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Why Your Hospital’s C-Section Rate Can Be Hard to Find

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C-sections are the most typical surgical procedure carried out within the U.S., and researchers estimate that nearly half the procedures are pointless.

The greatest means to shield your self from an pointless C-section is to select a hospital with a great monitor report when it comes to avoiding them. But the info you want to make an knowledgeable selection isn’t all the time out there.

A Consumer Reports analysis of greater than 1,300 hospitals discovered that C-section charges for low-risk deliveries amongst U.S. hospitals range dramatically, even in the identical communities and amongst comparable establishments, and that in most hospitals the charges are above nationwide targets.

But Consumer Reports doesn’t have C-section charges for greater than half the estimated three,000 U.S. hospitals that ship infants. That’s as a result of hospitals usually are not required to publicly report that info, and lots of select not to.

The hospitals with out publicly obtainable C-section charges embrace 28 with greater than 5,000 births.

A spokesman for Memorial Hermann Greater Heights Hospital in Houston—certainly one of three nonreporting hospitals with probably the most births—stated that the hospital does monitor and evaluate its C-section charges internally and that charges have been on monitor to be on course by 2020. The different two hospitals, NewYork-Presbyterian Hospital in New York City and Northside Hospital in Atlanta, didn’t reply to requests for a remark.

“You have to give credit to the hospitals that report their data, even the hospitals that are lower performers,” says Leah Binder, chief government officer of The Leapfrog Group, the nonprofit group that collects and reviews the info in a lot of the nation. “It’s the hospitals that don’t report that you have to wonder about.” Binder notes that hospitals shouldn’t have to pay The Leapfrog Group once they report knowledge.

Some hospitals, together with Tampa General Hospital and Yale-New Haven Hospital, advised us they do not report to The Leapfrog Group as a result of they thought that info was publicly obtainable by means of the Joint Commission, a hospital accrediting group. But though the Joint Commission does gather C-section charges for hospitals with greater than 300 births annually that use its accreditation service, it doesn’t make that info public. (Tampa Bay General Hospital, when requested why they do not report,  shared its C-section charges with us: 25.three %.)

More on Pregnancy & Childbirth

Erica Mobley, The Leapfrog Group’s director of communications and improvement, says hospitals can report the identical knowledge they ship to The Joint Commission.   

If your hospital shouldn’t be included in our ratings, ask why. And ask your physician or midwife concerning the hospital’s charges. A hospital’s C-section price for low-risk deliveries for first-time mothers ought to be under 23.9 %. If your supplier does not inform you, contemplate going to one other hospital.  

Large Hospitals That Don’t Report C-Section Rates

The hospitals under all reported delivering at the very least 5,000 infants in 2015 however didn’t share their C-section charges with The Leapfrog Group. (Hospitals are listed alphabetically, inside states.)

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Copyright © 2006-2017 Consumer Reports, Inc.

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