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Apr092010

California Cesarean Rates by Hospital, 2008

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  % C/S <3lb_5oz <5lb_8oz Total Births
         
CORONA REGIONAL MED CTR-MAIN 70.5% 1.0% 5.8% 1414
LOS ANGELES COMMUNITY HOSP 64.9% 0.2% 8.6% 510
COMMUNITY & MISSION HSP OF HNTG PARK 56.5% 0.0% 0.0% 260
EAST VALLEY HOSP MED CTR 51.6% 0.0% 2.0% 401
EL CENTRO REGIONAL MED CTR 51.6% 0.5% 3.0% 1579
MONTEREY PARK HOSP 49.8% 0.0% 3.3% 1740
EAST LOS ANGELES DOCTORS HOSP 49.8% 0.3% 2.0% 976
BELLFLOWER MED CTR 48.1% 0.6% 5.8% 1679
PACIFICA HOSP OF THE VALLEY 48.0% 0.7% 4.8% 920
CITRUS VALLEY MED CTR - QV CAMPUS 47.5% 1.4% 7.4% 5548
MEMORIAL HOSP OF GARDENA 46.0% 7.1% 8.6% 1656
SANTA MONICA - UCLA MED CTR 45.5% 1.4% 11.9% 1605
FOOTHILL PRESBYTERIAN HOSP 45.1% 0.4% 4.4% 789
COASTAL COMMUNITIES HOSP 44.9% 0.5% 3.6% 2195
COMMUNITY HOSP OF SAN BERNARDINO 44.7% 1.3% 6.3% 2756
GARFIELD MED CTR 43.1% 0.9% 5.8% 3500
GOOD SAMARITAN HOSP-SAN JOSE 43.0% 1.7% 8.7% 3628
GLENDALE ADVENTIST MED CTR 42.8% 0.8% 6.2% 2493
SAN RAMON REGIONAL MED CTR 42.5% 0.1% 11.1% 765
COLUSA REGIONAL MED CTR 41.7% 0.4% 7.4% 230
VERDUGO HILLS HOSP 41.6% 0.1% 2.8% 779
SHARP MARY BIRCH HOSP FOR WOMEN 41.6% 2.6% 10.7% 8719
LOS ROBLES HOSP AND MED CTR 41.5% 1.3% 7.2% 2010
MONTCLAIR HOSP MED CTR 41.2% 1.0% 2.3% 959
RIDGECREST REGIONAL HOSP 41.0% 1.1% 3.2% 532
GLENDALE MEMORIAL HOSP 41.0% 0.8% 5.5% 1792
HUNTINGTON MEMORIAL HOSP 40.7% 1.9% 8.1% 3606
POMONA VALLEY HOSP MED CTR 40.4% 1.2% 6.7% 7653
VALLEY PRESBYTERIAN HOSP 40.2% 1.1% 5.6% 5528
CENTRAL VALLEY GENERAL HOSP 39.9% 0.5% 6.2% 2239
NORTHRIDGE HOSP MED CTR 39.7% 0.9% 5.0% 2857
PARKVIEW COMMUNITY HOSP MED CTR 39.7% 1.3% 5.5% 1997
HEMET VALLEY MED CTR 38.9% 0.7% 5.7% 1397
PROVIDENCE TARZANA MED CTR 38.8% 0.7% 2.0% 2040
BEVERLY HOSP 38.7% 1.2% 6.2% 1443
GARDEN GROVE HOSP AND MED CTR 38.5% 0.3% 4.3% 2861
LODI MEMORIAL HOSP 38.4% 0.1% 3.4% 1199
LOS ANGELES METROPOLITAN MED CTR 38.3% 0.0% 4.9% 1211
SAN ANTONIO COMMUNITY HOSP 38.2% 1.5% 4.1% 2315
SCRIPPS MEMORIAL HOSP - LA JOLLA 38.2% 0.4% 5.1% 4036
TULARE DISTRICT HOSP 37.8% 0.5% 5.2% 1221
WESTERN MED CTR - SANTA ANA 37.8% 0.7% 5.9% 3100
GREATER EL MONTE COMMUNITY HOSP 37.8% 0.4% 2.2% 535
KAISER FND HOSP - SUNSET 37.7% 1.7% 8.3% 2235
ANAHEIM GENERAL HOSP 37.6% 0.4% 3.0% 502
