ICAN of Somerset County, NJ

Do Hospitals that Handle High Risk Deliveries Have Higher Cesarean Rates?

Seems logical, right?  If a hospital has a Level III NICU and takes in the high risk pregnancies and deliveries, they probably have a higher cesarean rate because high risk women can often only birth safely via cesarean.  Right?  Indeed, many hospitals do use that as an excuse for their high cesarean rate, thus making low risk women feel they have no cause for concern.  Does that excuse hold weight.

Let's look at the NJ hopsitals based on NICU (Level III NICU being the highest level which handles the sickest babies and most high risk births; LEVEL II NICU typically capable of handling preemies beyond 32 weeks and Level I NICUs which are basic nurseries.

		TOTAL BIRTHS	all cesarean births	% c-section
LEVEL III NICU
Saint Barnabas Medical Center	Livingston	5808	2862	49.3
Hackensack University Medical Center	Hackensack	6165	3022	49.0
The Valley Hospital	Ridgewood	3436	1611	46.9
Virtua-West Jersey	Voorhees	5282	2324	44.0
Jersey Shore Medical	Neptune	1744	757	43.4
Jersey City Medical Center	Jersey City	1530	664	43.4
Overlook Hospital	Summit	2476	1056	42.6
Morristown Memorial	Morristown	4043	1676	41.5
St. Joseph's Hos	Paterson	3738	1525	40.8
Saint Peter's University	New Brunswick	6351	2561	40.3
Kennedy Memorial Hospitals-	Stratford	1517	605	39.9
UMDNJ-UniversityHospital	Newark	1955	767	39.2
Newark Beth Israel	Newark	3818	1451	38.0
Robert Wood Johnson	New Brunswick	3591	1303	36.3
Our Lady of Lourdes	Camden	1327	468	35.3
Capital Health System at Mercer	Trenton	2458	814	33.1
Englewood Hospital	Englewood	2168	676	31.2
Cooper Hospital/University Medical Center	Camden	2368	704	29.7
Monmouth Medical	Long Branch	4160	1108	26.6
		63935	25954	40.6

LEVEL II NICUS

LEVEL II NICU		TOTAL BIRTHS	all cesarean births	% c-section
Saint James	Newark	82	50	61.0
Meadowlands Hospital	Secaucus	810	459	56.7
CentraState Medical	Freehold	1876	913	48.7
Community Medical Center	Toms River	1441	652	45.2
Riverview Medical Center	Red Bank	1465	662	45.2
Hoboken University Medical	Hoboken	1526	662	43.4
Holy Name Hospital	Teaneck	1343	581	43.3
Virtua-Memorial Hospital	Mt. Holly	2162	928	42.9
Hunterdon Medical	Flemington	1235	522	42.3
Saint Clare's Hospital/Denville Campus	Denville	1662	688	41.4
Somerset Medical	Somerville	1339	540	40.3
Clara Maass	Belleville	1818	728	40.0
Mountainside Hospital	Montclair	728	290	39.8
Shore Memorial	Somers Point	1357	540	39.8
Lourdes Medical Center	Willingboro	885	343	38.8
Atlantic City Medical - Mainland	Pomona	2455	938	38.2
St.Mary Hospital	Hoboken	1201	442	36.8
Chilton Memorial	Pompton Plains	1006	369	36.7
JFK Medical	Edison	2823	1007	35.7
Trinitas Hospital	Elizabeth	2219	736	33.2
Newton Memorial	Newton	703	230	32.7
Raritan Bay	Perth Amboy	1076	351	32.6
Columbus Hospital	Newark	194	63	32.5
Underwood-Memorial Hospital	Woodbury	1030	321	31.2
South Jersey Hospital-Newcomb	Vineland	2548	772	30.3
University Medical Center	Princeton	2020	612	30.3
Palisades Medical	North Bergen	1463	437	29.9
Medical Center of Ocean County	Brick	1044	311	29.8
Muhlenberg Regional Medical Center, Inc.	Plainfield	476	122	25.6
Kimball Medical Center	Lakewood	1844	438	23.8
		41831	15707	37.5

LEVEL I NICUs

LEVEL I NICU		TOTAL BIRTHS	all cesarean births	% c-section
Christ Hospital	Jersey City	1221	582	47.7
Warren Hospital	Phillipsburg	147	54	36.7
The Memorial Hospital of Salem County	Salem	377	135	35.8
Cape Regional	Cape May Court House	517	184	35.6
Southern Ocean County Hospital	Manahawkin	342	118	34.5
Hackettstown Community	Hackettstown	885	287	32.4
		3489	1360	39.0

So, let's summarize.

