Pitiful statistic

**LibraSunCNM, BSN, MSN, CNM** · Apr 15, 2016

Yes. And Hackensack is rated the "#1 Hospital in NJ." Until hospitals or individual providers are taken to task for their practice, nothing will change. :cry:

klone, MSN, RN · Apr 16, 2016

Yes, there are many hospitals that have abysmal C/S rates. I'm proud to work for an organization that has a true collaborative model between the physicians and the midwives, and we have one of the lowest C/S rates in the country.

offlabel · Apr 17, 2016

Ever consider maybe that the patients are asking for a section?

**LibraSunCNM, BSN, MSN, CNM** · Apr 17, 2016

If we're talking about primary C/S, as the OP did when she referred to Hackensack Medical Center, studies have shown that elective primary C/S account for a very small portion of C/S rates overall, and can't be considered a major reason C/S rates are rising. Other factors are at play.

Repeat C/S certainly account for a sizable portion of total C/S rates, which is also a reason to both try to reduce the primary rates, and increase rates of VBAC where possible.

klone, MSN, RN · Apr 17, 2016

Ever consider maybe that the patients are asking for a section?

Sure. But not 40% of them. And a woman can ASK all she wants, but without any indication, it would be malpractice to perform it, simply because that's what she is requesting.

JustBeachyNurse, LPN · Apr 17, 2016

These c/s statistics are first time pregnancy, low risk mothers. These aren't including high risk or repeat c/s. Other facilities are >50% for first time low risk mothers!

Brittany Spears aside who volunteers for major abdominal surgery that is not low risk when having a normal, low risk, no comorbid factor pregnancy?

offlabel · Apr 18, 2016

These c/s statistics are first time pregnancy, low risk mothers. These aren't including high risk or repeat c/s. Other facilities are >50% for first time low risk mothers!
Brittany Spears aside who volunteers for major abdominal surgery that is not low risk when having a normal, low risk, no comorbid factor pregnancy?

Who does that? Women that want to avoid pelvic relaxation corrective surgery in the future, that's who. And it's far more common, apparently, than folks realize.

**LibraSunCNM, BSN, MSN, CNM** · Apr 18, 2016

And it's far more common, apparently, than folks realize.

Enlighten us with some stats, then.

offlabel · Apr 18, 2016

Enlighten us with some stats, then.

Some 'stats'? Do you mean some literature that discusses the increased rates of pelvic floor dysfunction after lady partsl delivery vs c-section?

I suppose if someone were truly interested, Google is easy enough.

**LibraSunCNM, BSN, MSN, CNM** · Apr 18, 2016

Some stats that support your hypothesis that the main reason for the ever-increasing primary cesarean rate is maternal request.

AspiringNurseMW · Apr 19, 2016

Who does that? Women that want to avoid pelvic relaxation corrective surgery in the future, that's who. And it's far more common, apparently, than folks realize.

While pelvic floor relaxation corrective surgery might be more common, people choosing a section to prevent this, having one major abdominal surgery to avoid the *possibility* of another, is simply NOT a major influence in the rising c section rates across the country. It doesn't account for why facilities rates are double and above the 15% rate recommended WHO rate.