HOLLYWOOD PRESBYTERIAN MED CTR 37.5% 1.4% 6.8% 4797
TRI-CITY MED CTR 37.4% 1.1% 6.1% 3723
HI-DESERT MED CTR 37.3% 0.0% 3.7% 517
SAN GABRIEL VALLEY MED CTR 37.3% 1.0% 7.3% 2438
PROVIDENCE HOLY CROSS MED CTR 37.2% 0.5% 4.0% 2705
ST. JOHNS HEALTH CENTER 37.1% 1.5% 3.2% 2021
HOAG MEMORIAL HOSP PRESBYTERIAN 37.0% 0.9% 6.7% 5436
UC IRVINE MED CTR 36.7% 7.7% 20.2% 1271
CEDARS SINAI MED CTR 36.7% 1.5% 9.0% 6880
ST. FRANCIS MED CTR 36.7% 1.1% 3.5% 6979
LAC+USC MED CTR 36.5% 3.7% 12.9% 1377
PALO VERDE HOSP 36.4% 0.0% 5.1% 99
SIERRA VISTA REGIONAL MED CTR 36.3% 3.4% 7.8% 1187
ST. HELENA HOSP 36.2% 0.0% 1.8% 276
LITTLE COMPANY OF MARY HOSP 36.1% 1.1% 6.4% 3080
SOUTH COAST MED CTR 36.0% 0.5% 3.9% 203
EARL & LORRAINE MILLER CHILDRENS HOSP 35.9% 2.1% 10.0% 6032
PLUMAS DISTRICT HOSP 35.7% 0.0% 1.2% 84
SCRIPPS MERCY HOSP - CHULA VISTA 35.7% 0.5% 4.8% 2154
WEST HILLS HOSP AND MED CTR 35.6% 1.3% 6.9% 1189
SONORA REGIONAL MED CTR - GREENLEY 35.5% 0.5% 4.2% 572
ARROWHEAD REGIONAL MED CTR 35.5% 0.8% 3.1% 3214
IRVINE REGIONAL HOSP AND MED CTR 35.5% 0.4% 3.4% 1077
RIVERSIDE COMMUNITY HOSP 35.1% 1.4% 8.1% 3606
WHITTIER HOSP MED CTR 34.9% 0.4% 2.4% 2212
SEQUOIA HOSP 34.8% 0.1% 4.0% 1467
SIERRA KINGS DISTRICT HOSP 34.8% 0.0% 2.8% 1591
KAWEAH DELTA MED CTR 34.7% 0.0% 0.9% 4190
ST. AGNES MED CTR 34.7% 1.9% 8.0% 4223
CENTINELA HOSP MED CTR 34.7% 4.4% 5.0% 2063
MARIAN MED CTR 34.5% 0.6% 3.6% 3043
HAZEL HAWKINS MEMORIAL HOSP 34.5% 0.2% 0.8% 484
SHARP CHULA VISTA MED CTR 34.4% 0.2% 4.1% 3618
COMMUNITY MED CTR - CLOVIS 34.4% 0.9% 4.8% 3386
SUTTER MEMORIAL HOSP 34.3% 2.1% 9.5% 5622
ST. JOSEPH HOSP - ORANGE 34.3% 1.1% 4.7% 5010
ANTELOPE VALLEY HOSP 33.9% 1.8% 9.1% 5852
L.A. COUNTY OLIVE VIEW-UCLA MED CTR 33.7% 2.3% 8.8% 1002
PRES. INTERCOMMUNITY HOSP 33.5% 0.9% 6.4% 3557
COMM. MEM. HOSP-SAN BUENAVENTURA 33.5% 0.2% 0.8% 2961
PACIFIC HOSP OF LONG BEACH 33.5% 0.0% 3.0% 1048
DOCTORS MED CTR 33.5% 2.4% 6.8% 4667
POMERADO HOSP 33.4% 0.3% 3.0% 1134
KAISER FND HOSP - RIVERSIDE 33.3% 0.5% 5.2% 3797
KAISER FND HOSP - SAN DIEGO 33.1% 1.4% 7.9% 4352
SIERRA VIEW DISTRICT HOSP 33.1% 0.3% 4.4% 2083
ORANGE COAST MEMORIAL MED CTR 32.9% 0.5% 3.8% 1439
SAN DIMAS COMMUNITY HOSP 32.9% 0.8% 4.7% 665
HENRY MAYO NEWHALL MEMORIAL HOSP 32.8% 0.8% 5.0% 1348
WHITE MEMORIAL MED CTR 32.8% 1.4% 3.9% 3899
MISSION HOSP REGIONAL MED CTR 32.6% 1.2% 6.8% 3320
