4%	51	168	168
Bureau	Perry Memorial Hospital	18.4%	30	163	163
Bureau	St. Margaret’s Hospital	31.2%	123	394	394
Champaign	Carle Foundation Hospital	31.8%	741	2333	2328
Champaign	Provena Covenant Med Ctr	31.3%	353	1126	1120
Clinton	St. Josephs  Hospital	22.8%	105	461	461
Coles	Sara Bush Lincoln Health Center	25.8%	212	823	820
Cook	Adventist LaGrange Memorial Hospital	36.0%	252	700	692
Cook	Advocate Christ Med Ctr	35.9%	1520	4233	4226
Cook	Advocate Illinois Masonic Med Ctr	29.5%	866	2931	2924
Cook	Advocate Lutheran General Hospital	35.2%	1425	4044	4024
Cook	Advocate South Suburban Hospital	27.4%	378	1381	1372
Cook	Advocate Trinity Hospital	23.8%	397	1668	1656
Cook	Alexian Brothers Med Ctr	27.1%	759	2798	2789
Cook	Evanston Hospital	26.9%	966	3590	3490
Cook	Gottlieb Memorial Hospital	34.0%	222	653	651
Cook	Holy Cross Hospital	15.8%	53	335	334
Cook	Ingalls Memorial Hospital	28.0%	370	1321	1310
Cook	Jackson Park Hosp. Foundation	23.0%	63	274	263
Cook	John H. Stroger Hospital of Cook County	28.6%	261	914	903
Cook	Little Company of Mary Hospital	29.4%	321	1093	1086
Cook	MacNeal Memorial Hospital	25.6%	462	1806	1799
Cook	Mercy Hospital & Med Ctr	21.6%	690	3194	3174
Cook	MetroSouth Med Ctr	30.4%	419	1377	1366
Cook	Mount Sinai Hospital Med Ctr	25.9%	1036	3997	3958
Cook	Northwest Community Hospital	33.2%	1053	3172	3112
Cook	Northwestern Memorial Hospital	28.6%	3418	11958	11884
Cook	Our Lady of Resurrection Med Ctr	0.0%	0	2	1
Cook	Palos Community Hospital	30.2%	420	1393	1377
Cook	Provident Hospital of Cook County	19.6%	72	368	361
Cook	Resurrection Med Ctr	31.5%	362	1148	1139
Cook	Rush North Shore Med Ctr	27.3%	56	205	202
Cook	Rush University Med Ctr	43.4%	894	2061	1950
Cook	Saint  Anthony Hospital	18.9%	379	2008	1999
Cook	Saint Joseph Hospital	34.1%	647	1895	1887
Cook	Saint Mary Of Nazareth Hospital	29.1%	602	2068	2061
Cook	St. Alexius Med Ctr	36.4%	1154	3172	3162
Cook	St. Bernard Hospital	26.5%	287	1084	1070
Cook	St. Francis Hospital	23.5%	203	864	858
Cook	St. James Hospital & Health Center	26.5%	399	1504	1489
Cook	Swedish Covenant Hospital	25.1%	618	2464	2459
Cook	University Of Chicago Med Ctr	29.1%	585	2013	1965
Cook	West Suburban Hospital	20.8%	453	2175	2155
Cook	Westlake Community Hospital	22.6%	312	1380	1375
Crawford	Crawford Memorial Hospital	40.1%	67	167
DeKalb	Kishwaukee Community Hospital	31.0%	261	843	840
DeKalb	Valley West Community Hospital	24.2%	59	244	243
DuPage	Adventist Glen Oaks Hospital	30.3%	165	545	543
DuPage	Adventist Hinsdale Hospital	26.1%	588	2252	2241
DuPage	Advocate Good Samaritan Hospital	34.5%	619	1793	1778
DuPage	Central DuPage Hospital	36.0%	1135	3153	3129
DuPage	Edward Hospital	33.3%	1290	3869	3852
DuPage	Elmhurst Memorial Hospital	26.2%	374	1426	1425
Effingham	St Anthony Memorial Hospital	33.6%	278	827	823
Fulton	Graham Hospital	26.3%	70	266	261
Grundy	Morris Hospital & Healthcare Centers	32.0%	218	681	678
Hancock	Memorial Hospital	28.3%	28	99	99
