Docs C/S rates

[PattonD]

Have a sister-in-law in the hospital as we speak. I don't think the sitation is going the greatest as she is headed closer and closer toward a c/s.

Are doctor's c/s rates public information?

[Jolie, BSN]

Wow! This is a whole lot of speculation and OB bashing from a board of strangers who have no more information than the age and gestation of a woman in labor!

[Jolie, BSN]

Maybe you're right and she doesn't want my input but if I were in the hospital in a potential critical situation I would want someone watching my back.....

I presume that if you wanted such input, you would ask for it. I'm sure your SIL would, as well. And may be she has, from other sources.

Why do you believe that the labor of an apparently healthy 20-something woman with a term pregnancy is a "potential critical situation"?

[beckinben, CNM]

Just a thought, that happens to apply to this situation, but something that I have been thinking about....can you reasonably diagnose FTP requiring a c/s when you do not have contractions producing cervical change? Which is the standard definition of labor, at least in my book.

There are some states that require public disclosure of c/s rates - I belive New York is one of them. I personally think all hospitals should be required to disclose this to patients so that they can make more informed decisions about their care.

[Elvish, BSN, DNP, RN, NP]

Just a thought, that happens to apply to this situation, but something that I have been thinking about....can you reasonably diagnose FTP requiring a c/s when you do not have contractions producing cervical change? Which is the standard definition of labor, at least in my book.

I thought that was what defined labor too. 40 weeks and contracting may or may not mean true labor in a primip. Had she come to our hospital she'd have likely been sent home.

[PattonD]

Update:

In three hours she went from a dialation of 1 to a 10! Delivered lady partslly with no complications. Everyone is doing fine.

Whew...I did all that worrying for nothing.

[pirap]

If you have Blue Cross/Blue Shield insurance you can log on and search by doctor and procedure and it will list how many C/S(or whatever their specialty is) they did in a particular span of time. Not every count is there because if they take Medicaid patients those numbers are not included. But you can CLEARLY see which doctors do more C/S's than others on patients with insurance. I think the C/S rate for July was approaching 35% for our facility and we have one particular doctor who pushes C/S's on 1st time mothers..as it goes "its not a painful as a lady partsl birth" but that for another debate....