The cost of birth in the Twin Cities

cost of birth mn

If you read Monday’s post, then I hope you took the time to check out MN HealthScores. If not, that’s ok–you still should, but I poked around for a little bit and pulled more information. On the cost side of things, I was able to pull what they had for local medical groups as far as how much they charge for vaginal births and cesarean births. Not all medical groups had information, but quite a few did.

There are a lot of things this doesn’t take into account. This fee does not include any facility fees or any charges for the baby. It only reflects the charges for the care of mom before, during, and after giving birth. It’s still an intriguing metric.

Vaginal Birth, Highest Cost to Lowest (MN Average $3202)

  1. Park Nicollet- $4287
  2. Allina- $3792
  3. Healthpartners- $3323
  4. Metro OBGYN- $3175
  5. Healtheast- $3059
  6. North Memorial- $3049
  7. Diamond Women’s Clinic- $2996
  8. Clinic Sofia- $2900
  9. OBGYN Specialists- $2749
  10. John Haugen- $2734
  11. Women’s Health Consultants- $2762
  12. Entira Clinics- $2720
  13. Comprehensive Healthcare for Women- $2585
  14. AALFA- $2543

Cesarean Birth, Highest Cost to Lowest (MN Average $3555)

  1. Park Nicollet- $4907
  2. Allina- $4623
  3. Healthpartners- $3970
  4. Metro OBGYN- $3555
  5. North Memorial- $3440
  6. Clinic Sofia- $3297
  7. OBGYN Specialists- $3262
  8. Diamond Women’s Clinic- $3233
  9. John Haugen- $3191
  10. Women’s Health Consultants- $2972
  11. Comprehensive Healthcare for Women- $2972

It’s entirely possible I missed some data, so feel free to head on over to Managing Costs at MN HealthScores and poke around for yourself. And remember: The best care isn’t always the most expensive care.

Warmly,

Veronica

Veronica Jacobsen, BA, CD(DONA), CLC, CPST, LCCE, FACCE

DONA-Certified Birth Doula, Certified Lactation Counselor, Child Passenger Safety Technician, Lamaze Certified Childbirth Educator, Fellow of the Academy of Certified Childbirth Educators

Opening BabyLove in September of 2011 has allowed me to build a space where all families can come to get good information in a caring, welcoming environment. I have found that not only do I love teaching more than ever, but I also really love running a business. Hopefully my passion for every aspect of BabyLove shines through.
I live in Richfield with my husband, and I am a mother of a two great children. When I can steal a few free moments, I love to go on adventures with my family, cook, garden, thrift, can, and craft.

Medical Group HealthScores- Cesarean Deliveries and Perineum Tears

minneapolis cesarean rates

If you may recall, back in 2013, Minnesota Community Measurement released a report that included clinic-level primary cesarean rates. That information was left out of the 2014 report, but I was told by the organization that they were working on revamping the collection process to better comply with national standards. The 2015 report isn’t out yet, but there is some info on the Primary Cesarean rates available on a medical group level and perineum tear rates on a hospital level over at Minnesota HealthScores.

You can check out the full information via the links above, but I wanted to highlight, in each category, which clinics and hospitals had the worst outcomes in each measurement. Now, not all medical groups and hospitals submitted information. It’s highly possible that some medical groups who had really awful outcomes aren’t listed. Perhaps in a future post I’ll try to tease out which groups did not participate, but for now, here are the lowest performers in the Twin Cities metro area.

Medical Group Measure: Highest Primary Cesarean Rates

  1. Comprehensive Healthcare for Women- 31%
  2. FamilyHealth Medical Clinics- 31%
  3. Metropolitan Obstetrics and Gynecology- 29%
  4. Allina Health Clinics- 26%
  5. Fairview Health Clinics- 25%

Hospital Measure: Highest Perineum Tear Rates for Vaginal Delivery with Instrument

  1. Abbott Northwestern (The MotherBaby Center)- 29%
  2. Maple Grove Hospital- 22%
  3. Buffalo Hospital- 29%

Hospital Measure: Highest Perineum Tear Rates for Vaginal Delivery Without Instrument

  1. Abbott Northwestern (The MotherBaby Center)- 6%
  2. Maple Grove Hospital- 3%
  3. Park Nicollet Methodist Hospital- 3%

Over the next few days I’m going to try to find time to tease out more data to share. In the meantime, I hope you find this information helpful!

Warmly,

Veronica

 

Veronica Jacobsen, BA, CD(DONA), CLC, CPST, LCCE, FACCE

DONA-Certified Birth Doula, Certified Lactation Counselor, Child Passenger Safety Technician, Lamaze Certified Childbirth Educator, Fellow of the Academy of Certified Childbirth Educators

Opening BabyLove in September of 2011 has allowed me to build a space where all families can come to get good information in a caring, welcoming environment. I have found that not only do I love teaching more than ever, but I also really love running a business. Hopefully my passion for every aspect of BabyLove shines through.
I live in Richfield with my husband, and I am a mother of a two great children. When I can steal a few free moments, I love to go on adventures with my family, cook, garden, thrift, can, and craft.

Used car seats aren’t a good deal

dangerous used car seats

“Another post about used car seats?”

Yes. Another post about used car seats. Like much of parenting, there’s the inherent instinct to dismiss professional advice as being overly-cautious or self-serving. And babies can be expensive, so clearly it’s all a scam to get parents to pay more money for more junk that they don’t need, right?

