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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 Chris Glantz, MD, MPH
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
Smoking by County Reported USA Rate LOW=Livingston, Ontario, Wayne SSSCY=Southern Tier Counties
Episiotomy* *Rate for all deliveries ( higher if only vaginal deliveries)
Breast Feeding2007 by Hospital HP2010 Goal
FLR ‘07 median Mean BMI of Pregnant Women
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
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
Future Directions • Smoking cessation • Encourage breastfeeding • Obesity prevention