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More Information on Quality of Care

Guide to Avoiding Unnecessary Cesarean Sections in New York State

April 21, 2010

Sidney Wolfe, M.D.
Public Citizen Health Research Group

Full report as a pdf
Statements from press conference

Introduction
Objectives
Methods
About New York
Variations in Cesarean Sections, VBACs, and Midwife Availability by County and by Hospital Within Each County
Healthy Outliers: Two New York Hospitals that Have Bucked the Trend
Factors Possibly Associated with Variation in Rates
What is Driving Cesareans in New York?
How a Woman Can Avoid an Unnecessary Cesarean in New York State
What Health Departments and Hospitals Can Do to Reduce Unnecessary Cesareans
New York Hospital Birth Statistics by County

New York Hospital Birth Statistics by County, 2007

Calculation Details
Table 1: Summary of County Hospital Statistics
Table 2: Individual Hospital Statistics by County

Calculation Details

The Bureau of Biometrics and Health Statistics of the New York State Department of Health maintains data on maternity procedures performed in each hospital. We requested the most recent data from the Bureau, and received the following data for 2007 for each hospital:

  • Total number of births
  • Number of vaginal births
  • Number of cesarean births
  • Number of primary cesareans
  • Number of repeat cesareans (the Bureau indicates these may be undercounted)
  • Number of vaginal births after cesarean (VBAC; may also be undercounted)
  • Births assisted by midwives
  • Births paid by Medicaid

The state currently has a total of 231 hospitals; in 2007, 155 of these performed deliveries. Because three of the latter have closed since 2007, we have not included them in our analysis. We collected data for the remaining 152 hospitals that perform deliveries and are still open. Some of these perform few deliveries; their numbers are therefore subject to great fluctuation and are not reliable over time. We thus excluded from our database any hospital meeting either of the following criteria:

1. Those reporting fewer than 30 births
2. Those that performed fewer than five cesarean sections.

A total of nine hospitals met both of the exclusion criteria. We therefore focused on the remaining 143 hospitals; these constitute the sample on which our analyses are based.

The following calculations for each hospitals that meets did not meet the exclusion criteria appears below:

Cesarean % = Number of primary cesareans plus number of repeat cesareans, divided by number of births for information is available
Primary Cesarean Rate = Number of primary cesareans divided by number of women who gave birth who had not undergone previous cesareans
VBAC Rate = Number of VBACs divided by number of women who have had previous cesareans.
Attended by Midwife % =  Number of births attended by midwives divided by the number of births for which information is available
Paid for by Medicaid % = Births paid for by Medicaid divided by total births.
Episiotomy % = Number of episiotomies divided by number of vaginal births

Table 1: Cesarean/VBAC Rates by COunty, New York State 2007: Average and Range (Low-Right) For Each County

County (# of hospitals)

Overall
Cesarean % (Range)

Primary Cesarean % (Range)

VBAC % (Range)

% Attended by Midwife (Range)

Albany (2)

36.8% (32.1-42.5)

28.2% (24.4-32.9)

11.4% (9.7-13.5)

8.2% (0.0-15.1)

Allegany (1)

35.7% 

21.7%

0.0%

15.7%

Bronx (7)

28.2% (18.5-31.6)

19.8% (12.2-24.8)

13.1% (0.3-30.9)

12.3% (0.0-79.8)

Broome (2)

32.3% (31.8-32.8)

21.2% (20.2-21.9)

8.4% (4.4-11.3)

10.7% (9.4-11.6)

Cattaraugus (1)

31.9%

19.0%

4.8%

37.1%

Cayuga (1)

16.6%

9.9%

9.5%

20.2%

Chautauqua (3)

35.8% (33.1-38.4)

23.3% (17.5-26.2)

2.1% (0.0-3.8)

0.0% (0.0-0.0)

Chemung (1)

33.9%

24.5%

7.6%

32.8%

Chenango (1)

26.8%

15.1%

0.0%

0.0%

Clinton (1)

33.9%

25.7%

6.5%

29.4%

Columbia (1)

29.4%

19.5%

13.3%

6.3%

Cortland (1)

