Navigation Links
'Patient-choice' C-section rate rises 36%: HealthGrades study

More women choosing C-sections when no medical necessity exists - Florida, New York, New Jersey have highest rates;Nevada, Washington, Florida increase most

The number of pregnant women choosing to have a "patient-choice" Cesarean section (C-section) rose by 36.6 percent from 2001 to 2003, according to a study released today by HealthGrades, the leading provider of independent healthcare ratings. The study also finds wide variation from state to state in the rate of these types of C-sections, for which there is no medical necessity.

Complication rates from "patient-choice" C-sections are one factor in the ratings of maternity care at more than 1,500 hospitals, which HealthGrades posts free of charge for consumers at www.healthgrades.com. The ratings are designed to let women compare the quality of maternity care among local hospitals.

Dr. Samantha Collier, HealthGrades' vice president of medical affairs and the author of the study, said, "The controversy over 'patient-choice' C-sections continues in the medical community, with some doctors believing that patients should have the ability to choose a C-section if they prefer. Other doctors believe that patients can never fully understand the risks involved, and should never choose major surgery when it is not necessary. Despite the controversy, this much is clear: the 'patient-choice' C-section rate in America has accelerated in each of the three years HealthGrades has been conducting this study, so consumers are making their preferences known."

The rise of 36.6 percent in the nation's "patient-choice" C-section rate represents an increase from 1.9 percent to 2.6 percent of deliveries in the years 2001, 2002 and 2003 for women with no history of C-sections. The study covers deliveries in the 17 states that release this data. When extrapolated to the nation, the study shows that 267,340 "patient-choice" C-sections were performed over those three years. These 17 states represent approximately 58 percent of the nation's total population.

The study finds that the rate of "patient-choice" C-sections varies widely from state to state. Arizona had the smallest increase, with 15.7 percent, while Nevada had the largest increase of 56.7 percent. As in past HealthGrades studies, Florida, New York and New Jersey had the highest rates of "patient-choice" C-sections in the latest year studied, 2003. The rates and percentage increase of the rate from 2001 to 2003 are in the following table:

Percent Increase of "Patient-Choice" C-Sections by State(2001 ?2003)

State % Increase 2001 2003
National 36.56 1.87 2.55
Nevada 56.74 1.94 3.04
Washington 53.57 1.15 1.77
Florida 47.55 2.21 3.26
Maine 46.80 1.40 2.06
New Jersey 45.63 2.14 3.12
Massachusetts 45.00 1.86 2.70
Virginia 43.52 1.96 2.84
Wisconsin 42.54 1.04 1.48
California 40.29 1.58 2.21
Utah 35.46 1.06 1.44
Texas 33.13 2.15 2.86
Pennsylvania 31.55 1.81 2.39
North Carolina 31.41 1.89 2.48
Maryland 29.15 1.76 2.28
Iowa 28.20 1.56 2.00
New York 26.25 2.48 3.13
Arizona 15.66 1.57 1.81

"When we first did this study three years ago, we found that 'patient-choice' C-sections were increasing at a rate of 19 percent, between 1999 and 2001," continued Dr. Collier. "Now we are seeing the rate increase by 36.6 percent between 2001 and 2003, a dramatic acceleration that we believe is driven by heightened awareness of the option, increased support and advocacy, and women waiting until they are older to have their first child."

Since the release of HealthGrades' first study on this topic in 2003, the American College of Obstetricians and Gynecologists' Ethics Committee released an opinion supporting C-sections by patient choice "�so long as the patient is fully informed of the risks and benefits of this procedure over vaginal delivery."


'"/>

Source:HealthGrades


Related biology news :

1. First real-time view of developing neurons reveals surprises, say Stanford researchers
2. Controlling wildlife trade key to preventing health crises, study says
3. Hunger in America rises by 43 percent over last five years
4. Genetic analysis of Asian elephants in India reveals some surprises
5. More kidney cancer is detected and treated early, yet death rate rises
6. Two studies on bee evolution reveal surprises
7. Yellowstone microbes fueled by hydrogen, according to U. of Colorado study
8. Canadian youth 4th highest in international obesity study
9. Sandia completes depleted uranium study
10. Frog peptides block HIV in lab study
11. Experimental shingles vaccine proves effective in nationwide study
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:1/31/2017)... , Jan. 31, 2017  Spero Therapeutics, ... therapies for the treatment of bacterial infections, today ... of antibacterial candidates from Pro Bono Bio Ltd ... prevalence of multi-drug resistant forms of Gram-negative bacteria.  ... Anti Infectives Ltd, a PBB group company. ...
(Date:1/26/2017)... -- Crossmatch, a leading provider of security and identity management ... fraud, waste and abuse in assistance operations around the ... Disaster Relief conference in Panama City ... foreign assistance organizations throughout Latin America ... largely unacknowledged problem in the foreign assistance and disaster ...
(Date:1/25/2017)... The Elements of Enterprise Information Security ... of a comprehensive set of business processes and ... identities and providing a secured and documented access ... number of programs opted by enterprises to maintain ... processes and changing policies. However, there are some ...
Breaking Biology News(10 mins):
(Date:2/18/2017)... ... February 17, 2017 , ... The BMT Tandem Meetings ... for International Blood & Marrow Transplant Research (CIBMTR) will take place Feb. 22-26, ... The combined scientific sessions offer investigators, clinicians, laboratory technicians, clinical research professionals, nurses, ...
(Date:2/17/2017)... Feb. 17, 2017  BioGenex, a global leader ... of a novel system for quantitative immunohistochemistry (IHC). ... University of Rochester (NY, USA) and Konica-Minolta Inc. ... system is able to accurately quantify the expression ... epidermal growth factor receptor-2) in clinical samples. Quantitative ...
(Date:2/16/2017)... ... , ... EIT Digital has launched work to develop a new ... are about to get under way for the framework, which is designed to reduce ... is expected to be transferred eventually to other industries that also require efficient IoT ...
(Date:2/16/2017)... , Feb. 16, 2017  MDNA Life ... the development of liquid biopsy tests based on ... into an exclusive license agreement with its first ... proprietary liquid biopsy test for prostate cancer, the ... Korea . This is the first overseas ...
Breaking Biology Technology: