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Aug272010

Iowa Cesarean Rates by Hospital, 2009

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Data from the Iowa Department of Public Health show that 11,868 of the 39,212 births in 2009 were by cesarean section, or 30.2%. 7,068 of the cesareans were first cesareans, while 4,800 were repeat cesareans.

Iowa’s VBAC (vaginal birth after cesarean) rate in 2009 was 7.8%, down from a rate of 8.6% in 2008.

Counts of 3 or fewer are marked as “<3” for patient confidentiality.

 


# C/S

TOTAL BIRTHS

C/S RATE

Wright Medical Center

100

209

47.8%

Horn Memorial Hospital

34

73

46.6%

Boone County Hospital

77

166

46.4%

Van Buren County Hospital

16

38

42.1%

Keokuk Area Hospital

89

213

41.8%

Skiff Medical Center

96

231

41.6%

Sanford Hospital Rock Rapids

14

35

40.0%

Waverly Health Center

96

241

39.8%

Davis County Hospital

15

38

39.5%

Shenandoah Medical Center

50

129

38.8%

Ottumwa Regional Health Center

275

715

38.5%

Mercy Medical Center - North Iowa

363

944

38.5%

Greene County Medical Center

18

48

37.5%

Osceola Community Hospital, Inc

12

32

37.5%

Stewart Memorial Community Hospital

28

75

37.3%

Mercy Medical Center - Centerville

38

102

37.3%

Myrtue Medical Center

36

98

36.7%

Cass County Memorial Hospital

51

140

36.4%

Grinnell Regional Medical Center

61

169

36.1%

Orange City Health System

85

236

36.0%

Jennie Edmundson Hospital

150

419

35.8%

Floyd County Medical Center

30

84

35.7%

Hamilton Hospital

46

131

35.1%

St. Anthony Regional Hospital

129

370

34.9%

Crawford County Memorial Hospital

43

124

34.7%

Lakes Regional Healthcare

59

172

34.3%

Manning Regional Healthcare Center

12

35

34.3%

Mercy Medical Center - Des Moines

1707

5040

33.9%

The University of Iowa Hospitals and Clinics

627

1853

33.8%

Regional Medical Center

48

142

33.8%

Palmer Lutheran Health Center

36

108

33.3%

Fort Madison Community Hospital

101

309

32.7%

Kossuth Regional Health Center

31

96

32.3%

Marshalltown Medical and Surgical Center

191

594

32.2%

Spencer Hospital

83

261

31.8%

Palo Alto County Health System

32

102

31.4%

St. Luke’s Health System, Inc

668

2134

31.3%

Ellsworth Municipal Hospital

28

90

31.1%

Iowa Methodist Medical Center

1072

3460

31.0%

Trinity Muscatine

108

349

30.9%

Iowa Lutheran Hospital

190

615

30.9%

Mercy Medical Center

269

872

30.8%

Mercy Medical Center - Dubuque

262

868

30.2%

Floyd Valley Hospital

34

113

30.1%

Sanford Sheldon Medical Center

39

131

29.8%

Guttenberg Municipal Hospital

11

37

29.7%

Trinity at Terrace Park

131

443

29.6%

Buena Vista Regional Medical Center

83

281

29.5%

St. Luke’s Hospital

785

2662

29.5%

Genesis Medical Center

701

2382

29.4%

Washington County Hospital and Clinics

37

126

29.4%

Burgess Health Center

14

49

28.6%

Pella Regional Health Center

99

352

28.1%

Broadlawns Medical Center

87

312

27.9%

Allen Health System

274

1000

27.4%

Trinity Regional Medical Center

146

537

27.2%

Knoxville Hospital & Clinics

17

64

26.6%

Alegent Hlth Mercy Hsp-C Blffs

188

714

26.3%

Henry County Health Center

32

123

26.0%

Lucas County Health Center

20

79

25.3%

Great River Medical Center

148

592

25.0%

Covenant Medical Center

385

1543

25.0%

Mercy Medical Center - Sioux City

108

443

24.4%

Greater Regional Medical Center

51

212

24.1%

Mahaska Hospital

51

214

23.8%

Hegg Memorial Health Center

23

99

23.2%

Mary Greeley Medical Center

267

1163

23.0%

Jackson County Regional Health Ctr

15

66

22.7%

The Finley Hospital

160

706

22.7%

Montgomery County Memorial Hospital

23

104

22.1%

Mercy Medical Center - Clinton

114

520

21.9%

Winneshiek Medical Center

58

266

21.8%

Cherokee Regional Medical Center

30

141

21.3%

Veteran’s Memorial Hospital

20

96

20.8%

Sioux Center Community Hospital/Health Center

34

180

18.9%

Mercy Iowa City

174

1086

16.0%

Wayne County Hospital

16

102

15.7%

Regional Health Services of Howard County

<3

67

N/A

Mitchell County Regional Health Center

<3

10

N/A

Mercy Medical Center-West Lakes

<3

37

N/A

 