33.0%

23.7%

0.0%

17.9%

Dutchess (2)

36.5% (33.1-37.4)

28.2% (25.9-28.9)

10.0% (6.0-22.9)

6.6% (0.7-27.3)

Erie (4)

34.0% (32.2-35.9)

23.2% (21.1-25.1)

9.5% (5.6-11.9)

8.2% (0.4-18.3)

Franklin (2)

35.0% (30.4-41.3)

22.5% (17.7-28.9)

8.2% (0.0-14.0)

18.5% (0.0-43.3)

Fulton (1)

31.3%

20.7%

0.0%

23.8%

Genesse (1)

32.6%

21.8%

9.9%

36.8%

Jefferson (2)

22.2% (20.6-35.3)

13.8% (12.3-25.7)

20.6% (10.0-22.2)

36.2% (14.4-38.9)

Kings (11)

31.7% (20.9-40.2)

23.3% (14.9-32.8)

13.1% (0.6-30.0)

12.2% (0.0-69.5)

Lewis (1)

33.2%

21.8%

3.1%

0.0%

Livingston (1)

26.9%

17.6%

2.4%

0.0%

Madison (2)

27.9% (27.9-27.9)

17.6% (16.6-20.2)

2.0% (1.3-4.3)

3.8% (0.0-13.3)

Monroe (5)

30.9% (26.7-35.5)

21.5% (18.1-25.7)

13.2% (0.0-16.4)

11.6% (0.0-24.9)

Montgomery (1)

36.3%

27.2%

7.0%

5.7%

Nassau (6)

41.5% (30.9-46.7)

30.8% (22.2-34.3)

3.6% (0.6-7.7)

1.5% (0.1-6.0)

New York (14)

32.3% (22.3-40.1)

25.1% (16.7-34.8)

14.1% (6.0-28.1)

6.7% (0.0-37.0)

Niagara (4)

40.0% (29.3-42.9)

27.7% (17.6-31.2)

2.1% (0.0-3.4)

4.6% (0.0-15.9)

Oneida (2)

34.6% (24.4-37.6)

22.5% (14.1-25.0)

6.3% (0.0-7.4)

12.5% (0.0-55.7)

Onondaga (3)

32.9% (26.2-35.6)

23.1% (16.9-25.4)

9.3% (6.3-11.0)

14.3% (6.1-51.3)

Ontario (2)

26.3% (25.0-27.7)

16.8% (15.6-18.2)

12.4% (9.5-15.1)

0.0% (0.0-0.0)

Orange (4)

36.9% (32.2-53.3)

24.7% (22.0-38.6)

5.1% (0.0-11.8)

12.2% (0.0-19.4)

Orleans (1)

33.6%

22.4%

0.0%

12.0%

Oswego (1)

33.0%

23.2%

1.1%

16.7%

Otsego (2)

24.0% (22.3-27.3)

14.9% (14.3-16.0)

12.8% (0.0-20.0)

47.1% (2.5-70.1)

Putnam (1)

35.5%

22.2%

5.5%

27.2%

Queens (8)

34.4% (26.3-40.3)

25.1% (17.3-30.9)

6.0% (1.7-12.3)

3.3% (0.0-22.5)

Rensselaer (2)

26.7% (20.4-35.6)

17.3% (13.2-23.4)

21.1% (6.3-34.4)

49.4% (44.6–52.7)

Richmond (2)

33.5% (23.6-44.7)

22.7% (14.6-32.3)

10.3% (0.0-21.9)

2.1% (0.0-3.9)

Rockland (2)

25.7% (21.2-30.1)

16.8% (13.8-19.9)

18.5%(14.4-23.9)

31.6% (21.5-41.5)

Saint Lawrence (4)

38.8% (28.0-46.8)

27.7% (21.0-34.6)

6.3% (0.0-10.2)

6.0% (0.0-21.2)

Saratoga (1)

35.0%

25.8%

1.8%

21.0%

Schenectady (2)

29.5% (18.7-33.9)

20.2% (12.4-23.5)

9.5% (6.8-19.7)