EL CAMINO HOSP 32.5% 0.0% 3.5% 4404
NORTH BAY MED CTR 32.4% 1.3% 1.6% 1536
FOUNTAIN VALLEY RGNL HOSP- EUCLID 32.3% 1.0% 5.3% 3516
MAMMOTH HOSP 32.2% 0.0% 7.4% 121
MEMORIAL HOSP MED CTR - MODESTO 32.2% 0.6% 4.9% 2111
DESERT REGIONAL MED CTR 32.1% 1.1% 3.8% 3518
REGIONAL MEDICAL OF SAN JOSE 32.1% 1.0% 5.6% 675
MERCY GENERAL HOSP 32.1% 0.4% 4.0% 2806
KAISER FND HOSP - GEARY S F 32.0% 1.8% 8.1% 2653
KAISER FND HOSP - BELLFLOWER 31.9% 2.3% 9.0% 3430
SELMA COMMUNITY HOSP 31.8% 0.3% 4.2% 1018
GOOD SAMARITAN HOSP-LOS ANGELES 31.8% 2.2% 7.9% 5016
SALINAS VALLEY MEMORIAL HOSP 31.8% 0.5% 3.5% 2431
SUTTER TRACY COMMUNITY HOSP 31.8% 1.0% 4.6% 721
LOMA LINDA UNIVERSITY MED CTR 31.7% 3.4% 14.7% 2835
KAISER FND HOSP - WALNUT CREEK 31.7% 1.4% 8.0% 3332
KAISER FND HOSP - IRVINE 31.7% 0.7% 5.6% 1215
OCONNOR HOSP - SAN JOSE 31.7% 0.4% 4.5% 3768
GROSSMONT HOSP 31.5% 0.8% 5.5% 3815
NORTHERN INYO HOSP 31.5% 0.4% 6.5% 232
NATIVIDAD MED CTR 31.3% 0.2% 5.7% 2700
UNIVERSITY OF CALIF-SAN DIEGO MED CTR 31.3% 4.2% 14.0% 2613
MARSHALL  MED CTR (1-RH) 31.2% 0.5% 3.7% 602
PALOMAR MED CTR 31.2% 0.4% 2.6% 3991
PIONEERS MEMORIAL HOSP 31.2% 0.5% 2.5% 1562
METHODIST HOSP OF SO.CALIFORNIA 31.1% 1.3% 4.3% 2000
ST. JUDE MED CTR 31.0% 1.0% 5.8% 2083
JOHN F KENNEDY MEMORIAL HOSP 30.9% 0.5% 3.2% 3118
LUCILE SALTER PACKARD CHILDRENS HOSP 30.9% 1.9% 9.3% 5001
WASHINGTON HOSP - FREMONT 30.9% 1.0% 5.7% 2476
ST. JOSEPHS MED CTR OF STOCKTON 30.9% 1.3% 7.9% 2379
COMMUNITY REGIONAL MED CTR-FRESNO 30.8% 3.2% 11.8% 6900
FAIRCHILD MED CTR 30.8% 0.5% 4.1% 221
CALIFORNIA PACIFIC MED CTR-CAL. WEST 30.8% 1.8% 9.0% 6130
KAISER FND HOSP - FRESNO 30.6% 0.8% 6.1% 1218
KAISER FND HOSP - ANAHEIM 30.5% 1.0% 7.7% 2999
LOS ALAMITOS MED CTR 30.5% 0.1% 4.7% 1886
KAISER FND HOSP - HARBOR CITY 30.5% 1.2% 6.6% 2101
MERCY MED CTR 30.4% 0.8% 11.4% 2120
KAISER- SACRAMENTO/ROSEVILLE-MORSE 30.4% 1.7% 9.0% 4086
SAN GORGONIO MEMORIAL HOSP 30.4% 0.4% 3.4% 477
SIMI VALLEY HOSP-SYCAMORE 30.3% 0.8% 4.1% 531
LAC/HARBOR-UCLA MED CTR 30.2% 2.5% 7.6% 1101
DOWNEY REGIONAL MED CTR 30.1% 1.1% 3.9% 1646
KAISER FND HOSP - PANORAMA CITY 30.1% 1.9% 7.3% 1890
OAK VALLEY DISTRICT HOSP (2-RH) 30.1% 0.0% 3.3% 299
SADDLEBACK MEMORIAL MED CTR 30.1% 0.6% 6.7% 2888
DAMERON HOSP 30.0% 2.4% 10.7% 2559
KAISER FND HOSP - FONTANA 29.9% 1.5% 7.5% 4620