The average c-section rate in NJ hosptials with a LEVEL III NICU is 40.6% with a range of 26.6% - 49.3%

The average c-section rate in NJ hospitals with a LEVEL II NICU is 37.5% with a range of 23.8-61.0%.

The average c-section rate in NJ hospitals with a LEVEL I NICU is 39.0% with a range of 32.4-47.7%.

How odd because those LEVEL I NICU hospitals in NJ have banned VBAC since they are not equipped to do emergency c-sections.  Are all those c-sections planned?  Are they being done at 4pm so the doctor and anesthesiologists can get home for dinner?  What is truly going on?  How odd that when you look at the rantes, there are LEVEL III NICU hospitals where you are more likely to avoid an unncessary c-section than most of our LEVEL I NICU hospitals.

NJ Hospital 2008 Induction Rates

NJ Hospital 2008 Induction Rates (source: NJ Center for Health Statistics)
Alphabetical Order

Facility Name	All Births	All Induced Births		% Induction	% Induction ending in vaginal birth	% Induction ending in c-section
ATLANTICARE RE	2455	380		15.5	71.8	4.4
CAPE REGIONAL	517	136		26.3	71.3	7.5
CAPITAL HEALTH	2458	658		26.8	76.6	6.3
CENTRASTATE ME	1876	380		20.3	70.0	6.1
CHILTON MEMORI	1006	249		24.8	80.3	4.9
CHRIST HOSPITA	1221	180		14.7	65.0	5.2
CLARA MAASS ME	1818	245		13.5	69.0	4.2
COLUMBUS HOSPI	194	33		17.0	84.8	2.6
COMMUNITY MEDI	1441	389		27.0	68.6	8.5
COOPER HOSPITA	2368	564		23.8	77.8	5.3
ENGLEWOOD HOSP	2168	686		31.6	86.6	4.2
HACKENSACK UNI	6165	1354		22.0	64.4	7.8
HACKETTSTOWN R	885	202		22.8	68.3	7.2
HOBOKEN UNIVER	1526	217		14.2	61.3	5.5
HOLY NAME HOSP	1343	230		17.1	63.9	6.2
HUNTERDON MEDI	1235	335		27.1	75.2	6.7
JERSEY CITY ME	1530	213		13.9	55.9	6.1
JERSEY SHORE U	1744	219		12.6	67.1	4.1
JFK MEDICAL CE	2823	745		26.4	73.8	6.9
KENNEDY MEMORI	1517	384		25.3	70.6	7.4
KIMBALL MEDICA	1844	319		17.3	75.5	4.2
LOURDES MEDICA	885	225		25.4	67.6	8.2
MEADOWLANDS HO	810	245		30.2	52.7	14.3
MEMORIAL HOSP	377	76		20.2	73.7	5.3
MONMOUTH MEDIC	4160	721		17.3	78.8	3.7
MORRISTOWN MEM	4043	978		24.2	75.7	5.9
MUHLENBERG REG	476	97		20.4	75.3	5.0
NEWARK BETH IS	3818	797		20.9	69.6	6.3
NEWTON MEMORIA	703	161		22.9	78.9	4.8
OCEAN MEDICAL	1044	263		25.2	81.0	4.8
OUR LADY OF LO	1327	48		3.6	70.8	1.1
OVERLOOK HOSPI	2476	605		24.4	72.2	6.8
PALISADES MEDI	1463	264		18.0	75.4	4.4
RARITAN BAY ME	1076	190		17.7	76.3	4.2
RIVERVIEW MEDI	1465	336		22.9	72.9	6.2
ROBERT WOOD JO	3591	643		17.9	75.0	4.5
SAINT CLARE'S	1662	498		30.0	72.3	8.3
SAINT JAMES HO	82	1		1.2	100.0	0.0
SHORE MEMORIAL	1357	306		22.5	68.6	7.1
SOMERSET MEDIC	1339	516		38.5	75.4	9.5
SOUTH JERSEY H	2548	435		17.1	82.5	3.0
SOUTHERN OCEAN	342	54		15.8	85.2	2.3
ST BARNABAS ME	5808	1133		19.5	65.1	6.8
ST MARYS HOSPI	1201	261		21.7	75.5	5.3
ST PETERS UNIV	6351	1334		21.0	71.8	5.9
ST. JOSEPH'S R	3738	674		18.0	74.3	4.6
THE MOUNTAINSI	728	100		13.7	72.0	3.8
THE VALLEY HOS	3436	740		21.5	75.5	5.3
TRINITAS HOSPI	2219	214		9.6	66.4	3.2
UMDNJ/UNIVERSI	1955	242		12.4	62.4	4.7
UNDERWOOD MEMO	1030	214		20.8	72.9	5.6
UNIVERSITY MED	2020	241		11.9	78.8	2.5
VIRTUA-MEMORIA	2162	631		29.2	70.4	8.6
VIRTUA-WEST JE	5282	446		8.4	66.8	2.8
WARREN HOSPITA	147	15		10.2	93.3	0.7
Total	109255	21822		20.0	72.2	5.5