4.5% (2.3-10.1)

Schuyler (1)

36.5%

25.0%

0.0%

47.1%

Steuben (2)

33.4% (32.9-33.7)

23.2% (21.0-24.7)

8.7% (7.4-9.8)

0.0% (0.0-0.0)

Suffolk (9)

42.7% (23.7-49.1)

30.8% (12.2-38.6)

4.0% (1.7-9.8)

3.8% (0.0-15.3)

Sullivan (1)

24.9%

13.4%

7.9%

44.8%

Tompkins (1)

33.5%

24.1%

9.8%

28.1%

Ulster (2)

37.8% (34.6-40.3)

24.6% (23.7-25.3)

3.3% (3.1-3.7)

9.2% (5.6-11.9)

Warren (1)

30.7%

19.6%

0.0%

58.2%

Wayne (1)

35.6%

21.2%

1.4%

4.6%

Westchester (8)

43.1% (25.2-52.7)

31.9% (12.0-40.3)

4.2% (0.0-17.1)

8.1% (0.0-50.2)

Wyoming (1)

23.7%

14.7%

2.8%

22.8%

Total (143)

34.0% (16.6-53.3)

24.6% (9.9-40.3)

9.3% (0.0-34.4)

9.6% (0.0-79.8)

Table 2: Rates by County and by Hospital, New York State 2007

Albany County
Allegany County
Bronx County
Broome County
Cattaraugus County
Cayuga County
Chautauqua County
Chemung County
Chenango County
Clinton County
Columbia County
Cortland County
Dutchess County
Erie County
Franklin County
Fulton County
Genesse County
Jefferson County
Kings County
Lewis County
Livingston County
Madison County
Monroe County
Montgomery County
Nassau County
New York County
Niagara County
Oneida County
Onondaga County
Ontario County
Orange County
Orleans County
Oswego County
Otsego County
Putnam County
Queens County
Rensselaer County
Richmond County
Rockland County
Saint Lawrence County
Saratoga County
Schenectady County
Schuyler County
Steuben County
Suffolk County
Sullivan County
Tompkins County
Ulster County
Warren County
Wayne County
Westchester County
Wyoming County

Albany County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

St. Peter's Hospital

2781

32.1%

24.4%

13.5%

15.1%

30.9%

6.1%

Albany Medical Center Hospital

2365

42.5%

32.9%

9.7%

0.0%

12.4%

13.2%


Allegany County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Memorial Hosp of William F. & Gertrude F. Jones

370

35.7%

21.7%

0.0%

15.7%

37.3%

12.6%


Bronx County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

North Central Bronx Hospital

1751

18.5%

12.4%

30.9%

79.8%

96.3%

2.3%

St. Barnabas Hospital

1152

20.7%

12.2%

13.6%

19.0%

16.6%

10.8%

Jacobi Medical Center

2248

24.1%

16.9%

22.3%

14.9%

95.5%

3.0%

Montefiore Medical Center - North Division

1619

30.1%

24.8%

0.9%

5.3%

49.7%

7.0%

Lincoln Medical & Mental Health Center

2346

30.7%

22.0%

17.1%

0.0%

96.6%

8.0%

Bronx-Lebanon Hospital Center - Concourse Division

2887

31.3%

22.1%

19.4%

0.5%

32.9%

0.4%

Montefiore Med Center - Jack D Weiler Hosp of A. Einstein College Div

5194

31.6%

21.4%

0.3%

1.1%

61.9%

7.0%


Broome County

Hospital

Total Deliveries

Cesarean %

Primary C- Section Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Our Lady of Lourdes Memorial Hospital, Inc.

1177

31.8%

20.2%

4.4%

9.4%

32.5%

19.9%

United Health Services Hospitals Inc.  - Wilson Hospital Division

1581

32.8%

21.9%

11.3%

11.6%

21.8%

22.1%


Cattaraugus County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Olean General Hospital

736

31.9%

19.0%

4.8%

37.1%

46.6%

51.3%


Cayuga County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Auburn Memorial Hospital

253

16.6%

9.9%

9.5%

20.2%

68.0%

33.0%


Chautauqua County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Brooks Memorial Hospital

515

33.1%

21.4%

3.8%

0.0%

41.0%

31.1%

Westfield Memorial Hospital, Inc.