PENINSULA MED CTR 29.9% 0.3% 4.0% 1876
SANTA BARBARA COTTAGE HOSP 29.8% 1.2% 6.4% 2630
BARTON MEMORIAL HOSP 29.7% 1.6% 6.5% 491
ST. MARY MED CTR 29.3% 1.1% 5.7% 2852
MENDOCINO COAST DISTRICT HOSP 29.3% 0.6% 5.7% 174
DOMINICAN HOSP-SANTA CRUZ/SOQUEL 29.2% 1.0% 9.3% 1068
VENTURA COUNTY MED CTR 29.1% 1.1% 6.1% 2991
DESERT VALLEY HOSP 29.1% 1.7% 5.2% 347
GEORGE L MEE MEMORIAL HOSP 29.1% 0.2% 2.9% 615
KAISER FND HOSP - HAYWARD 29.1% 1.5% 7.2% 3010
OROVILLE HOSP 29.0% 0.7% 5.3% 544
RONALD REAGAN UCLA MED CTR 28.9% 1.0% 7.9% 2015
ST. LOUISE REGIONAL HOSP 28.9% 0.9% 3.7% 650
REDLANDS COMMUNITY HOSP 28.9% 1.7% 4.9% 2234
SCRIPPS MEMORIAL HOSP - ENCINITAS 28.9% 0.1% 3.1% 1558
DOCTORS HOSP OF MANTECA 28.9% 0.7% 2.0% 759
KAISER FND HOSP - SANTA ROSA 28.8% 0.8% 4.0% 1864
SOUTHWEST HEALTHCARE SYS.-MURRIETA 28.8% 0.4% 2.7% 2152
ST. JOHNS REGIONAL MED CTR 28.7% 1.5% 30.7% 1823
SCRIPPS MERCY HOSP 28.7% 0.3% 3.8% 2359
WOODLAND MEMORIAL HOSP 28.6% 0.3% 4.3% 702
SOUTHWEST HEALTHCARE SYS.-WILDOMAR 28.6% 0.4% 2.8% 1479
FALLBROOK HOSP DISTRICT 28.5% 0.0% 2.2% 505
FREMONT MED CTR 28.4% 0.9% 4.7% 2279
SUTTER LAKESIDE HOSP 28.4% 0.0% 7.3% 317
PARADISE VALLEY HOSP 28.3% 0.4% 3.2% 1295
ALTA BATES SUMMIT MED CTR 28.2% 2.3% 9.3% 7748
SUTTER AMADOR HOSP 28.1% 0.0% 0.0% 331
SETON MED CTR 27.9% 0.6% 5.1% 727
COMMUNITY HOSP MONTEREY PENINSULA 27.8% 0.8% 6.1% 1324
PETALUMA VALLEY HOSP 27.8% 0.0% 1.1% 547
LOMPOC VALLEY MED CTR 27.7% 0.2% 3.7% 429
TWIN CITIES COMMUNITY HOSP 27.7% 0.1% 2.0% 711
MERCY HOSP - FOLSOM 27.7% 0.1% 2.8% 1065
JOHN MUIR MED CTR-WALNUT CREEK 27.5% 1.9% 8.9% 2960
KAISER FND HOSP - SANTA CLARA 27.3% 1.3% 8.0% 4087
ST. ROSE HOSP 27.3% 0.6% 4.6% 1272
BARSTOW COMMUNITY HOSP 27.3% 1.4% 6.5% 352
KAISER FND HOSP - WEST LA 27.3% 1.4% 8.3% 1629
KAISER FND HOSP - BALDWIN PARK 27.2% 1.2% 6.4% 3047
SUTTER AUBURN FAITH HOSP 27.2% 0.3% 3.4% 382
FEATHER RIVER HOSP 27.1% 0.4% 2.1% 827
ENLOE MED CTR- ESPLANADE CAMPUS 27.0% 0.6% 4.0% 1623
KAISER FND HOSP - WOODLAND HILLS 26.8% 0.9% 6.3% 1544
KERN MED CTR 26.8% 1.6% 7.0% 4406
UC DAVIS MED CTR 26.8% 1.9% 7.4% 2498
WATSONVILLE COMMUNITY HOSP 26.7% 3.2% 13.1% 1729
BAKERSFIELD MEMORIAL HOSP- 34TH ST. 26.7% 0.9% 5.9% 2460
MARIN GENERAL HOSP 26.7% 0.2% 5.7% 1627
MERCY SOUTHWEST HOSP 26.5% 1.4% 5.0% 3587
BANNER LASSEN MED CTR 26.4% 0.4% 4.6% 280
UCSF MED CTR 26.4% 4.2% 12.3% 1902
