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Apr162011

Massachusetts Cesarean Rates, 2008

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Sorted by cesarean rate 

Location

Facility

Total Births

LBW

Public Payment for Delivery

Adequate Prenatal Care

Total C/S

Methuen

Caritas Holy Family Hospital & Medical Center

1,198

3.7

36.2%

76.8%

47.4%

Melrose

Melrose-Wakefield Hospital

1,226

5.2

30.2%

89.9%

45.7%

Weymouth

South Shore Hospital

3,649

6.5

17.5%

92.0%

43.9%

Framingham

Metrowest Medical Center (Framingham Union Campus)

1,714

5.7

43.5%

88.3%

41.8%

Brockton

Brockton Hospital

1,232

6.7

66.0%

79.9%

41.1%

Boston

Beth Israel Deaconess Medical Center

5,086

10.9

19.4%

79.2%

40.8%

Boston

Tufts Medical Center

1,319

26.3

42.3%

90.0%

39.4%

Attleboro

Sturdy Memorial Hospital

968

2.7

15.8%

83.7%

38.6%

Concord

Emerson Hospital

1,143

5.4

6.8%

73.6%

38.1%

Southbridge

Harrington Memorial Hospital

345

3.8

52.8%

83.2%

38.0%

New Bedford

St. Luke’s Hospital

1,520

7.7

53.4%

67.7%

37.9%

Brockton

Caritas Good Samaritan Medical Center

952

6.3

57.4%

65.4%

37.8%

Falmouth

Falmouth Hospital

616

4.3

41.4%

86.5%

37.6%

Norwood

Caritas Norwood Hospital

562

2.7

28.0%

60.5%

37.2%

Newton

Newton Wellesley Hospital

3,750

4.6

3.3%

79.3%

37.1%

Fall River

Charlton Memorial Hospital

1,686

6.5

53.7%

88.7%

36.5%

Lowell

Saints Memorial Medical Ctr.(St. John’s Campus)- No births after 4/1/2008

164

2.1

45.3%

81.1%

36.5%

Winchester

Winchester Hospital

1,914

7

5.2%

84.5%

36.3%

Nantucket

Nantucket Cottage Hospital

147

2.1

45.6%

86.6%

36.1%

Lowell

Lowell General Hospital

2,318

6.3

44.5%

71.4%

35.8%

Boston

Caritas St.  Elizabeth’s Medical Center of Boston

1,136

13.1

27.4%

85.4%

35.6%

Boston

Brigham & Women’s Hospital

8,115

11.5

19.8%

95.2%

35.2%

Plymouth

Jordan Hospital

711

4.5

33.1%

87.5%

34.9%

Beverly

Beverly Hospital

2,092

5.2

32.5%

95.6%

34.8%

Newburyport

Anna Jaques Hospital

726

5.6

25.4%

87.9%

34.7%

Milford

Milford Regional Medical Center

995

5.1

28.1%

93.1%

34.6%

Taunton

Morton Hospital

521

3.6

50.6%

68.4%

34.4%

Barnstable

Cape Cod Hospital

904

3.5

48.7%

82.0%

32.3%

Lawrence

Lawrence General Hospital

1,711

5.6

63.7%

73.3%

32.2%

Salem

North Shore Medical Center Salem Hospital

1,677

5.7

50.4%

72.6%

32.2%

Worcester

Saint Vincent Hospital

2,025

4

21.5%

86.2%

32.2%

Springfield

Baystate Medical Center

4,239

12.3

50.0%

75.5%

32.1%

Great Barrington

Fairview Hospital

179

2.8

46.4%

85.5%

31.8%

Boston

Massachusetts General Hospital

3,624

10.2

29.1%

87.1%

31.5%

Ware

Baystate Mary Lane Hospital

180

4.5

61.6%

81.1%

31.1%

Boston

Boston Medical Center

2,417

9.7

79.8%

71.9%

30.1%

Pittsfield

Berkshire Medical Center

717

5.9

47.3%

70.4%

30.0%

Northampton

Cooley Dickinson Hospital

846

3.1

25.4%

92.6%

29.3%

Worcester

UMASS Memorial Medical Center (West Campus)