198

33.3%

17.5%

0.0%

0.0%

41.9%

10.6%

Woman's Christian Association

726

38.4%

26.2%

1.6%

0.0%

29.3%

16.4%


Chemung County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Arnot Ogden Medical Center

1526

33.9%

24.5%

7.6%

32.8%

44.5%

2.8%


Chenango County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Chenango Memorial Hospital, Inc.

276

26.8%

15.1%

0.0%

0.0%

63.8%

8.9%


Clinton County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Champlain Valley Physicians Hospital Medical Center

1029

33.9%

25.7%

6.5%

29.4%

47.1%

15.5%


Columbia County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Columbia Memorial Hospital

510

29.4%

19.5%

13.3%

6.3%

9.4%

2.0%


Cortland County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Cortland Regional Medical Center, Inc.

554

33.0%

23.7%

0.0%

17.9%

60.5%

5.1%


Dutchess County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Northern Dutchess Hospital

774

33.1%

25.9%

22.9%

27.3%

7.9%

14.0%

Vassar Brothers Medical Center

2687

37.4%

28.9%

6.0%

0.7%

19.7%

33.2%


Erie County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Mercy Hospital

2593

32.2%

21.1%

5.6%

18.3%

6.3%

21.9%

Sisters of Charity Hospital

2822

32.7%

22.4%

11.9%

2.6%

40.8%

35.3%

Millard Fillmore Suburban Hospital

2706

34.9%

24.0%

10.0%

0.4%

2.0%

21.5%

Women And Children's Hospital of Buffalo

3184

35.9%

25.1%

10.0%

11.6%

19.3%

7.3%


Franklin County  

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Alice Hyde Medical Center

270

30.4%

17.7%

14.0%

0.0%

49.3%

29.3%

Adirondack Medical Center - Saranac Lake Site

201

41.3%

28.9%

0.0%

43.3%

25.4%

10.2%


Fulton County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Nathan Littauer Hospital

400

31.3%

20.7%

0.0%

23.8%

52.5%

20.0%


Genesse County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

United Memorial Medical Center North Street Campus

573

32.6%

21.8%

9.9%

36.8%

38.2%

9.0%


Jefferson County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Samaritan Medical Center

1602

20.6%

12.3%

22.2%

38.9%

26.7%

8.8%

Carthage Area Hospital, Inc.

201

35.3%

25.7%

10.0%

14.4%

40.3%

24.4%


Kings County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Maimonides Medical Center

7209

20.9%

14.9%

30.0%

13.0%

68.7%

27.1%

Woodhull Medical & Mental Health Center

1935

24.3%

15.7%

21.4%

69.5%

96.3%

3.8%

Lutheran Medical Center

4403

30.5%

20.8%

9.4%

0.9%

74.9%

25.9%

Kings County Hospital Center

2598

30.5%

24.4%

18.6%

15.8%

93.6%

13.5%

Wyckoff Heights Medical Center

1635

33.2%

21.3%

6.3%

0.0%

85.4%

19.4%

Brooklyn Hospital Center - Downtown Campus

2368

34.0%

23.7%

5.0%

1.0%

76.8%

5.8%

Coney Island Hospital

1176

34.4%

23.1%

0.6%

27.5%

70.9%

22.7%

Long Island College Hospital

2659

38.4%

30.4%

8.1%

8.3%

40.2%

8.8%

New York Methodist Hospital

5121

39.8%

30.8%

7.0%

9.4%

45.6%

19.2%

Brookdale Hospital Medical Center

1775

39.8%

32.8%

11.6%

10.8%

84.2%

10.5%

University Hospital of Brooklyn

1721

40.2%

31.0%

7.1%

0.0%

76.1%

15.8%


Lewis County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Lewis County General Hospital

211

33.2%

21.8%

3.1%

0.0%

44.1%

52.1%


Livingston County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Nicholas H. Noyes Memorial Hospital

360

26.9%

17.6%

2.4%

0.0%

41.9%

36.6%


Madison County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Oneida Healthcare Center

567

27.9%

16.6%

1.3%

0.0%

39.7%

54.4%

Community Memorial Hospital, Inc.

