4 ms·

I don't know dude, where I lived (New Jersey), some of the hospitals have insanely high c-section rates - much, much higher than could be justified by mothers h

I don't know dude, where I lived (New Jersey), some of the hospitals have insanely high c-section rates - much, much higher than could be justified by mothers having complications. Here's 2015: Hospital Name City State Rate ----------------------------------------------------------- Hackensack Medical Center Hackensack NJ 41.8% HackensackUMC Mountainside Montclair NJ 29.8% Holy Name Medical Center Teaneck NJ 16.1% Morristown Medical Center Morristown NJ 30.1% Source: http://www.njspotlight.com/stories/15/10/07/effort-to-reduce-nj-s-high-c-section-rate-could-be-aided-by-new-report/ http://www.njspotlight.com/stories/15/10/07/effort-to-reduce...

riffraff 11y ago
I think a slightly higher propensity to give c-sections leads to much higher total numbers because if you get one for birth X you are generally going to get another for birth X+1.
ptaipale 11y ago
Did this statistic control for how people select certain hospitals (where applicable)? Obviously, if a hospital is specializing in C-sections, it will handle cases where the likelihood of having a sectino is much higher. (Similarly, hospitals are very dangerous places if you compare the death rate in a hospital to the death rate at any other place where people stay. Of course it's mostly not because hospitals kill people, it's mostly because people go to hospital when they are sick.)
- ComteDeLaFere 11y ago
  True, Hackensack Medical Center is actually one of the best hospitals in NJ, so I wouldn't be surprised that people who might experience complications would go there. See http://health.usnews.com/best-hospitals/area/nj http://health.usnews.com/best-hospitals/area/nj
pak 11y ago
Also, the US has generally higher rates than the rest of the first world, and it's not entirely clear that this actually leads to better outcomes. I think more in the medical field are starting to rethink this. See: https://www.statnews.com/2015/12/01/cesarean-section-childbirth/ https://www.statnews.com/2015/12/01/cesarean-section-childbi...
mentalpiracy 11y ago
These are also all hospitals in higher-income areas that can be considered part of the larger NYC metro region, as it is home to many of the bridge-and-tunnel commuting workers. I would not be surprised if this demographic has a statistically significant deviation from the national norm when it comes to seeking certain medical services and attitudes on desired level of medical intervention during childbirth. This is purely a hypothesis, however.
- zach 11y ago
  Furthermore, very-high-income areas (North NJ must have the highest furriers-per-capita in the US) tend to have a far higher median maternal age, which raises the likelihood of c-section.

riffraff 11y ago

I think a slightly higher propensity to give c-sections leads to much higher total numbers because if you get one for birth X you are generally going to get another for birth X+1.

ptaipale 11y ago

Did this statistic control for how people select certain hospitals (where applicable)? Obviously, if a hospital is specializing in C-sections, it will handle cases where the likelihood of having a sectino is much higher. (Similarly, hospitals are very dangerous places if you compare the death rate in a hospital to the death rate at any other place where people stay. Of course it's mostly not because hospitals kill people, it's mostly because people go to hospital when they are sick.)

ComteDeLaFere 11y ago
True, Hackensack Medical Center is actually one of the best hospitals in NJ, so I wouldn't be surprised that people who might experience complications would go there. See http://health.usnews.com/best-hospitals/area/nj http://health.usnews.com/best-hospitals/area/nj

pak 11y ago

Also, the US has generally higher rates than the rest of the first world, and it's not entirely clear that this actually leads to better outcomes. I think more in the medical field are starting to rethink this. See: https://www.statnews.com/2015/12/01/cesarean-section-childbirth/ https://www.statnews.com/2015/12/01/cesarean-section-childbi...

mentalpiracy 11y ago

These are also all hospitals in higher-income areas that can be considered part of the larger NYC metro region, as it is home to many of the bridge-and-tunnel commuting workers. I would not be surprised if this demographic has a statistically significant deviation from the national norm when it comes to seeking certain medical services and attitudes on desired level of medical intervention during childbirth. This is purely a hypothesis, however.

zach 11y ago
Furthermore, very-high-income areas (North NJ must have the highest furriers-per-capita in the US) tend to have a far higher median maternal age, which raises the likelihood of c-section.