Henry	Hammond Henry Hospital	30.6%	38	124	124
Henry	Kewanee Hospital	27.7%	48	173	171
Iroquois	Iroquois Memorial Hospital	47.6%	59	124	124
Jackson	Memorial Hospital Of Carbondale	29.1%	570	1960	1947
Jefferson	Good Samaritan Regional  Health Center	33.7%	289	857	852
Jersey	Jersey Community Hospital	22.3%	46	206	206
Kane	Delnor Community Hospital	40.0%	691	1729	1722
Kane	Provena Mercy Center	30.7%	407	1327	1322
Kane	Provena Saint Joseph Hospital	32.2%	127	395	391
Kane	Rush Copley Memorial Hospital	34.3%	1265	3683	3660
Kane	Sherman Hospital	26.7%	664	2484	2477
Kankakee	Provena St. Mary’s Hospital	30.9%	124	401	399
Kankakee	Riverside Med Ctr	27.3%	332	1218	1214
Knox	Galesburg Cottage Hospital	26.5%	102	385	382
Knox	St. Mary Med Ctr	25.9%	95	367	367
Lake	Advocate Condell Med Ctr	38.2%	691	1811	1806
Lake	Advocate Good Shepherd Hospital	40.5%	698	1724	1714
Lake	Highland Park Hospital	31.7%	469	1480	1475
Lake	Lake Forest Hospital	37.0%	915	2474	2467
Lake	Vista Med Ctr East	32.7%	638	1953	1943
LaSalle	Community Hospital of Ottawa	27.9%	103	369	365
LaSalle	Illinois Valley Community Hospital	23.6%	106	449	449
Lee	Katherine Shaw Bethea Hospital	26.0%	107	412	409
Macon	Decatur Memorial Hospital	27.9%	266	952	948
Macon	St. Mary’s Hospital	24.2%	186	769	765
Madison	Anderson Hospital	29.1%	570	1957	1957
Madison	Gateway Regional Med Ctr	42.4%	137	323	321
Madison	Saint Anthony’s Hospital	24.6%	134	544	541
Marion	St. Mary’s Hospital	26.8%	107	399	397
McDonough	McDonough District Hospital	27.6%	100	362	360
McHenry	Centegra Hospital - McHenry	27.4%	268	977	972
McHenry	Centegra Hospital - Woodstock	29.7%	319	1073	1068
McLean	BroMenn Regional Med Ctr	36.5%	615	1687	1673
McLean	St. Joseph Med Ctr	27.1%	200	737	730
Morgan	Passavant Area Hospital	32.3%	122	378	377
Peoria	Methodist Med Ctr	30.5%	560	1839	1815
Peoria	OSF Saint Francis Med Ctr	38.5%	984	2558	2535
Peoria	Proctor Hospital	31.1%	178	573	571
Randolph	Sparta Community Hospital	20.6%	40	194	189
Richland	Richland Memorial Hospital	25.6%	83	324	324
Rock Island	Genesis Med Ctr - Illini Campus	33.8%	232	686	686
Rock Island	Trinity Med Ctr	23.6%	352	1492	1489
Sangamon	Memorial Med Ctr	26.1%	446	1711	1701
Sangamon	St. John’s Hospital	28.8%	570	1976	1959
St. Clair	Memorial Hospital	34.7%	574	1654	1642
St. Clair	St. Elizabeth’s Hospital	23.4%	279	1190	1174
St. Clair	Touchette Regional Hospital	31.1%	165	530	525
Stephenson	Freeport Memorial Hospital	32.7%	179	547	545
Tazewell	Pekin Memorial Hospital	21.0%	105	499	499
Vermilion	Provena United Samaritans Med Ctr	29.9%	245	819	815
Washington	Washington County Hospital	29.4%	10	34	34
Wayne	Fairfield Memorial Hospital	34.3%	61	178	178
Whiteside	CGH Med Ctr	33.0%	194	587	587
Will	Adventist Bolingbrook	30.2%	218	723	710
Will	Provena Saint Joseph Med Ctr	34.9%	698	2000	1984
Will	Silver Cross Hospital	29.7%	568	1911	1901
Winnebago	Rockford Memorial Hospital	36.0%	708	1967	1919
Winnebago	Swedish American Hospital	31.3%	802	2565	2556