NJ Hospital 2008 Induction Rates (source: NJ Center for Health Statistics)
High to Low

Facility Name	All Births	All Induced Births		% Induction	% Induction ending in vaginal birth	% Induction ending in c-section
SOMERSET MEDIC	1339	516		38.5	75.4	9.5
ENGLEWOOD HOSP	2168	686		31.6	86.6	4.2
MEADOWLANDS HO	810	245		30.2	52.7	14.3
SAINT CLARE'S	1662	498		30.0	72.3	8.3
VIRTUA-MEMORIA	2162	631		29.2	70.4	8.6
HUNTERDON MEDI	1235	335		27.1	75.2	6.7
COMMUNITY MEDI	1441	389		27.0	68.6	8.5
CAPITAL HEALTH	2458	658		26.8	76.6	6.3
JFK MEDICAL CE	2823	745		26.4	73.8	6.9
CAPE REGIONAL	517	136		26.3	71.3	7.5
LOURDES MEDICA	885	225		25.4	67.6	8.2
KENNEDY MEMORI	1517	384		25.3	70.6	7.4
OCEAN MEDICAL	1044	263		25.2	81.0	4.8
CHILTON MEMORI	1006	249		24.8	80.3	4.9
OVERLOOK HOSPI	2476	605		24.4	72.2	6.8
MORRISTOWN MEM	4043	978		24.2	75.7	5.9
COOPER HOSPITA	2368	564		23.8	77.8	5.3
RIVERVIEW MEDI	1465	336		22.9	72.9	6.2
NEWTON MEMORIA	703	161		22.9	78.9	4.8
HACKETTSTOWN R	885	202		22.8	68.3	7.2
SHORE MEMORIAL	1357	306		22.5	68.6	7.1
HACKENSACK UNI	6165	1354		22.0	64.4	7.8
ST MARYS HOSPI	1201	261		21.7	75.5	5.3
THE VALLEY HOS	3436	740		21.5	75.5	5.3
ST PETERS UNIV	6351	1334		21.0	71.8	5.9
NEWARK BETH IS	3818	797		20.9	69.6	6.3
UNDERWOOD MEMO	1030	214		20.8	72.9	5.6
MUHLENBERG REG	476	97		20.4	75.3	5.0
CENTRASTATE ME	1876	380		20.3	70.0	6.1
MEMORIAL HOSP	377	76		20.2	73.7	5.3
ST BARNABAS ME	5808	1133		19.5	65.1	6.8
PALISADES MEDI	1463	264		18.0	75.4	4.4
ST. JOSEPH'S R	3738	674		18.0	74.3	4.6
ROBERT WOOD JO	3591	643		17.9	75.0	4.5
RARITAN BAY ME	1076	190		17.7	76.3	4.2
MONMOUTH MEDIC	4160	721		17.3	78.8	3.7
KIMBALL MEDICA	1844	319		17.3	75.5	4.2
HOLY NAME HOSP	1343	230		17.1	63.9	6.2
SOUTH JERSEY H	2548	435		17.1	82.5	3.0
COLUMBUS HOSPI	194	33		17.0	84.8	2.6
SOUTHERN OCEAN	342	54		15.8	85.2	2.3
ATLANTICARE RE	2455	380		15.5	71.8	4.4
CHRIST HOSPITA	1221	180		14.7	65.0	5.2
HOBOKEN UNIVER	1526	217		14.2	61.3	5.5
JERSEY CITY ME	1530	213		13.9	55.9	6.1
THE MOUNTAINSI	728	100		13.7	72.0	3.8
CLARA MAASS ME	1818	245		13.5	69.0	4.2
JERSEY SHORE U	1744	219		12.6	67.1	4.1
UMDNJ/UNIVERSI	1955	242		12.4	62.4	4.7
UNIVERSITY MED	2020	241		11.9	78.8	2.5
WARREN HOSPITA	147	15		10.2	93.3	0.7
TRINITAS HOSPI	2219	214		9.6	66.4	3.2
VIRTUA-WEST JE	5282	446		8.4	66.8	2.8
OUR LADY OF LO	1327	48		3.6	70.8	1.1
SAINT JAMES HO	82	1		1.2	100.0	0.0
Total	109255	21822		20.0	72.2	5.5

