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Electronic Birth Certificate Data 2008-2010. Hudson Valley Regional Perinatal Forum Annual Retreat March 18, 2011. The Regional Perinatal Center – Westchester Medical Center. Data Source: EBC Data 2008 - 2010. Primary, Repeat and Total (% of Total Deliveries) C/S Rates by Hospital in 2010.
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Electronic Birth Certificate Data 2008-2010 Hudson Valley Regional Perinatal Forum Annual Retreat March 18, 2011 The Regional Perinatal Center – Westchester Medical Center Data Source: EBC Data 2008 - 2010
Primary, Repeat and Total (% of Total Deliveries) C/S Rates by Hospital in 2010 * Red line indicates target rate of Healthy People 2020 for Primary C/S (23.9%) Black line indicates NVSR prelim data for 2009 Total C/S (32.9%) * Out of 2806 births at Good Samaritan, n=292 mode of delivery missing (10%)
* * * Indicates non-elective C/S
Dominant Indications for Primary C/S – RPC, years 2008-2010 *Indication for Primary C/S over total # of Primary C/S
Example: a NH White female with Gestational Diabetes has 50.2% chance of receiving a C/S Procedure Preexisting Conditions vs. Pregnancy-Related Conditions (Total C/S)
*e.g., NH Other # primary C/S over Total NH Other deliveries. % of C/S by Ethnicity – RPC 2008-2010 Total % C/S Primary % C/S
* e.g., NH Other at Vassar C/S over all NH Other deliveries at Vassar.
* e.g., NH Other at Vassar Primary C/S over all NH Other deliveries at Vassar.
2010 Total C/S Rate by Race and Gestational Age *69% of All NH Other deliveries at <34wks gestations had C/S
Likelihood of NICU Admittance by Gestational Age and Race Primary C/S Total C/S Of NHO infants born at 34-36wks by C/S, 44.4% were admitted to the NICU *
* *Red line indicates target rate of Healthy People 2020 for breast-feeding (81.9%) *Green line indicates target rate of Healthy People 2010 (75%)
RPC Diet by Delivery Mode and Ethnicity % Birth by Vaginal Delivery % Birth by Cesarean Section (Total C/S) *n=899 (6.2%) of infants had unknown diet
NICU admittance rate by race and bodyweight of the mother * Of NH Black infants born by mothers who were obese, 25.8% were admitted to the NICU
Rate of C/S by Mother’s Age and Race Primary C/S Rate (Primary CS / Total Births) Total C/S Rate (Total CS / Total Births) *