County	Hospital	# C/S	All Deliveries	Live  Births
Christian	Taylorville Memorial Hospital	Not reported	66	66
Fors	Gibson Community Hospital	Not reported	205	205
LaSalle	St. Mary’s Hospital	Not reported	238	235
Livingston	OSF Saint James_John W. Albrecht Medical Center	Not reported	245	238
Logan	Abraham Lincoln Memorial Hospital	Not reported	254	254
Montgomery	St. Francis Hospital	Not reported	340	337
Cook	Roseland Community Hospital	Not reported	421	416
Madison	Alton Memorial Hospital	Not reported	542	539
Winnebago	Saint Anthony Medical Center	Not reported	740	740
Williamson	Heartland Regional Medical Center	Not reported	1098	1088
Cook	Foster G. McGaw Hospital - Loyola University Medic	Not reported	1379	1365
Cook	Norwegian American Hospital	Not reported	1649	1643
Cook	University of Illinois Medical Center @ Chicago	*	2893	2763

Cesarean rates were calculated by dividing total number of cesareans performed by total number of deliveries. This is a crude method of comparing hospital cesarean rates but still a valuable tool for consumers to use when researching hospitals. Rates calculated by blog owner. [This paragraph has been edited]

Crawford Memorial Hospital reported 167 deliveries but no live births. As this was most likely in error, the cesarean rate was calculated by dividing total number of cesarean deliveries by the number of total deliveries. Please bear this in mind.

University of Illinois Medical Center at Chicago included their cesarean volume within their total OB/GYN surgical numbers.

A statewide cesarean rate was not calculated because 13 hospital reported live births but no cesarean deliveries. Inclusion of these hospitals would affect the overall rate.

The Illinois Department of Public Health has demonstrated concern for the state’s rising cesarean rates and making institutional level data and analyses available to the public. The information contained within this post can be easily accessed on their website along with the November 2009 report titled “Trends in Cesarean Deliveries in Illinois Hospitals, 1994-2007.”

Comments

[Jill]

Advance apologies for the awkward column formatting. I'm working on fixing it in this post and in others.

[chitownmama]

It's really a shame that University of Illinois Medical Center doesn't report their c-sections in a way that allows them to be calculated directly. In the IDPH report it says that "C-section volume included with in [sic] OB-Gyn speciality." It looks like there were 422 in-patient Ob-Gyn surgical cases. If all of them were c-sections (although presumably they wouldn't all be, right? and also presuming that no out-patient surgeries were c-sections), then the maximum rate would be 422/2763 live births or 15.3%, possibly the best in the state and the best in Cook County. They serve a relatively "high-risk" population as well. They're definitely doing themselves a disservice to not have comparable stats out there! (Although these 2008 numbers were reported on the ICAN of Chicago listserve.) I don't know about the hospital as a whole, but their midwife group also has very good VBAC stats. They aren't known as one of the cushier, more glamorous places to give birth in Chicago among the moms I know, but they definitely have some of the most compelling stats.
(On an unrelated note, I love your blog!)

