Monday, September 10, 2007

Your Rates. Your County. What are You Doing?

http://209.217.72.34/VitalStats/ReportFolders/reportFolders.aspx

This is the CDC's Vital Stats page for cesareans. Do you know your county's risk?

My county had 21 VBAC's in 2004. Twenty-one healthy vaginal births after cesarean.
My county had 520 Repeat Cesareans.
If (being conservative) 70% of all trial of labor would result in a VBAC...that means that 364 women were potentially VBAC mothers and only TWENTY-ONE escaped being cut.

And my county has a 34.89% rate of cesarean and a 23.58% for all first time mothers having cesareans.
I'm going to scream now. I want you to hear this as a scream. I want you to hear it as the same visceral sound as if your mother caught you stealing and you are looking in her shocked face as she says "what the hell are you doing?"

WHAT ARE CARE PROVIDERS DOING TO NORMAL WOMEN IF ONE OUT OF FOUR NEW MOTHERS ARE BEING CUT AND MORE THAN ONE OUT OF THREE TOTAL MOTHERS ARE GOING HOME WITH MAJOR ABDOMINAL SURGERY AND LIFELONG COMPLICATIONS!

They are coming in pregnant and going out high risk. What is happening in the process?
The sad part is..this was three years ago. I guess the hospitals are damn lucky the rates aren't kept real-time, huh?

So what is your county doing to women and what are you doing to change it?

3 comments:

labortrials said...

Thanks for the kick in the pants. Here's what I discovered for MT.
http://labortrials.wordpress.com/2007/09/10/vital-birth-stats-from-2004-for-montana/

KatezMom said...

Ah, the county where I had my primary c-section (the following year) COULD have had 758 VBACs in 2004 (given the 70% rate) but instead managed 126. And the primary c-section rate was 27% (I was under the impression that it was closer to 15%!). Overall section rate was a *lovely* 34%, probably higher now! Grrr!

Anonymous said...

"And my county has a 34.89% rate of cesarean and a 23.58% for all first time mothers having cesareans."

I want to challenge you on this, because I believe you are making a common mistake.

Have you looked up the "primary" cesarean rate, and determined that this is the cesarean rate for first time mothers?

It's not. Its a measure of how many cesareans are the mother's first cesarean. So it could be a 2nd time mother, or 3rd... and the denominator is the number of women who starting labor...had never had a cesarean before.

The reality is that the cesarean rate for primaparas is about 1.5 to 2 times the "primary cesarean rate." Which would mean that in your county, anywhere from 35-46% of first time moms are birthing via cesarean.

Scary, huh? When birth advocates start really pushing this information, perhaps some of the mainstream moms will wake up and realize that the revolt is needed NOW!

Jenn
www.babybodybirth.com