2008 Cesarean Statistics in PA: Primary Cesarean Rates (4 of 4)

In all the flurry about VBAC access and VBAC bans, sometimes the “primary” cesarean rate can get lost in the shuffle.  I think the primary cesarean rate is the most misunderstood of all the cesarean statistics.  I see the media mis-define it over and over, and even occassionally I see medical professionals misdefine it.

And yet, because a primary cesarean, is, by definition, the first cesarean a woman has, it may be, perhaps, her most important.  Because it is the one that forever labels her as high risk in future pregnancies.  As Joy Szabo and many women like her have found, having a vaginal birth after the cesarean, even having multiple vaginal births in ones history, does not erase the scarlet letter that a woman “earns” when she has that primary cesarean. Continue Reading…

2008 Cesarean Statistics in PA: VBAC Bans (3 of 4)

On the topic of VBAC bans, 19 hospitals in PA reported having “De Facto” bans (D), while 5 reported having “official” bans (B) in the survey done by ICAN in early 2009.  Oddly, 2 of the hospitals reported to have a VBAC ban have VBAC rates over 10%–12.2% at Bloomsburg Hospital in Cambria County, and 14% at St Joseph Medical Center a bit closer to me in Reading, Berks County.  I have to wonder if in each of these cases, the person who was answering the ICAN caller was simply unaware of what the policy was?  Continue Reading…

2008 Cesarean Statistics in PA: VBAC Rates (2 of 4)

After publishing my initial post about the cesarean stats in PA, focussing on the Lehigh Valley, my goal was to continue on with an analysis of the whole state.  Jill at The Unnecessarean “scooped” me slightly by posting the cesarean rate for all hospitals in PA, but I don’t mind.  Thank you Jill, for jumping on board!  The more voices, the merrier!  Well…maybe not “merrier” on this topic…but we definitely need as many voices as possible if we want positive change.

I’m going to present a bit more analysis though still.  I hope this is helpful for someone! Continue Reading…

2008 PA Cesarean Statistics are Now Available! (1 of 4)

In an early Christmas present, the PA Department of Health has released birth data for 2008, including cesarean statistics by hospital.

The cesarean rate in PA in 2008 rose just under 3% over 2007, going from 30.05% to 30.86%.  Most likely this will still keep us under the national average…but just barely.  The VBAC rate dropped from 13.8% to 13.3%.  

Looking more local to the Lehigh Valley, some of the results are very sobering.  Overall, the combined data for the 5 hospitals in the Lehigh Valley with maternity units saw their cesarean rate Continue Reading…