11,851

39,212

30.2%

 

 

 

 

# of

# of

TOTAL

C/S

PRIMARY

REPEAT

 

VBAC

PRIMARY

REPEAT

C/S

RATE

RATE

RATE

Wright Medical Center

0

57

43

100

47.8%

57.0%

43.0%

Horn Memorial Hospital

0

26

8

34

46.6%

76.5%

23.5%

Boone County Hospital

<3

54

23

77

46.4%

70.1%

29.9%

Van Buren County Hospital

0

8

8

16

42.1%

50.0%

50.0%

Keokuk Area Hospital

4

60

29

89

41.8%

67.4%

32.6%

Skiff Medical Center

0

59

37

96

41.6%

61.5%

38.5%

Sanford Hospital Rock Rapids

0

6

8

14

40.0%

42.9%

57.1%

Waverly Health Center

0

56

40

96

39.8%

58.3%

41.7%

Davis County Hospital

0

10

5

15

39.5%

66.7%

33.3%

Shenandoah Medical Center

0

32

18

50

38.8%

64.0%

36.0%

Ottumwa Regional Health Center

0

157

118

275

38.5%

57.1%

42.9%

Mercy Medical Center - North Iowa

<3

208

155

363

38.5%

57.3%

42.7%

Greene County Medical Center

0

10

8

18

37.5%

55.6%

44.4%

Osceola Community Hospital, Inc

0

7

5

12

37.5%

58.3%

41.7%

Stewart Memorial Community Hospital

0

19

9

28

37.3%

67.9%

32.1%

Mercy Medical Center - Centerville

0

31

7

38

37.3%

81.6%

18.4%

Myrtue Medical Center

0

15

21

36

36.7%

41.7%

58.3%

Cass County Memorial Hospital

<3

25

26

51

36.4%

49.0%

51.0%

Grinnell Regional Medical Center

<3

37

24

61

36.1%

60.7%

39.3%

Orange City Health System

0

64

21

85

36.0%

75.3%

24.7%

Jennie Edmundson Hospital

0

90

60

150

35.8%

60.0%

40.0%

Floyd County Medical Center

0

20

10

30

35.7%

66.7%

33.3%

Hamilton Hospital

0

16

30

46

35.1%

34.8%

65.2%

St. Anthony Regional Hospital

<3

62

67

129

34.9%

48.1%

51.9%

Crawford County Memorial Hospital

0

25

18

43

34.7%

58.1%

41.9%

Lakes Regional Healthcare

0

31

28

59

34.3%

52.5%

47.5%

Manning Regional Healthcare Center

0

6

6

12

34.3%

50.0%

50.0%

Mercy Medical Center - Des Moines

50

1080

627

1707

33.9%

63.3%

36.7%

The University of Iowa Hospitals and Clinics

78

411

216

627

33.8%

65.6%

34.4%

Regional Medical Center

0

26

22

48

33.8%

54.2%

45.8%

Palmer Lutheran Health Center

<3

18

18

36

33.3%

50.0%

50.0%

Fort Madison Community Hospital

0

59

42

101

32.7%

58.4%

41.6%

Kossuth Regional Health Center

0

17

14

31

32.3%

54.8%

45.2%

Marshalltown Medical and Surgical Center

0

107

84

191

32.2%

56.0%

44.0%

Spencer Hospital

0

45

38

83

31.8%

54.2%

45.8%

Palo Alto County Health System

0

17

15

32

31.4%

53.1%

46.9%

St. Luke’s Health System, Inc

7

338

330

668

31.3%

50.6%

49.4%

Ellsworth Municipal Hospital

0

17

11

28

31.1%

60.7%

39.3%

Iowa Methodist Medical Center

37

666

406

1072

31.0%

62.1%

37.9%

Trinity Muscatine

0

61

47

108

30.9%

56.5%

43.5%

Iowa Lutheran Hospital

8

112

78

190

30.9%

58.9%

41.1%

Mercy Medical Center

5

185

84

269

30.8%

68.8%

31.2%

Mercy Medical Center - Dubuque

18

156

106

262

30.2%

59.5%

40.5%

Floyd Valley Hospital

