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It seems like the hospitals at the high end and the low end of these are usually smaller. But *what* is going on at Mercy Iowa City? I looked at the website and it looks like a regular run of the mill hospital. I hope some Iowa people will chime in.
Can't speak to what's going on at Mercy in IC - but man, that's where I would choose if I were birthing in that area!
But, as for southeast Iowa, near where I live - I feel totally vindicated that I chose Ft. Madison over Keokuk when I needed to transfer (non-emergency) for a homebirth (2007), even though FMCH was just a bit farther. 43.8% vs. 28.4%. I know I didn't have a c-section at FMCH, and everyone I know who's recently birthed at KAH has walked out with a c-section! Neither hospital does vbac.