North Carolina Cesarean Rates by Hospital, 2008

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	Total	Primary C/S #	Primary C/S Rate	Repeat C/S #	Repeat C/S Rate	C/S Rate
ALAMANCE REGIONAL MED CTR	1461	300	20.5%	188	12.9%	33.4%
ALBEMARLE HOSP	779	132	16.9%	120	15.4%	32.3%
ANGEL MEDICAL CTR	255	42	16.5%	28	11.0%	27.5%
ANNIE PENN HOSP	185	27	14.6%	23	12.4%	27.0%
ASHE MEMORIAL HOSP	134	30	22.4%	21	15.7%	38.1%
BEAUFORT COUNTY HOSP	426	89	20.9%	66	15.5%	36.4%
BETSY JOHNSON REGIONAL HOSP	834	168	20.1%	175	21.0%	41.1%
BLADEN COUNTY HOSP	242	63	26.0%	41	16.9%	43.0%
BRUNSWICK COMMUNITY HOSP	419	88	21.0%	54	12.9%	33.9%
CALDWELL MEMORIAL HOSP INC	655	88	13.4%	83	12.7%	26.1%
CAPE FEAR VALLEY MED CTR	4767	868	18.2%	640	13.4%	31.6%
CAROLINAS MED CTR - PINEVILLE	1411	245	17.4%	188	13.3%	30.7%
CAROLINAS MED CTR - UNION	1368	163	11.9%	187	13.7%	25.6%
CAROLINAS MED CTR - UNIVERSITY	1620	382	23.6%	189	11.7%	35.2%
CAROLINAS MEDICAL CENTER	6366	1204	18.9%	693	10.9%	29.8%
CARTERET GENERAL HOSP	728	140	19.2%	93	12.8%	32.0%
CATAWBA VALLEY MED CTR	1639	214	13.1%	172	10.5%	23.6%
CENTRAL CAROLINA HOSP	954	111	11.6%	115	12.1%	23.7%
CHARLES A CANNON JR. MEMORIAL HOSP	127	12	9.4%	15	11.8%	21.3%
CHOWAN HOSPITAL	359	43	12.0%	72	20.1%	32.0%
CLEVELAND REGIONAL MED CTR	1069	207	19.4%	177	16.6%	35.9%
COLUMBUS COUNTY HOSPITAL INC	509	69	13.6%	66	13.0%	26.5%
CRAVEN REGIONAL MED CTR	1447	234	16.2%	188	13.0%	29.2%
DAVIS REGIONAL MED CTR	386	52	13.5%	51	13.2%	26.7%
DUKE UNIVERSITY MED CTR	3139	954	30.4%	268	8.5%	38.9%
DUPLIN GENERAL HOSP INC	685	122	17.8%	95	13.9%	31.7%
DURHAM REGIONAL HOSP	2318	443	19.1%	254	11.0%	30.1%
FIRSTHEALTH MOORE REGIONAL HOSP	1672	259	15.5%	239	14.3%	29.8%
FIRTH HEALTH RICHMOND MEMORIAL HOSP	540	134	24.8%	96	17.8%	42.6%
FORSYTH MEMORIAL HOSP	6989	1252	17.9%	685	9.8%	27.7%
FRYE REGIONAL MED CTR	781	177	22.7%	106	13.6%	36.2%
GASTON MEMORIAL HOSP	2707	454	16.8%	353	13.0%	29.8%
GRACE HOSPITAL INC	1326	248	18.7%	197	14.9%	33.6%
GRANVILLE MED CTR	367	49	13.4%	67	18.3%	31.6%
HALIFAX REGIONAL MED CTR INC	728	146	20.1%	91	12.5%	32.6%
HALYBURTON NAVAL HOSP (No Data Reported)
HARRIS REGIONAL HOSPITAL INC	633	94	14.8%	59	9.3%	24.2%
HAYWOOD REGIONAL MED CTR	351	59	16.8%	55	15.7%	32.5%
HERITAGE HOSP	563	124	22.0%	79	14.0%	36.1%
HIGH POINT REGIONAL HOSP	1923	368	19.1%	304	15.8%	34.9%
HUGH CHATHAM MEMORIAL HOSP	500	122	24.4%	66	13.2%	37.6%
IREDELL MEMORIAL HOSPITAL INC	943	164	17.4%	133	14.1%	31.5%
JOHNSTON MEMORIAL HOSP	1352	178	13.2%	190	14.1%	27.2%
LAKE NORMAN REGIONAL MED CTR	1046	232	22.2%	139	13.3%	35.5%
LENOIR MEMORIAL HOSPITAL INC	641	108	16.8%	101	15.8%	32.6%
LEXINGTON MEMORIAL HOSP	772	97	12.6%	104	13.5%	26.0%
LINCOLN MED CTR	476	124	26.1%	76	16.0%	42.0%
MARGARET R PARDEE MEMORIAL HOSP	418	58	13.9%	54	12.9%	26.8%
MARIA PARHAM HOSPITAL MED CTR	756	96	12.7%	106	14.0%	26.7%
MARTIN GENERAL HOSP	252	43	17.1%	32	12.7%	29.8%
MISSION HOSPITALS INC	4106	919	22.4%	604	14.7%	37.1%
MOREHEAD MEMORIAL HOSP	441	68	15.4%	46	10.4%	25.9%
MURPHY MED CTR INC	147	21	14.3%	25	17.0%	31.3%
NASH GENERAL HOSP	1377	179	13.0%	154	11.2%	24.2%
NAVAL HOSPITAL	1879	417	22.2%	131	7.0%	29.2%
NEW HANOVER REGIONAL MED CTR	4046	678	16.8%	502	12.4%	29.2%
NORTHEAST MEDICAL CENTER	3096	556	18.0%	443	14.3%	32.3%