0

15

19

34

30.1%

44.1%

55.9%

Sanford Sheldon Medical Center

<3

24

15

39

29.8%

61.5%

38.5%

Guttenberg Municipal Hospital

0

7

4

11

29.7%

63.6%

36.4%

Trinity at Terrace Park

9

67

64

131

29.6%

51.1%

48.9%

Buena Vista Regional Medical Center

0

45

38

83

29.5%

54.2%

45.8%

St. Luke’s Hospital

37

512

273

785

29.5%

65.2%

34.8%

Genesis Medical Center

26

394

307

701

29.4%

56.2%

43.8%

Washington County Hospital and Clinics

0

19

18

37

29.4%

51.4%

48.6%

Burgess Health Center

0

8

6

14

28.6%

57.1%

42.9%

Pella Regional Health Center

5

55

44

99

28.1%

55.6%

44.4%

Broadlawns Medical Center

<3

35

52

87

27.9%

40.2%

59.8%

Allen Health System

11

153

121

274

27.4%

55.8%

44.2%

Trinity Regional Medical Center

12

82

64

146

27.2%

56.2%

43.8%

Knoxville Hospital & Clinics

0

9

8

17

26.6%

52.9%

47.1%

Alegent Hlth Mercy Hsp-C Blffs

5

115

73

188

26.3%

61.2%

38.8%

Henry County Health Center

0

15

17

32

26.0%

46.9%

53.1%

Lucas County Health Center

5

10

10

20

25.3%

50.0%

50.0%

Great River Medical Center

<3

102

46

148

25.0%

68.9%

31.1%

Covenant Medical Center

36

226

159

385

25.0%

58.7%

41.3%

Mercy Medical Center - Sioux City

0

65

43

108

24.4%

60.2%

39.8%

Greater Regional Medical Center

0

30

21

51

24.1%

58.8%

41.2%

Mahaska Hospital

0

24

27

51

23.8%

47.1%

52.9%

Hegg Memorial Health Center

0

13

10

23

23.2%

56.5%

43.5%

Mary Greeley Medical Center

<3

169

98

267

23.0%

63.3%

36.7%

Jackson County Regional Health Ctr

0

11

4

15

22.7%

73.3%

26.7%

The Finley Hospital

19

94

66

160

22.7%

58.8%

41.3%

Montgomery County Memorial Hospital

0

15

8

23

22.1%

65.2%

34.8%

Mercy Medical Center - Clinton

<3

55

59

114

21.9%

48.2%

51.8%

Winneshiek Medical Center

<3

33

25

58

21.8%

56.9%

43.1%

Cherokee Regional Medical Center

0

15

15

30

21.3%

50.0%

50.0%

Veteran’s Memorial Hospital

0

12

8

20

20.8%

60.0%

40.0%

Sioux Center Community Hospital/Health Center

0

17

17

34

18.9%

50.0%

50.0%

Mercy Iowa City

35

91

83

174

16.0%

52.3%

47.7%

Wayne County Hospital

0

8

8

16

15.7%

50.0%

50.0%

Regional Health Services of Howard County

0

13

<3

N/A

N/A

N/A

N/A

Mitchell County Regional Health Center

0

4

<3

N/A

N/A

N/A

N/A

Mercy Medical Center-West Lakes

0

<3

<3

N/A

N/A

N/A

N/A

 

407

7068

4800

11851

30.2%

59.6%

40.5%



 

SOURCE: Iowa Department of Public Health, Bureau of Health Statistics

 

Special thanks to Kelly Fischer of ICAN of Northeast Iowa.

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Reader Comments (6)

Do you have C-sect rates by hospital for Kansas or Colorado?

August 28, 2010 | Unregistered CommenterBeth

Hi Beth,

No, not yet.

Jill

August 28, 2010 | Registered CommenterJill

Look at Mercy Iowa's. Very interesting. Over 1000 births, yet a low c-section rate. Anybody know why?