ANAHEIM MEMORIAL MED CTR 26.1% 1.5% 6.6% 1808
SIERRA NEVADA MEMORIAL HOSP 26.1% 0.4% 2.9% 545
SUTTER ROSEVILLE MED CTR 26.0% 0.6% 4.1% 3104
UKIAH VALLEY MED CTR/HOSP DRIVE 26.0% 0.5% 4.4% 911
QUEEN OF THE VALLEY HOSP - NAPA 26.0% 0.1% 0.7% 990
SANTA ROSA MEM. HOSP-MONTGOMERY 25.3% 0.6% 7.3% 1393
MERCY MED CTR MT. SHASTA 25.3% 0.0% 0.6% 154
MERCY MED CTR MERCED-COMM.CAMPUS 25.3% 0.4% 4.2% 2662
TAHOE FOREST HOSP 25.2% 0.2% 4.1% 468
KAISER HOSP - REHAB. CENTER VALLEJO 25.2% 0.3% 5.3% 2421
GOLETA VALLEY COTTAGE HOSP 24.8% 0.0% 0.8% 129
SUTTER DELTA MED CTR 24.8% 0.7% 4.7% 964
RIVERSIDE COUNTY REGIONAL MED CTR 24.7% 1.5% 6.2% 2501
SUTTER SOLANO MED CTR 24.7% 0.0% 0.7% 888
EMANUEL MED CTR, INC 24.6% 0.3% 3.7% 2319
DELANO REGIONAL MED CTR 24.6% 1.1% 4.5% 992
KAISER FND HOSP - SAN JOSE 24.6% 0.4% 3.5% 2230
ST. JOHNS PLEASANT VALLEY HOSP 24.4% 0.0% 26.6% 320
KAISER FND HOSP - MORENO VALLEY 24.2% 1.1% 3.7% 1848
SANTA PAULA  HOSP 24.2% 0.0% 0.0% 446
KAISER FOUND HSP-ANTIOCH 24.0% 0.6% 3.7% 1252
KAISER FND HOSP-MODESTO 23.9% 0.0% 4.7% 469
MERCY SAN JUAN HOSP 23.9% 2.6% 8.8% 3110
REDBUD COMMUNITY HOSP 23.7% 0.0% 3.7% 190
SONOMA VALLEY HOSP 23.5% 0.0% 0.0% 217
ST. ELIZABETH COMMUNITY HOSP 23.5% 0.8% 2.9% 712
SUTTER MAT. & SURG. CTR- SANTA CRUZ 23.2% 0.2% 1.2% 928
MOUNTAINS COMMUNITY HOSP 23.1% 0.0% 2.5% 121
LITTLE COMPANY OF MARY - SAN PEDRO 23.0% 0.6% 5.5% 710
MEMORIAL HOSP LOS BANOS 22.8% 0.1% 5.1% 725
ST. BERNARDINE MED CTR 22.7% 1.3% 3.0% 2268
ALAMEDA CO MED CTR - HIGHLAND 22.7% 0.7% 5.5% 1395
COMMUNITY HOSP OF LOS GATOS 22.4% 0.3% 5.2% 651
CONTRA COSTA REGIONAL MED CTR 22.2% 0.3% 2.6% 2694
SUTTER COAST HOSP 22.0% 0.0% 5.3% 322
SUTTER MED CTR OF SANTA ROSA 21.6% 1.2% 6.4% 1828
ST. MARY REGIONAL MED CTR 21.6% 1.4% 7.7% 2935
KAISER FND HOSP - REDWOOD CITY 21.1% 0.4% 2.8% 1363
MAD RIVER COMMUNITY HOSP 21.0% 0.0% 5.3% 476
MAYERS MEMORIAL HOSP 20.9% 0.0% 6.6% 91
SAN FRANCISCO GENERAL HOSP 20.2% 1.6% 9.4% 1312
ST. LUKES HOSP 19.8% 0.5% 3.9% 919
FRENCH HOSP MED CTR 19.3% 0.0% 1.1% 876
KAISER HOSP - SOUTH SACRAMENTO 19.2% 0.3% 3.8% 3509
SAN JOAQUIN COMMUNITY HOSP 18.9% 0.7% 3.0% 2663
SUTTER DAVIS HOSP 17.5% 0.0% 3.1% 1345
MADERA COMMUNITY HOSP 17.0% 0.8% 4.1% 1905
PROVIDENCE SAINT JOSEPH MED CTR 13.3% 1.8% 4.9% 3002
FACILITIES WITH FEWER THAN 10 BIRTHS 0.0%     30
  32.7% 1.2% 6.2% 510504