226

27.9%

20.2%

4.3%

13.3%

36.7%

21.6%


Monroe County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Highland Hospital

3268

26.7%

18.1%

16.4%

17.2%

33.3%

8.1%

Lakeside Memorial Hospital

217

29.5%

20.3%

0.0%

24.9%

55.8%

5.9%

Rochester General Hospital

2519

30.6%

21.2%

10.9%

22.8%

34.3%

20.5%

The Unity Hospital of Rochester

1176

31.0%

20.8%

9.9%

0.7%

41.4%

14.2%

Strong Memorial Hospital

3131

35.5%

25.7%

13.8%

0.0%

32.1%

7.0%


Montgomery County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

St. Mary's Hospital at Amsterdam

512

36.3%

27.2%

7.0%

5.7%

44.1%

29.0%


Nassau County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Nassau University Medical Center

2100

30.9%

22.2%

7.7%

3.9%

77.4%

40.2%

South Nassau Communities Hospital

1787

40.2%

28.7%

4.6%

0.7%

22.7%

31.5%

North Shore University Hospital

5516

41.9%

31.0%

5.1%

0.1%

10.2%

34.7%

Mercy Medical Center

1474

43.2%

32.3%

2.8%

6.0%

29.8%

41.3%

Winthrop - University Hospital

4611

44.4%

34.3%

0.6%

0.6%

8.8%

24.7%

Plainview Hospital

1408

46.7%

33.2%

2.1%

3.3%

21.6%

32.2%


New York County

Hospital

Total Deliveries

Cesarean %   

Primary Cesarean Rate 

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy % 

New York Downtown Hospital

2723

22.3%

16.7%

8.4%

0.0%

81.7%

6.9%

St Lukes Roosevelt Hospital Center - Roosevelt Hospital Division

5436

25.0%

19.5%

16.3%

8.5%

12.1%

8.1%

Bellevue Hospital Center

2011

27.3%

19.3%

17.0%

37.0%

95.2%

2.5%

Metropolitan Hospital Center

1769

28.1%

18.3%

18.9%

31.1%

94.2%

16.6%

New York Presbyterian Hospital - Allen Pavilion

2280

29.7%

19.8%

8.2%

7.0%

96.0%

4.8%

Beth Israel Medical Center/Petrie Campus

3784

29.8%

22.9%

11.8%

9.0%

31.1%

24.4%

Harlem Hospital Center

1177

29.9%

23.3%

28.1%

5.2%

90.1%

9.9%

SVCMC - St. Vincents Manhattan

1529

30.0%

22.3%

11.3%

11.7%

31.9%

19.1%

St. Lukes Roosevelt Hospital - St. Lukes Hospital Division

479

30.1%

19.7%

6.0%

0.8%

75.6%

7.6%

Mount Sinai Hospital

5920

32.7%

24.8%

17.4%

9.0%

30.8%

15.9%

NYU Hospitals Center

4667

33.5%

27.6%

21.4%

0.7%

0.5%

20.2%

New York Presbyterian Hospital - Columbia Presbyterian Center

4548

39.0%

29.4%

10.8%

0.0%

36.3%

10.0%

New York Presbyterian - New York Weill Cornell Center

5374

39.2%

34.8%

10.0%

0.0%

11.9%

28.2%

Lenox Hill Hospital

3892

40.1%

31.9%

9.4%

0.0%

4.9%

24.5%


Niagara County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Eastern Niagara Hospital - Newfane Division

99

29.3%

17.6%

0.0%

0.0%

57.6%

11.4%

Eastern Niagara Hospital - Lockport Division

396

39.1%

24.0%

0.0%

15.9%

7.6%

34.0%

Mount St. Mary's Hospital and Health Center

376

39.9%

29.6%

3.4%

0.0%

8.2%

31.7%

Niagara Falls Memorial Medical Center

503

42.9%

31.2%

3.3%

0.0%

54.5%

20.8%


Oneida County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Rome Memorial Hospital, Inc