August 28, 2010 | Unregistered CommenterAugusta

I live in Iowa and had a homebirth in 2009. As for the Mercy Hospitals, I can only comment on the one near me, which is IC. It could be affected by the fact that there are quite a few family practice doctors that deliver babies there (perhaps they're more patient than OBs?). Also since University of Iowa Hospitals and Clinics is only a mile away from Mercy, I bet that most of the high-risk pregnancies (and therefore higher risk for a cs) end up at UIHC rather than Mercy.

August 29, 2010 | Unregistered CommenterJenn H.

Kind of unbelievable that only 407 women in the entire state of Iowa had a VBAC that year. Wow.

August 30, 2010 | Unregistered CommenterAllie Sakowicz

In 1991 I lived in Sioux Falls, SD when I became pregnant with my son, Travis. I previously had a unnecesarean with my daughter, Leora, and wanted a VBAC. The prospect of going to the hospital to deliver with a doctor was a sure surgery, so I searched for a midwife.

The closest one I found was and hour and a half away in Sioux Center, Iowa. I asked around and she came with great references. Her husband was the head Ob/Gyn at Sioux Center Community Hospital, where she practiced.

This (I thought at the time) was GREAT, in case 'anything went wrong'...that's the first problem...

As it turned out, she was awesome prenatally, but she could only do so much with her very limited power in that male dominated little hospital when it came down to the actual birth.

When after 24 hours my labor wasn't progressing as much as it 'should', her husband 'helped' make the decision to do a cesarean. The surgeon, a little nasty man, came in to bully - I mean TALK - to us about the fact that I signed a waiver about not accepting blood products. It wasn't religious. I just didn't want strange blood (this was 19 years ago-I still don't trust blood products). I knew it wouldn't come to that anyway, because my body was fine.

So the little man scolded me for that, and when I didn't cave, he said "Fine. Then I am going to cut you vertically." Mind you, he meant only on the OUTSIDE. He was going to butcher and scar me intentionally because I wouldn't do what he wanted me to!

He tried to tell me some bullshit about how he didn't want to have to worry that "the arteries near my incision might tear". Then he stood between my husband and me, with his back to me and told him, "Your wife is going to kill herself and your baby. You better talk to her".
My husband told him, "Good luck on changing her mind, Buddy".

He turned back to me and said, "If you will not rescind the blood waiver, I cannot do surgery on you". I stood my ground and told him, "No". He threw his hands in the air and yelled, "I'm going to have problems with you. I'm not doing the surgery!"

Everybody in the room looked at me, waiting for my response. My immediate (and typical of my truck-driver mouth) response was "GOOD! THEN GET THE F*CK OUT OF MY ROOM!!!!"

He left, and so did I. My midwife called Sioux Valley Hospital back in Sioux Falls and spoke with a doctor who said "Send her here". I was then transported my ambulance back to the city where I lived.

Although I did end up with another cesarean (which was really a combination of what had happened at the other hospital and what I know now to be my own unresolved issues at the time), the hospital was so much more progressive. They allowed my husband to take pictures of the entire procedure. As soon as Travis was out of me, he was placed on my chest to begin bonding. They honored my wishes to have him with me the entire hospital stay, no drops, no needles, no nursery, no bottles, no circumcision and Dad was with him when they cleaned him up.

There was really no pressure. In fact, after three days with little sleep, one of the nurses begged me to let her take the baby so I could rest. I finally agreed to TWO hours and only after she promised to hold him. She held him the entire time. My husband checked a few times and there he was, in her arms while she puttered around the nursery!

I probably should have gone to this hospital in the first place. There were no practicing midwives within a hundred miles. I learned the valuable lesson, that having a midwife does not guarantee a VBAC. There was so much more I needed to do to prepare myself physically, mentally, emotionally and spiritually for my dream birth.

I did do it. We moved to South Florida. It's a whole nother long story, but basically, my 2nd son, Sky was born 20 months after Travis, unattended, at home, left intact, and he was 9lbs 7oz!!! My biggest yet, after a RADIOLOGIST decided my pelvis was 'too small' to pass my daughter through six years before...

BTW, according to the ICAN website, Sioux Canter Medical Center has BANNED VBAC... I wonder if that was because of me...

September 10, 2010 | Unregistered CommenterJeri Lynn Platt
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