Um…..no.

If this post didn’t convince you that used car seats should be used with caution, here are 6 things I want you to think about:

  1. That used seat may be hard to install or use correctly- Over time, manufacturers make upgrades to the design of their car seats. In theory, as they get smarter about design and use, they make the seats easier to use. Some older or inexpensive car seats may be very hard to adjust the straps so that they are tight enough, which means your baby wouldn’t stay secured in the car seat in the event of a sudden stop or crash. It’s also VERY common for used car seats to have stuck or difficult lower anchor adjustments, making it so you can’t tighten the seat’s install enough.
  2. That used car seat may have gone through an unreasonably high amount of wear and tear- Something we look for as CPSTs when looking at used seats to to see if the shell of the seat has been weakened or compromised in any way. It’s pretty common to find that a seat has gone through an excessive amount of stress and has weak points in critical parts of it. These weak points may mean that the shell breaks at the belt path or at the harness slots if placed under any extreme force.
  3. Seats get recalled- When a family has a used car seat sitting in the basement or garage, they may not notice if a recall has been issued on a seat (this is why registering products is critical). It’s not uncommon to come across recalls when using previously used seats. Some recalls render the seat useless, some require a fix, and some just address seat usage. Whatever it is, these are key to take into account.
  4. The previous owner didn’t care for the seat properly- Car seats can stop working if not cared for in the correct manner. Using bleach on webbing can lead to the straps breaking down, causing them to be very weak. Failure to clean moving parts according to manufacturer’s instruction can cause them to seize up and no longer work. Clips and tabs can break off over time. It’s important to take these possibilities seriously.
  5. The car seat has been put together incorrectly- I don’t have any hard and fast statistics on this, but it’s VERY common for a seat that’s been used over a length of time to have the various straps and buckles twisted, threaded through the seat the wrong way, or to have parts of the seat backwards or in the wrong place. Without a thorough knowledge of how seats should work, you may not be able to determine if a seat has problems that need to be fixed.
  6. The car seat is too dirty to salvage-  Babies are messy. Spit-up, vomit, poo, crumbs–lots of things end up in a car seat. Usually, the car seat cover can be removed and washed (usually on delicate, but always follow the manufacturer’s instructions), but other things like buckles and straps often can only be cleaned with warm water and mild detergent.

At the risk of sounding like a broken record, I can understand that the expense of a car seat can seem very overwhelming. However, there are good ways to spend those dollars in a way that is both wise and safe and that is useful for a long length of time. After all, it’s better to spend $200 on one seat that your child can use until he’s 6 or 7 years old than to buy 4 seats at $75-$100 or more each time to get to that same age.  We’re talking about something that can protect your child from the leading cause of death for kids. That’s something to value.

The National Highway and Transportation and Safety Administration has some very good resources that can be helpful to understand the complicated topic of car seats. Check it out, and let me know if you have questions!

Veronica Jacobsen, BA, CD(DONA), CLC, CPST, LCCE, FACCE

DONA-Certified Birth Doula, Certified Lactation Counselor, Child Passenger Safety Technician, Lamaze Certified Childbirth Educator, Fellow of the Academy of Certified Childbirth Educators

Opening BabyLove in September of 2011 has allowed me to build a space where all families can come to get good information in a caring, welcoming environment. I have found that not only do I love teaching more than ever, but I also really love running a business. Hopefully my passion for every aspect of BabyLove shines through.
I live in Richfield with my husband, and I am a mother of a two great children. When I can steal a few free moments, I love to go on adventures with my family, cook, garden, thrift, can, and craft.

Coming next month: another expansion!

I’ve been teasing it off and on over the last month or so, but I’m excited to announce that more providers will be co-officing at BabyLove, with most of them starting in February. Families will have access to more mental health services, lactation support, and complimentary care that’s solely focused on Women’s Health. We’re also hoping to add more classes, including infant massage and Yoga Calm to the schedule very soon.

I am keeping my current space in suite 102. The new offices are going in to the original location of BabyLove; same building, just back into suite 200. The guys are busy working on the walls and whatnot. It’ll all be close together and easy for families to get the help they need in one spot.

I have some pictures that you can check out, and hopefully I can fill in more specifics in the next few days!

The new entrance (which was always there, just not where you'd go in.)
The new entrance (which was always there, just not where you’d go in.)
The old entrance to suite 200 is now gone.
The old entrance to suite 200 is now gone.
Office #4
Office #4

 

Office #3 (yeah, I know this is backwards).
Office #3 (yeah, I know this is backwards).
Office #3 again.
Office #3 again.
Office #2
Office #2
Office #1!
Office #1!

Exciting!

Veronica Jacobsen, BA, CD(DONA), CLC, CPST, LCCE, FACCE

DONA-Certified Birth Doula, Certified Lactation Counselor, Child Passenger Safety Technician, Lamaze Certified Childbirth Educator, Fellow of the Academy of Certified Childbirth Educators

Opening BabyLove in September of 2011 has allowed me to build a space where all families can come to get good information in a caring, welcoming environment. I have found that not only do I love teaching more than ever, but I also really love running a business. Hopefully my passion for every aspect of BabyLove shines through.
I live in Richfield with my husband, and I am a mother of a two great children. When I can steal a few free moments, I love to go on adventures with my family, cook, garden, thrift, can, and craft.