4,217

10.9

38.3%

70.8%

28.7%

Oak Bluffs

Martha’s Vineyard Hospital

165

0.6

47.9%

92.1%

28.5%

Cambridge

Cambridge Hospital

1,337

2.6

71.1%

78.3%

28.3%

Cambridge

Mount Auburn Hospital

2,057

3.5

17.6%

87.3%

27.4%

Springfield

Mercy Medical Center

1,339

4

57.5%

77.7%

25.5%

Greenfield

Baystate Franklin Medical Center

470

3.4

43.6%

79.8%

24.5%

Leominster

Leominster Hospital

1,096

4

48.0%

84.0%

22.2%

Holyoke

Holyoke Hospital

663

5.9

64.9%

68.2%

21.6%

Wareham

Tobey Hospital

435

2.8

39.6%

91.3%

19.1%

North Adams

North Adams Regional Hospital

269

3.7

54.6%

90.0%

18.2%

Gardner

Heywood Memorial Hospital

551

4

45.5%

80.3%

16.2%

Cambridge

Cambridge Birth Center

127

0

21.3%

64.6%

0.0%

Beverly

North Shore Birth Center

102

0

16.8%

92.0%

0.0%

Other

Other Hospitals

13

16.7

28.6%

50.0%

18.2%

Other

Home, En route and Dr. Office

377

6

24.0%

55.4%

0.0%

 

 

Sorted by location 

Location

Facility

Total Births

LBW

Public Payment for Delivery

Adequate Prenatal Care

Total C/S

Attleboro

Sturdy Memorial Hospital

968

2.7

15.8%

83.7%

38.6%

Barnstable

Cape Cod Hospital

904

3.5

48.7%

82.0%

32.3%

Beverly

Beverly Hospital

2,092

5.2

32.5%

95.6%

34.8%

Beverly

North Shore Birth Center

102

0

16.8%

92.0%

0.0%

Boston

Beth Israel Deaconess Medical Center

5,086

10.9

19.4%

79.2%

40.8%

Boston

Boston Medical Center

2,417

9.7

79.8%

71.9%

30.1%

Boston

Brigham & Women’s Hospital

8,115

11.5

19.8%

95.2%

35.2%

Boston

Caritas St.  Elizabeth’s Medical Center of Boston

1,136

13.1

27.4%

85.4%

35.6%

Boston

Massachusetts General Hospital

3,624

10.2

29.1%

87.1%

31.5%

Boston

Tufts Medical Center

1,319

26.3

42.3%

90.0%

39.4%

Brockton

Brockton Hospital

1,232

6.7

66.0%

79.9%

41.1%

Brockton

Caritas Good Samaritan Medical Center

952

6.3

57.4%

65.4%

37.8%

Cambridge

Cambridge Birth Center

127

0

21.3%

64.6%

0.0%

Cambridge

Cambridge Hospital

1,337

2.6

71.1%

78.3%

28.3%

Cambridge

Mount Auburn Hospital

2,057

3.5

17.6%

87.3%

27.4%

Concord

Emerson Hospital

1,143

5.4

6.8%

73.6%

38.1%

Fall River

Charlton Memorial Hospital

1,686

6.5

53.7%

88.7%

36.5%

Falmouth

Falmouth Hospital

616

4.3

41.4%

86.5%

37.6%

Framingham

Metrowest Medical Center (Framingham Union Campus)