NORTHERN HOSPITAL OF SURRY COUNTY	459	47	10.2%	45	9.8%	20.0%
ONSLOW MEMORIAL HOSP	1605	311	19.4%	222	13.8%	33.2%
PARK RIDGE HOSP	521	102	19.6%	80	15.4%	34.9%
PERSON MEMORIAL HOSP	140	25	17.9%	18	12.9%	30.7%
PITT COUNTY MEMORIAL HOSP	3800	740	19.5%	405	10.7%	30.1%
PRESBYTERIAN HOSP	5192	1183	22.8%	750	14.4%	37.2%
PRESBYTERIAN HOSP - MATTHEWS	1460	321	22.0%	191	13.1%	35.1%
PRESBYTERIAN HOSPITAL-HUNTERSVILLE	1291	250	19.4%	178	13.8%	33.2%
RANDOLPH HOSPITAL INC	907	126	13.9%	98	10.8%	24.7%
REX HOSP	6926	1537	22.2%	993	14.3%	36.5%
ROANOKE-CHOWAN HOSP	500	75	15.0%	58	11.6%	26.6%
ROWAN REGIONAL MED CTR	963	152	15.8%	101	10.5%	26.3%
RUTHERFORD HOSP INC	594	61	10.3%	90	15.2%	25.4%
SAMPSON REGIONAL MED CTR	440	104	23.6%	66	15.0%	38.6%
SCOTLAND MEMORIAL HOSP	670	97	14.5%	117	17.5%	31.9%
SOUTHEASTERN REGIONAL MED CTR	1639	230	14.0%	253	15.4%	29.5%
SPRUCE PINE COMMUNITY HOSP	198	47	23.7%	32	16.2%	39.9%
STANLY MEMORIAL HOSP	747	166	22.2%	119	15.9%	38.2%
THE MCDOWELL HOSP	83	21	25.3%	15	18.1%	43.4%
THE OUTER BANKS HOSPITAL	391	88	22.5%	70	17.9%	40.4%
THOMASVILLE MED CTR	673	136	20.2%	130	19.3%	39.5%
TRANSYLVANIA COMMUNITY HOSP INC	183	28	15.3%	23	12.6%	27.9%
UNIVERSITY OF NORTH CAROLINA HOSP	3809	684	18.0%	536	14.1%	32.0%
WAKE MED - WESTERN WAKE MED CTR	2504	469	18.7%	344	13.7%	32.5%
WAKE MED CTR	5302	755	14.2%	634	12.0%	26.2%
WATAUGA MED CTR	470	94	20.0%	86	18.3%	38.3%
WAYNE MEMORIAL HOSP INC	1456	243	16.7%	187	12.8%	29.5%
WILKES REGIONAL MED CTR	577	111	19.2%	82	14.2%	33.4%
WILSON MED CTR	1195	144	12.1%	156	13.1%	25.1%
WOMACK ARMY MED CTR	2677	394	14.7%	241	9.0%	23.7%
WOMENS HOSP OF GREENSBORO	5993	1201	20.0%	750	12.5%	32.6%
HOME OR OTHER NON-INSTITUTION	594	0	0.0%	0	0.0%	0.0%
OTHER INSTITUTION	2	0	0.0%	0	0.0%	0.0%
OTHER HOSPITAL W/O MATERNITY SVCS	15	3	20.0%	2	13.3%	33.3%
DELIVERY EN ROUTE TO A HOSPITAL	96	0	0.0%	0	0.0%	0.0%
OTHER CLINIC/DRS OFFICE	260	0	0.0%	0	0.0%	0.0%
OUT-OF-STATE DELIVERY	1316	295	22.4%	143	10.9%	33.3%
NC TOTAL	130758	24154	18.5%	16714	12.8%	31.3%

Source: North Carolina Department of Health and Human Services, State Center for Health Statistics

Special thanks to Angela Hathaway. 

Comments

[JMT]

What is the national primary c-section rate? How much closer to the WHO guidelines is it? (Another way of asking how much of the problem is lack of access to VBACs - though I understand that is overly simplistic.) Is the WHO guideline for all births or primary, btw? Can anyone point me to that original paper/guideline/standard?

Also, does anyone know where to look for international c-section rates? What about descriptive/comparative work on births across different countries/cultures (other than Birth in Four Cultures by Jordan)?

Sorry so many questions!

[The Deranged Housewife]

By and large, the rates by state seem to be about the same. What keeps them from going far higher? Perhaps the fear that it might raise a few eyebrows and make someone (besides us, I guess) stand up and actually notice?

[KK]

Interesting that they are broken down into primary and repeat C-sections. I know that several of us have talked about that in other posts. Looks like increasing VBAC access could really affect the overall rate.