627

24.4%

14.1%

0.0%

55.7%

41.6%

10.3%

Faxton - St. Lukes Healthcare St. Lukes Division

2181

37.6%

25.0%

7.4%

0.0%

46.7%

28.7%


Onondaga County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Community - General Hospital of Greater Syracuse

1303

26.2%

16.9%

9.2%

51.3%

32.9%

10.9%

Crouse Hospital

3848

33.7%

24.0%

11.0%

6.1%

41.2%

18.4%

St Josephs Hospital Health Center

2105

35.6%

25.4%

6.3%

6.6%

33.0%

14.2%


Ontario County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

F. F. Thompson Hospital

669

25.0%

15.6%

9.5%

0.0%

30.8%

15.0%

Geneva General Hospital

654

27.7%

18.2%

15.1%

0.0%

43.7%

13.3%


Orange County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

St Luke's Cornwall Hospital/Newburgh

1212

32.2%

22.0%

11.8%

8.7%

47.3%

19.4%

Orange Regional Medical Center-Middletown Campus

1991

35.2%

22.8%

3.9%

19.4%

34.6%

11.7%

Bon Secours Community Hospital

294

37.4%

25.2%

0.0%

0.0%

45.9%

40.2%

St. Anthony Community Hospital

538

53.3%

38.6%

0.8%

0.0%

5.4%

32.0%


Orleans County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Medina Memorial Health Care System

125

33.6%

22.4%

0.0%

12.0%

50.4%

24.1%


Oswego County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Oswego Hospital

684

33.0%

23.2%

1.1%

16.7%

67.3%

15.8%


Otsego County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Mary Imogene Bassett Hospital

782

22.3%

14.3%

20.0%

70.1%

37.1%

3.6%

Aurelia Osborn Fox Memorial Hospital

403

27.3%

16.0%

0.0%

2.5%

45.4%

26.6%


Putnam County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Putnam Hospital Center

496

35.5%

22.2%

5.5%

27.2%

7.3%

40.6%


Queens County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Queens Hospital Center

2043

26.3%

18.7%

5.4%

0.0%

87.2%

5.4%

Elmhurst Hospital Center

4165

27.1%

17.3%

12.3%

1.2%

97.9%

3.3%

Forest Hills Hospital

2082

31.9%

22.7%

4.9%

0.5%

54.2%

26.6%

New York Hospital Medical Center of Queens

4451

33.0%

24.9%

2.8%

0.0%

59.9%

18.2%

St Johns Episcopal Hospital So Shore

864

36.8%

26.0%

10.8%

9.0%

77.3%

31.3%

Jamaica Hospital Medical Center

2948

39.1%

30.9%

1.7%

22.5%

25.2%

9.2%

Flushing Hospital Medical Center

2125

39.4%

28.0%

4.7%

0.0%

12.9%

51.2%

Long Island Jewish Medical Center

5499

40.3%

30.1%

5.5%

0.0%

18.1%

31.4%


Rensselaer County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Seton Health System - St. Mary's Campus

658

20.4%

13.2%

34.4%

52.7%

7.8%

9.5%

Samaritan Hospital

466

35.6%

23.4%

6.2%

44.6%

6.9%

22.4%


Richmond County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Staten Island University Hosp - North

3258

23.6%

14.6%

21.9%

3.9%

47.6%

16.9%

Richmond University Medical Center

2862

44.7%

32.3%

0.0%

0.0%

23.9%

44.6%


Rockland County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Good Samaritan Hospital of Suffern

2547

21.2%

13.8%

23.9%

21.5%

30.2%

28.4%

Nyack Hospital

2109

30.1%

19.9%

14.4%

41.5%

60.1%

17.0%


Saint Lawrence County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Edward John Noble Hospital of Gouverneur