[Becky]

Those are frighteningly high section rates. I'm worried it's going to take the equivalent of a nuclear bomb in the birthing world to reverse this trend.

[Jill]

chitownmama,

Thanks for your comment. This comes from the raw data (in excel), not the linked pdf. I'll amend that.

Note: I also added Kewanee Hospital to the main list. They included their c/s numbers as a footnote in the pdf.

Jill

[Jill]

Anon, that was my calculation, not IDPH's. I appreciate these comments because I get to see what I need to clarify for future posts. I removed the comment to avoid confusion. Hope that's okay with you.

[Jenn the Greenmom]

I delivered twice at West Suburban, with 20.8%, sixth from the bottom. I knew I was lucky to be there, but I didn't realize how lucky. A year ago we moved further west, into the realm of one of the 36% ones. No wonder so many of my friends had huge interventions.
--Jenn

[Leah]

...aaaaand that's why I drive an hour each way to get to one of the midwife groups at West Suburban. My SIL delivered at the hospital 5 min from my house twice and had a c/s the second time. They also treat women like the baby factory they are. The hour drive each way sucks, especially with 2 other kids now, but it's worth it. I just wish it weren't necessary.

[Rayne of Terror]

I'm surprised by the stats of the two hospitals I delivered at. I found St. Mary's in Macon Co (24%) to be a backwards place to deliver. The nurses were so in my face about what I could and couldn't do and even though I told the nurses not to offer me an epidural I bet they did at least 6 times in the 2 hours I was there before I started pushing. My OB (known for her low c-section %) yelled at me for not getting an epidural. I had a natural delivery, first time mom, arriving there at 9 am at 4-5 cm and delivering at 1 pm with 2 hours of pushing. A perfect delivery, or it would have been if I hadn't felt disrespected by the staff and OB. The next day the OB was bragging to my family Dr about what a superhero I was and how great the birth was. Too bad they didn't act accordingly during the birth. Too bad I was left so angry. Too bad I had a year of untreated PPD afterward.

My second birth at Bromenn in McLean Co (36.5%) was planned to be a midwife assisted tub birth. Bromenn is one of the very few central IL hospitals that offer tub births. Everything seemed to going great until at 36 weeks my blood pressure went way up and the baby failed the non-stress test. We were hooked up to the monitor the whole morning. I has an ultrasound so they could determine how much fluid there was and surprise! Big. Breech. Baby. The U/S tech knew it by feel, but no one else had felt my stomach recently. I was told to go directly to the hospital for a cesarean. I was so torn up. I cried all afternoon as I waited for surgery. (I had a banana at 5 am.) But the midwife and the OB arrived together and they were both warm and reassuring that I would be a perfect future VBAC candidate. Everyone I came into contact with was competent and respectful and warm. It changed my experience of the whole situation. I was still frightened of the spinal, but the midwife helped me breathe through it and was there the entire surgery. The surgery went well and my son was a hale and hearty 9 lbs. Almost a year has passed and it has honestly been one of the best years of my life.

The stats don't tell the whole story of whether it's a place you would like to deliver or not.

[Jill]

So true, Rayne, that the numbers are not necessarily indicative of the care given. We're working on text to accompany c/s rate posts that says something to that extent.

It's so nice to hear they were so good to you at Bromenn. I know it doesn't erase the memory of how you were treated at St. Mary's but I'm glad that you were able to coast on something so positive.

[Nicholas Fogelson, MD]

This is interesting data and does show a relative problem with cesarean rates at this time. However, it is hard to judge hospitals head to head without knowing what kind of acuity they deal with. A low risk hospital with only a level I nursery is going to have a much lower cesarean rate than a level III tertiary hospital, because they transfer all their premature labors and sick mothers to the higher risk centers. In order to fairly look at these data, they have to be weighted by these types of acuity stats.

When we do this type of weighting, the difference between hospitals becomes much less, though there are still some hospitals that have a propensity to do more sections than others.