Navigation Links
Malpractice Premiums, Rate of C-Sections Rise Together
Date:5/5/2008

Which one drives the other a matter of debate, experts say

MONDAY, May 5 (HealthDay News) -- As medical malpractice premiums increase, so do the rates of Caesarean sections, new research shows.

The study provides a small snapshot of the association, drawing on data from the University of Connecticut Health Center in Farmington. The findings, while not national in scope, could further fuel the debate about whether higher malpractice rates boost the C-section rates, or visa versa.

"When I compared the malpractice rates to C-section rates prior to 1999, both were declining at a similar rate," says study author Dr. Jeffrey V. Spencer, a maternal-fetal medicine fellow at UConn. From 1999 to 2005, however, both were increasing.

The study was scheduled to be presented Monday at the American Society of Obstetricians and Gynecologists annual meeting, in New Orleans.

Spencer and his team reviewed the center's perinatal database from 1991 to 2005, noting how many vaginal deliveries and how many C-sections took place. They got the average malpractice rates from the primary carrier at their institution and adjusted them for inflation over the years.

"I can't say one led to the other or vice-versa," Spencer said. But he speculates the medical malpractice rates are driving up the C-section rates. "The theory is, doctors are practicing more defensive medicine. Maybe doctors are fearful of litigation,'' he added, perhaps likely to decide on a C-section at the first sign of any potential problems.

In all, 23 percent (15,021) of the 64,767 deliveries studied were C-sections. Spencer's team also looked at first and repeat C-sections and compared those with the average malpractice premiums by year and found a relationship between increased malpractice rates and both first and repeat C-sections.

In a second study, Spencer and his colleagues looked at the impact of increasing malpractice rates on what is known as "operative vaginal deliveries" -- delivering a child by forceps or vacuum They found that 16 percent (10,299) of the 64,767 deliveries were this type. From 1991 to 2005, average malpractice rates increased from $50,345 to $126,806.

The rates for malpractice rose, he said, even though both types of vaginal deliveries declined. Forceps deliveries declined from 11 percent to less than 1 percent, and vacuum deliveries went from 17.2 percent to 6.2 percent.

Nationwide, C-section deliveries accounted for 30.2 percent of all deliveries in 2005, according to the U.S. Centers for Disease Control and Prevention, a record high for the nation. In 1996, in comparison, 20.7 percent of deliveries were by C-section.

Another expert said the findings are nothing new.

"These two papers do nothing more than substantiate what we already know," said Dr. Marsden Wagner, a perinatologist and former director of Women's and Children's Health for the World Health Organization.

One of the reasons for what Wagner refers to as the "scandalous " rate for C-section is that "doctors are afraid of litigation."

"Any physician who picks up a scalpel and does major abdominal surgery, which is what a C-section is, because that doctor is afraid of litigation, is not practicing medicine but is practicing fear and greed," he said.

"The increasing C-section rate has not decreased the amount of litigation," Wagner said. "So their attempt to avoid litigation by doing C-section is not working."

Spencer agreed. "The only thing to my knowledge that has changed or lowered malpractice rates are states having legislation to place caps on malpractice settlements."

More information

To learn more about C-sections, visit the National Institutes of Health.



SOURCES: Jeffrey V. Spencer, M.D., maternal-fetal medicine fellow, University of Connecticut Health Center, Farmington; Marsden Wagner, M.D., perinatologist and epidemiologist, Tacoma Park, Md., and former director, Women's and Children's Health, World Health Organization; May 5, 2008, presentations, American Society of Obstetricians and Gynecologists annual meeting, New Orleans


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Virginia Judge Rules Medical Device Pioneer Committed Malpractice
2. Attention New York: Please Dont Get Sick on March 4th, Your Doctor Will be in Albany for Malpractice Insurance Reform
3. Ex-Cowboys Running Back Ron Springs Named Plaintiff in Constitutional Challenge to Texas Malpractice Award Cap
4. Jury Awards $5.25 Million Malpractice Verdict Against Fort Worth Doctor
5. OneBeacon Professional Partners to Offer Podiatrist Medical Malpractice Product
6. Medical Malpractice at Sea
7. New Web Community Brings Together Parents of Visually Impaired Children
8. Government and Corporate Support Together Help Africans Battling Malaria, AIDS
9. Pieces coming together in Parkinsons, cholesterol puzzle
10. National Walk for Epilepsy Brings People and Celebrities Together for Epilepsy
11. In Northern California Bald Women Get Their Heads Together
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Malpractice Premiums, Rate of C-Sections Rise Together
(Date:12/8/2016)... ... December 08, 2016 , ... The West Virginia ... 1, 2017. The name change aligns the entire company with its existing ... care quality. , “We are very proud of the achievements associated with the ...
(Date:12/8/2016)... ... December 08, 2016 , ... After enjoying record-breaking attendance at ... for its 33rd Annual Issues & Research Conference, March 2-3, 2017, at ... the conference is “Persistent Challenges and New Opportunities: Using Research to Accelerate the ...
(Date:12/8/2016)... ... December 08, 2016 , ... ... “Natural Language Processing–Enabled and Conventional Data Capture Methods for Input to Electronic Health ... . , Results of the comparative usability study demonstrate that a dictation-based method ...
(Date:12/8/2016)... ... December 08, 2016 , ... Mirixa Corporation , a ... other pharmacist-delivered patient care services, has announced the promotions of Karen Litsinger to ... president of sales. , Litsinger joined Mirixa in 2008 after serving as ...
(Date:12/8/2016)... ... ... With the increasing demand for dental implants, the National Association of Dental ... dentists and patients about the safety issues related to dental restorations. According to the ... is projected to reach $6.4 billion in 2018 with more than 30 million Americans ...
Breaking Medicine News(10 mins):
(Date:12/8/2016)... QUEBEC CITY , Dec. 8, 2016 /PRNewswire/ ... key US patents for improving the accuracy, reproducibility ... CD images in long and small bone orthopaedic ... proprietary approach to creating personalized orthopaedic restorations based ... create personalized orthopaedic restorations, the company harnesses the ...
(Date:12/8/2016)...  A new study by a pair of Geisinger ... therapy to treat chronic pain is not only ineffective, ... consequences, including death. Palliative care physicians ... , M.D., authored the study which provides a review ... study was published in the December 2016 edition of ...
(Date:12/8/2016)... Information products and services provider Elsevier has launched ... world,s largest abstract and citation database of peer-reviewed literature, providing the ... 5,000 publishers. The new set of metrics will improve decisions on ... adjust a journal,s editorial strategy. ... , CiteScore metrics comprise ...
Breaking Medicine Technology: