Thursday, March 19, 2009

CDC preliminary data for 2007 Births- Csections up 2%

Here's the press release and a direct link to the report


Of note:
The preliminary cesarean delivery rate rose 2 percent in 2007, to 31.8 percent of all births, marking the 11th consecutive year of increase and another record high for the United States (Table 8; Figure 3). This rate has climbed by more than 50 percent over the last decade (20.7 percent in 1996). Increases between 2006 and 2007 in the percentage of births delivered by cesarean were reported for most age groups (data not shown), and for the three largest race and Hispanic origin groups: non-Hispanic white
(32.0 percent in 2007), non-Hispanic black (33.8 percent) and Hispanic (30.4 percent). The rise in the total cesarean delivery rate in recent years has been shown to result from higher rates of both
first and repeat cesareans (1).

Take note of the disparity between the racial groups. There is a nearly 4% difference between Hispanic (30.4 percent) and non-Hispanic black (33.8 percent). Although a few percentage points doesn't seem like that much, when you look at the total number of women having csections(over 1 million a year) that's 40,000 women. I'm going to research this further but I'm willing to bet that this has a lot more to do with socioeconomic status than people are wanting to admit.

Tuesday, March 3, 2009

A new VBAC resource

ICAN has released a new VBAC policy database. Check it out here You can search by state and then find each hospitals "policies". It's pretty depressing how vbac unfriendly most hospitals are but it's a great resource for those of you wanting a VBAC for your next birth. You can click on each hospital and see word for word the answers the callers received.

In a related note, I wanted to call attention to a few recent articles about repeat csections and the complex issues surrounding them. This first one is an excellent article published in TIME magazine, The Trouble With Repeat Cesareans. The author of that article published a more personal account of the issue on the Huffington Post titled Childbirth Without Choices. Be sure to check out the comments after that article.