107

28.0%

22.2%

0.0%

0.0%

64.5%

16.9%

Massena Memorial Hospital

273

33.3%

21.0%

2.3%

0.0%

57.5%

6.6%

Canton-Potsdam Hospital

325

36.0%

26.9%

2.4%

21.2%

42.2%

20.8%

Claxton - Hepburn Medical Center

442

46.8%

34.6%

10.2%

0.0%

47.7%

45.8%


Saratoga County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Saratoga Hospital

872

35.0%

25.8%

1.8%

21.0%

17.3%

44.8%


Schenectady County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Ellis Hospital - McClellan Division

764

18.7%

12.4%

19.7%

10.1%

33.8%

4.8%

Ellis Hospital - Bellevue Woman's Care Center

1875

33.9%

23.5%

6.8%

2.3%

20.7%

16.1%


Schuyler County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Schuyler Hospital

189

36.5%

25.0%

0.0%

47.1%

51.9%

1.7%


Steuben County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

St. James Mercy Hospital

325

32.9%

21.0%

7.4%

0.0%

51.1%

26.2%

Corning Hospital

445

33.7%

24.7%

9.8%

0.0%

52.1%

17.3%


Suffolk County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Brookhaven Memorial Hospital Medical Center, Inc.

625

23.7%

12.2%

9.8%

0.0%

83.0%

66.7%

Southampton Hospital

843

33.9%

21.8%

4.3%

0.0%

34.5%

21.4%

Peconic Bay Medical Center

414

38.7%

28.9%

3.3%

0.0%

59.4%

39.8%

Southside Hospital

2837

39.0%

26.3%

4.6%

0.0%

54.7%

33.7%

University Hospital

3477

40.6%

29.4%

8.0%

15.3%

30.7%

6.1%

Huntington Hospital

1731

42.9%

28.7%

1.7%

0.3%

26.6%

38.4%

St. Charles Hospital

2251

47.3%

34.5%

2.2%

4.4%

0.9%

49.9%

St. Catherine of Siena Hospital

1510

49.0%

37.5%

1.7%

0.1%

15.0%

20.9%

Good Samaritan Hospital Medical Center

2966

49.1%

38.6%

1.9%

0.0%

21.2%

36.4%


Sullivan County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Catskill Regional Medical Center

429

24.9%

13.4%

7.9%

44.8%

70.9%

13.6%


Tompkins County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Cayuga Medical Center at Ithaca

924

33.5%

24.1%

9.8%

28.1%

30.1%

10.1%


Ulster County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Benedictine Hospital

358

34.6%

23.7%

3.7%

5.6%

21.8%

23.3%

Kingston Hospital

469

40.3%

25.3%

3.1%

11.9%

72.7%

29.2%


Warren County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Glens Falls Hospital

1407

30.7%

19.6%

0.0%

58.2%

28.3%

13.9%


Wayne County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Newark - Wayne Community Hospital

388

35.6%

21.2%

1.4%

4.6%

50.5%

17.3%


Westchester County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Phelps Memorial Hospital Assn

1054

25.2%

12.0%

5.3%

50.2%

48.0%

8.2%

Hudson Valley Hospital Center

908

36.0%

27.4%

9.7%

40.5%

32.7%

26.4%

Northern Westchester Hospital

1769

39.5%

28.3%

4.7%

0.5%

16.7%

16.7%

White Plains Hospital Center

2078

43.6%

32.3%

0.0%

2.2%

10.9%

41.0%

SJRH - St. John's Division

1772

45.1%

35.3%

2.8%

0.0%

63.4%

42.6%

Sound Shore Medical Center of Westchester

1552

47.0%

37.4%

0.0%

0.0%

71.6%

43.0%

Westchester Medical Center

902

47.5%

35.5%

17.1%

0.0%

63.5%

26.2%

Lawrence Hospital Center

1728

52.7%

40.3%

1.4%

0.0%

8.0%

28.7%


Wyoming County

Hospital

Total Deliveries

Cesarean %

Primary Cesarean Rate

VBAC Rate

Attended by Midwife %

Paid for by Medicaid %

Episiotomy %

Wyoming County Community Hospital

329

23.7%

14.7%

2.8%

22.8%

37.7%

32.8%

 

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