 

 

 

Eleven facilities reported fewer than 10 births and no cesarean sections.

Reported No Cesareans

Total Births

KAISER FND HOSP - RICHMOND

1

SURPRISE VALLEY COMMUNITY HOSP

1

PLACENTIA LINDA HOSPITAL

1

SAN MATEO MEDICAL CENTER

1

JOHN MUIR MED CTR -CONCORD CAMPUS

2

COALINGA REGIONAL MEDICAL CENTER

2

KERN VALLEY HEALTHCARE DISTRICT

2

COAST PLAZA DOCTORS HOSPITAL

4

FRANK R HOWARD MEMORIAL HOSP

4

MODOC MEDICAL CENTER

4

DOCTORS MED CTR - SAN PABLO

8

 

30

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fourteen facilities did not report their 2008 cesarean data, leaving the method of delivery in 30,719 births unknown. Inclusion of this data would affect the overall cesarean rate.

 

Did Not Report 2008 Cesarean Totals

Total Births

LA PALMA INTERCOMMUNITY HOSP

222

REDWOOD MEMORIAL HOSP

384

ST. JOSEPH HOSP - EUREKA

650

EDEN MED CTR

1155

METHODIST HOSP OF SACRAMENTO

1224

VALLEYCARE MED CTR

1510

VICTOR VALLEY COMMUNITY HOSP

1695

PACIFIC ALLIANCE MED CTR, INC.

1891

SAN JOAQUIN GENERAL HOSP

2524

KAISER FND HOSP - OAKLAND CAMPUS

2535

WESTERN MED CTR HOSP - ANAHEIM

2765

TORRANCE MEMORIAL MED CTR

3771

CALIFORNIA HOSP MED CTR - L.A.

4989

SANTA CLARA VALLEY MED CTR

5404

 

30719

 

This information was accessed on April 9, 2010 from the database titled 2008 Final Database on the California Office of Statewide Health Planning and Development web site. Ninety-nine facilities reported cesarean rates in excess of the national average of 32.3% in based on the preliminary data for 2008.

California’s cesarean rate has risen steadily since the mid-1990s, when the state rate was 20.6%.

 

2007 VBAC rates for California are available at VBAC Facts.

 

Important: The California Office of Statewide Health Planning and Development states on its web site that users should “be aware that financial and utilization data products are based on a dynamic database that is constantly being updated. As a result, the same data item for a facility may change over time or be different between products.”