1,714

5.7

43.5%

88.3%

41.8%

Gardner

Heywood Memorial Hospital

551

4

45.5%

80.3%

16.2%

Great Barrington

Fairview Hospital

179

2.8

46.4%

85.5%

31.8%

Greenfield

Baystate Franklin Medical Center

470

3.4

43.6%

79.8%

24.5%

Holyoke

Holyoke Hospital

663

5.9

64.9%

68.2%

21.6%

Lawrence

Lawrence General Hospital

1,711

5.6

63.7%

73.3%

32.2%

Leominster

Leominster Hospital

1,096

4

48.0%

84.0%

22.2%

Lowell

Lowell General Hospital

2,318

6.3

44.5%

71.4%

35.8%

Lowell

Saints Memorial Medical Ctr.(St. John’s Campus)- No births after 4/1/2008

164

2.1

45.3%

81.1%

36.5%

Melrose

Melrose-Wakefield Hospital

1,226

5.2

30.2%

89.9%

45.7%

Methuen

Caritas Holy Family Hospital & Medical Center

1,198

3.7

36.2%

76.8%

47.4%

Milford

Milford Regional Medical Center

995

5.1

28.1%

93.1%

34.6%

Nantucket

Nantucket Cottage Hospital

147

2.1

45.6%

86.6%

36.1%

New Bedford

St. Luke’s Hospital

1,520

7.7

53.4%

67.7%

37.9%

Newburyport

Anna Jaques Hospital

726

5.6

25.4%

87.9%

34.7%

Newton

Newton Wellesley Hospital

3,750

4.6

3.3%

79.3%

37.1%

North Adams

North Adams Regional Hospital

269

3.7

54.6%

90.0%

18.2%

Northampton

Cooley Dickinson Hospital

846

3.1

25.4%

92.6%

29.3%

Norwood

Caritas Norwood Hospital

562

2.7

28.0%

60.5%

37.2%

Oak Bluffs

Martha’s Vineyard Hospital

165

0.6

47.9%

92.1%

28.5%

Pittsfield

Berkshire Medical Center

717

5.9

47.3%

70.4%

30.0%

Plymouth

Jordan Hospital

711

4.5

33.1%

87.5%

34.9%

Salem

North Shore Medical Center Salem Hospital

1,677

5.7

50.4%

72.6%

32.2%

Southbridge

Harrington Memorial Hospital

345

3.8

52.8%

83.2%

38.0%

Springfield

Baystate Medical Center

4,239

12.3

50.0%

75.5%

32.1%

Springfield

Mercy Medical Center

1,339

4

57.5%

77.7%

25.5%

Taunton

Morton Hospital

521

3.6

50.6%

68.4%

34.4%

Ware

Baystate Mary Lane Hospital

180

4.5

61.6%

81.1%

31.1%

Wareham

Tobey Hospital

435

2.8

39.6%

91.3%

19.1%

Weymouth

South Shore Hospital

3,649

6.5

17.5%

92.0%

43.9%

Winchester

Winchester Hospital

1,914

7

5.2%

84.5%

36.3%

Worcester

Saint Vincent Hospital

2,025

4

21.5%

86.2%

32.2%

Worcester

UMASS Memorial Medical Center (West Campus)

4,217

10.9

38.3%

70.8%

28.7%

Other

Other Hospitals

13

16.7

28.6%

50.0%

18.2%

Other

Home, En route and Dr. Office

377

6

24.0%

55.4%

0.0%

 

 

Facility=A licensed maternity facility is a medical unit licensed by the Commonwealth for the care of women during pregnancy and childbirth.

Total Births=Occurrence Births. A birth occurring in the Commonwealth of Massachusetts, regardless of the residency of the mother. For individual cities/towns, an occurrence birth represents any birth occurring in that city/town, regardless of the residence of the mother. The percentages of cesareans provided in this row are based on occurrence births and may differ from data presented elsewhere in this book that are based on resident births.

LBW= Low Birth Weight. Less than 2,500 grams (5.5 lbs.) Public payment for delivery includes Medicaid/MassHealth, Commonhealth, Medicare, Healthy Start, other government programs, and free care.

