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Finger Lakes Region 2007 Perinatal Statistics

Finger Lakes Region 2007 Perinatal Statistics. Chris Glantz, MD, MPH. Finger Lakes Deliveries. 2007 Deliveries by Hospital. 2007 Deliveries by County. 58%. Medicaid. Medicaid by Hospital Level/Size. HP2010 Goal.

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Finger Lakes Region 2007 Perinatal Statistics

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  1. Finger Lakes Region 2007 Perinatal Statistics Chris Glantz, MD, MPH

  2. Finger Lakes Deliveries

  3. 2007 Deliveries by Hospital

  4. 2007 Deliveries by County 58%

  5. Medicaid

  6. Medicaid by Hospital Level/Size

  7. HP2010 Goal DOH changed definition of “smoking during pregnancy” to include the 3 months preceding pregnancy Tobacco Abstention Highest smoking rates are at smaller Level I hospitals

  8. Smoking by County Reported USA Rate LOW=Livingston, Ontario, Wayne SSSCY=Southern Tier Counties

  9. Epidural for Vaginal Delivery

  10. Epidural for Vaginal Delivery

  11. Induction of Labor

  12. 2007 Induction Rate by Hospital

  13. Cesarean Section

  14. Cesarean Sectionin 2007

  15. Primary Cesarean Section

  16. Primary Cesarean Section

  17. Repeat Cesarean Section

  18. VBAC Attempts and Success

  19. Episiotomy* *Rate for all deliveries ( higher if only vaginal deliveries)

  20. Episiotomy by Level/Size

  21. Breast Feeding

  22. Breast Feeding2007 by Hospital HP2010 Goal

  23. FLR ‘07 median Mean BMI of Pregnant Women

  24. Percent BMI >35

  25. Regional Summary • Birth rate may have stabilized • Medicaid increasing at all levels • No net change in smoking • High rates in Upstate NY • Induction rate plateaued • Epidural rate rising • Rising mostly due to increases at level I hospitals • Fewer episiotomies

  26. Regional Summary • Cesarean rate may be stabilizing • Fewer primary but more repeat cesareans • Fewer “trials of labor,” although decent success in those who do try • Breastfeeding increasing • Three hospitals are at/above the HP2010 goal! • Obesity steadily increasing • About 1 in 10 FLR pregnant women are morbidly obese

  27. Future Directions • Smoking cessation • Encourage breastfeeding • Obesity prevention

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