Slide 1

Electronic Birth Certificate Data 2008-2010 Hudson Valley Regional Perinatal Forum Annual Retreat March 18, 2011 The Regional Perinatal Center Westchester Medical Center Data Source: EBC Data 2008 - 2010 Slide 2 Primary, Repeat and Total (% of Total Deliveries) C/S Rates by Hospital in 2010 Red line indicates target rate of Healthy People 2020 for Primary C/S (23.9%) Black line indicates NVSR prelim data for 2009 Total C/S (32.9%) * Out of 2806 births at Good Samaritan, n=292 mode of delivery missing (10%) * Slide 3 * * Indicates non-elective C/S * Slide 4 Dominant Indications for Primary C/S RPC, years 2008-2010 *Indication for Primary C/S over total # of Primary C/S Slide 5 Preexisting Conditions vs. Pregnancy-Related Conditions (Total C/S) Example: a NH White female with Gestational Diabetes has 50.2% chance of receiving a C/S Procedure Slide 6 % of C/S by Ethnicity RPC 2008-2010 Total % C/SPrimary % C/S *e.g., NH Other # primary C/S over Total NH Other deliveries. Slide 7 * e.g., NH Other at Vassar C/S over all NH Other deliveries at Vassar. Slide 8 * e.g., NH Other at Vassar Primary C/S over all NH Other deliveries at Vassar. Slide 9 2010 Total C/S Rate by Race and Gestational Age *69% of All NH Other deliveries atSlide 10 Primary C/S Total C/S Likelihood of NICU Admittance by Gestational Age and Race Of NHO infants born at 34-36wks by C/S, 44.4% were admitted to the NICU * Slide 11 Slide 12 *Red line indicates target rate of Healthy People 2020 for breast-feeding (81.9%) *Green line indicates target rate of Healthy People 2010 (75%) * Slide 13 Diet by Delivery Mode 2010 Slide 14 RPC Diet by Delivery Mode and Ethnicity *n=899 (6.2%) of infants had unknown diet % Birth by Vaginal Delivery % Birth by Cesarean Section (Total C/S) Slide 15 C/S Rate by Bodyweight of the mother Primary CS Total C/S * Slide 16 NICU admittance rate by race and bodyweight of the mother Of NH Black infants born by mothers who were obese, 25.8% were admitted to the NICU * Slide 17 Rate of C/S by Mothers Age and Race Primary C/S Rate (Primary CS / Total Births) Total C/S Rate (Total CS / Total Births) *