Adequate Prenatal Care=Based on the APNCU Index.

 

 

SOURCE: Massachusetts Department of Public Health  
Bureau of Health Information, Statistics, Research, and Evaluation 
Division of Research and Epidemiology
http://www.mass.gov/Eeohhs2/docs/dph/research_epi/birth_report_2008.pdf

 

 

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Reader Comments (6)

Yikes. I thought Holy Family's rate was only 39% but I just realized that the Mass.gov website I was using was last updated in 2005. I'm thinking about giving birth at Holy Family because it's right up the street and there is a team of an OB and 2 midwives who work there who support natural, spontaneous childbirth. I was concerned and confused about how they could practice in a hospital with a 39% CS rate, but I don't know if I'm brave enough to set foot in a maternity ward with a 1 in 2 chance of C-section! Wow... anyone have advice? Is choosing a provider more important than choosing where to give birth?
I called the hospital a few weeks ago to ask some questions and found out: there are bath tubs and birth balls, the midwives let you eat and drink, support hypnobirthing, don't require IV fluids unless necessary, allow intermittent monitoring, allow you to push in different positions, and support immediate skin-to-skin contact. All that info made me feel safe, but now I'm doubting myself because of the CS rate.
I asked the nurse why the CS rate was so high and she got really uncomfortable. She said she couldn't give me an answer over the phone, but she could give me the director's phone number if I wanted to discuss the rate with him. Then, she said that it's hard to judge a hospital by its overall CS rate because "there might be one or two old fashioned OBs who are driving up the rate." Hmmmm. Is it possible that one or tow OBs lead to a 47% rate, but I could still have my natural, spontaneous birth there?

April 16, 2011 | Unregistered CommenterD Grace

Sadly, I'm counted in the 37.1% rate for Newton Wellesley Hospital in 2008.
@ D Grace, my impression about NW was the same which is why I received care from a group of midwives who deliver there. However, the fact is, it's still a hospital whose bottom line is to cover their *ss. Unbeknown to me, there were guidelines in place that required the midwives to involve an OB if X, Y or Z situations arise. That's precisely the situation I found myself in, and despite an extremely supportive midwife and doula, ended up with an unnecessary CS. If I bring another child into this world, it will be at home!

April 16, 2011 | Unregistered CommenterJP

D Grace: You know, it's really a combination of the place and the provider. I know a woman just recently who had a VBA2C at a local hospital where "no one" does VBACs and the overall section rate is over 50%. Things worked out for her, with a supportive provider and a lot of fight in her. :) If your provider is supportive, that's obviously the first thing, but sometimes hospital policies work against you as well. I recommend meeting with the providers you're interested in working with, detailing your concerns (including about the high rate), and see what they say. Good luck in your search. :)

April 16, 2011 | Registered CommenterANaturalAdvocate

My daughter was born at Berkshire Medical Center in Pittsfield they have way to high of a ceserean section rate for a small county like ours who has another two small hospitals in north county and south county who have lower c section rates.

April 17, 2011 | Unregistered CommenterKassedi

Heywood Memorial Hospital in Gardner has a 16.2% overall rate and 7.6% rate for primary CS. I went to their website to see how they kept their rate so low, and I am so jealous of any woman who can birth there! Free doulas for everyone, aromatherapy, music therapy, hydrotherapy, and postpartum massage. Imagine?!

April 17, 2011 | Unregistered CommenterD Grace

D Grace, I had a friend just give birth in a hospital with a 41.3% section rate here in AL. She had a natural birth--no pit, no epi, delayed clamping, etc.-- and was respected by her providers. This hospital has 1:1 nursing care for their laboring moms, and is working towards being mother-friendly (they obviously have a long way to go, with a 41% rate!). So, it can be done...I think you just need to be very careful with talking to your specific providers. I hope your search goes well, and you have a healthy birth! :)

April 19, 2011 | Unregistered CommenterBecky
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