Re: Cesarean Rates in South Florida

From: Luis Sanchez-Ramos (sanchez-ramos@worldnet.att.net)
Wed Dec 31 12:44:21 1997


At Tue, 30 Dec 1997, D. Ashley Hill, M.D. wrote: >

>I'm not sure where the c/section rate is the U.S. is headed, but I
>suspect many women will be asking for c/sections in the future. As
>patients perceive c/section as a "procedure" rather than a major
>surgery, I predict more women will demand a primary elective c/section,
>and fewer will opt for a trial of labor.
>

First of all let me congratulate you on a relatively low cesarean rate at Florida Hospital/Orlando. (I actually had you position in 1985). The most recent national cesarean rate for the year 1996 was 20.6% which is a significant drop from the peak rate of 24.7% in 1988. Cesarean delivery rates continue to decline in this country. As for VBACs, the 1995 national rate was 35.5% (per 100 women with a previous cesarean). I agree that "patient convenience" often leads to physician manipulation. You should treat your physicians and nurses just like any other patient. I know it is easier said than done.

--
Luis Sanchez-Ramos,MD




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