While some facilities report all cesareans, others do not include cesareans performed for certain reasons in their report to the Office of Statewide Health Planning and Development. For example, some facilities might exclude any or all of the following from their report: cesareans for abnormal presentation, preterm birth, fetal death, multiple gestations or breech presentation. Their total cesarean rate would therefore be higher than what they report.

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Reader Comments (15)

I live in California. I've birth three babies here and I am disgusted by this.

April 9, 2010 | Unregistered CommenterNoel

My heart is breaking. I don't have words for how horrible it is for women here in San Diego. I keep thinking this is a nightmare I will wake up from, but it just goes on and on and on. I am so, so very sad.

April 9, 2010 | Unregistered CommenterNavelgazingMidwife

Jill, how do we find this info for all states, all hospitals? Stats for every hospital in the US should be made available to the public. Unbelievable, 70.5%??? Un-friggin believable!

April 9, 2010 | Unregistered Commentermamasara

Wow, I'm really interested in the discrepancy in c-sec rates of the two hospitals in my town. One is around 21%, and the other is about 34%. From an outside perspective it doesn't seem like the clientele are much different.

April 9, 2010 | Unregistered Commenterhillary

Thank you so much for posting the state and hospital breakdowns. You are doing amazing work!

April 9, 2010 | Unregistered Commenterjennifer

What is Corona Regional's story?? I desperately hope there is some sort of valid reason why they have a 70+% rate..."

April 9, 2010 | Unregistered CommenterSabi

Thanks for sharing this. It just reinforces my feelings about my local hospitals. My favorite one has the lowest rate.

April 10, 2010 | Unregistered CommenterSheridan

Hi Sheridan,

People were asking what the story was with Providence St. Joseph. Sounds like you know!

There is also data on which hospitals have an approved alternative birth center.

April 10, 2010 | Registered CommenterJill

Can you give me the URL for this report? I have been trying to find it on the California OSHPD website and can't. This is important because in prior years, when OSHPD has reported on cesarean surgery rates hospital-by-hospital, it has used this definition of "cesarean" without indicating on the datasheet that it means something other than the standard definition of cesareans per 100 live births:

http://www.oshpd.ca.gov/HID/Products/PatDischargeData/ResearchReports/HospIPQualInd/Vol-Util_IndicatorsRpt/

Rate Explanations:

Cesarean Delivery Rate
Number of Cesarean Section Deliveries per 100 Deliveries (excludes abnormal presentation, preterm birth, fetal death, multiple gestations, and breech procedure). Cesarean delivery may be overused in some facilities, so lower rates may represent better care.

Cesarean Delivery Rate - Primary
Number of Cesarean Deliveries per 100 deliveries among women who have not previously had a Cesarean section (excludes abnormal presentation, preterm, fetal death, multiple gestation, and breech procedures). Cesarean delivery may be overused in some facilities, so lower rates may represent better care.

Since this definition excludes some of the main reasons for performing a cesarean, if they were using it in the report you cite, the real cesarean surgery rates would be substantially higher. I'm thinking maybe they're not because Good Samaritan in San Jose, the hospital we locals have known for years as "Good Cesarean", has a rate of 43%. What sent me searching for OSHPD's definition in the first place was seeing their annual report a few years ago with Good Sam at something like 23% and thinking "that can't be right." I believe the 43%, but it would be good to be sure.

April 10, 2010 | Unregistered CommenterHenci Goer

I just wanted to add my two cents about one of the Hospitals with a lower rate. Sutter Davis in Davis, CA has an attached birth center with many midwives, access to water birth (the only hospital in the area that allows it), and other alternative birthing practices. Quite frankly, when people who aren't comfortable with a home birth in the Greater Sacramento area want a natural birth they either birth at the area's ONLY FREESTANDING BIRTH CENTER in all of Sacramento, or the birth at Sutter Davis. I am happy that the numbers are low, close to the 15% cut off, but sadden that this area only has those two resources outside of home birth for the promotion of normal birth. I am aware however, that there are areas that don't even have as many as two resources.

By the way, I birthed at Mercy San Juan, which from the data and my own experience does a Shit load of births, and I am quite frankly shocked that their cesarean rate is not higher than it is. Perhaps there is even hope of lowering it still.

April 10, 2010 | Unregistered CommenterPatrice
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