Lowering the cesarean section rate in a private hospital: comparison of individual physicians' rates, risk factors, and outcomes

Article Abstract:

American physicians can lower their cesarean section rate by a trial of vaginal birth in women who have had a previous cesarean. Researchers analyzed cesarean section rates in 16,230 deliveries at one hospital. The physicians were divided into those whose rates were less than 15% (target group) or greater than 15% (control group). The overall cesarean rate in the control group was 24%, compared to 14% in the target group. Physicians in the target group used various techniques to manage labor effectively and tried to induced vaginal births in women with a prior cesarean.

Management, Practice, Physicians, Medical professions, Childbirth, Delivery (Childbirth)

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Cesarean deliveries for Medicaid patients: a comparison in public and private hospitals in Los Angeles County

Article Abstract:

Private hospitals in Los Angeles County have a higher rate of cesarean section than other hospitals. This was the conclusion of a study of hospital discharge data on 92,800 women covered by Medicaid who delivered a baby at one of 78 hospitals in Los Angeles County. The cesarean rate was 24% at the private non-teaching hospitals, 16% in private teaching hospitals, 13% in public hospitals and 17% in health maintenance organizations. Cesarean deliveries in private non-teaching hospitals cost an additional $13.6 million in Medicaid expenses.

Los Angeles County, California

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Lack of local reflection of national changes in cesarean delivery rates: the Canadian experience

Article Abstract:

A national change in the cesarean rate may not accurately reflect local changes. In Canada, the national cesarean rate increased between 1983 and 1988, decreased between 1988 and 1992 and was the same in 1992 as in 1983. However, among the 240 largest maternity units, 48% had trends completely opposite from the national trend between 1983 and 1992, 75% had opposite trends between 1983 and 1988 and 53% had opposite trends between 1988 and 1992.

Canada

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