The CDC has crunched the numbers, and the preliminary data for Cesarean rates in 2014 were published last week. There was a good amount of good news; as ACOG put forth their recommendations for the safe prevention of primary cesarean in March 2014, cesarean rates did, in fact, go down. Many thanks as always to Jill from cesareanrates.com for this info. (And if, like me, you’re forever grateful to all the work she’s done in the arena of maternity care advocacy, you can thank her with a monetary contribution. Ahem.)
In 2013, Cesarean rates for the US were 32.7% for total cesareans, and 26.8% for low-risk pregnancies; in 2014, the US preliminary total cesarean rate was 32.2% and 26% for low-risk births. Minnesota does better than the US average. in 2013, Minnesota’s total cesarean rate was 26.9% and 21.3% for the low-risk cesarean rate. Those numbers were 26.5% and 21.1% in 2014. So, yes, progress! YAY!
I’d like to think that increased transparency is helping move these numbers in the right direction. In fact, a study done at the University of Minnesota that was published this month showed that public reporting improves outcomes. And while I love, love, love the push from organizations and nonprofits to pull together information on outcomes and costs, it’s critical for providers to get asked about outcomes by the parents who are coming to them for care, and then parents need to be able to make a thoughtful, deliberate decision based off of that information that’s in the best interest of both mom and baby.
If you’re curious about who has the highest and lowest cesarean rates….well, check it out:
Highest 2014 total cesarean rates
1) Louisiana – 38.4%
2) Mississippi- 37.7%
3) New Jersey- 37.4%
4) Florida- 37.2%
5) Alabama- 35.4%
Lowest 2014 total cesarean rates
1) Utah- 22.3%
2 ) Alaska- 23.7%
3) New Mexico- 23.8%
4) Idaho- 24.2%
5) Hawaii- 24.6%
I’d love to add some information to this about costs, etc. I’ll see how the week goes; maybe I can pull some more into this information.