NJ Hospital 2008 Epidural Statistics

NJ Hospital 2008 Epidural Statistics (source: NJ Center for Health Statistics)
Alphabetical Order

Facility Name	All Vaginal Births		% Epidural/Spinal
ATLANTIC CITY	3		0.0
ATLANTICARE RE	1517		59.1
CAPE REGIONAL	333		36.0
CAPITAL HEALTH	1644		29.1
CENTRASTATE ME	963		74.1
CHILTON MEMORI	637		81.9
CHRIST HOSPITA	639		57.4
CLARA MAASS ME	1090		77.2
COLUMBUS HOSPI	131		32.1
COMMUNITY MEDI	789		70.3
COOPER HOSPITA	1664		72.1
ENGLEWOOD HOSP	1492		88.8
HACKENSACK UNI	3143		83.6
HACKETTSTOWN R	598		33.6
HOBOKEN UNIVER	864		76.4
HOLY NAME HOSP	762		81.6
HUNTERDON MEDI	713		63.8
JERSEY CITY ME	866		59.4
JERSEY SHORE U	987		74.7
JFK MEDICAL CE	1816		68.7
KENNEDY MEMORI	912		81.9
KIMBALL MEDICA	1406		68.1
LOURDES MEDICA	542		84.7
MEADOWLANDS HO	351		73.8
MEMORIAL HOSP	242		40.9
MONMOUTH MEDIC	3052		72.7
MORRISTOWN MEM	2367		83.9
MUHLENBERG REG	354		29.7
NEWARK BETH IS	2367		46.3
NEWTON MEMORIA	473		60.3
OCEAN MEDICAL	733		75.3
OUR LADY OF LO	859		79.0
OVERLOOK HOSPI	1420		84.9
PALISADES MEDI	1026		53.6
RARITAN BAY ME	725		47.9
RIVERVIEW MEDI	803		85.1
ROBERT WOOD JO	2288		68.6
SAINT CLARE'S	974		81.9
SAINT JAMES HO	32		25.0
SHORE MEMORIAL	817		54.2
SOMERSET MEDIC	799		85.4
SOUTH JERSEY H	1776		29.5
SOUTHERN OCEAN	224		64.7
ST BARNABAS ME	2946		91.2
ST MARYS HOSPI	759		38.6
ST PETERS UNIV	3790		97.5
ST. FRANCIS ME	1		0.0
ST. JOSEPH'S R	2213		76.3
THE MOUNTAINSI	438		65.5
THE VALLEY HOS	1825		81.9
TRINITAS HOSPI	1483		53.1
UMDNJ EMERGENC	1		0.0
UMDNJ/UNIVERSI	1188		54.5
UNDERWOOD MEMO	709		81.9
UNIVERSITY MED Princeton	1408		67.8
UNIVERSITY OF	2		0.0
VIRTUA-MEMORIA	1234		88.0
VIRTUA-WEST JE	2958		91.3
WARREN HOSPITA	93		25.8
WEST JERSEY HE	1		0.0
Total	66242		71.6

NJ Hospital 2008 Epidural Statistics (source: NJ Center for Health Statistics)
High to Low

Facility Name	All Vaginal Births		% Epidural/Spinal
ST PETERS UNIV	3790		97.5
VIRTUA-WEST JE	2958		91.3
ST BARNABAS ME	2946		91.2
ENGLEWOOD HOSP	1492		88.8
VIRTUA-MEMORIA	1234		88.0
SOMERSET MEDIC	799		85.4
RIVERVIEW MEDI	803		85.1
OVERLOOK HOSPI	1420		84.9
LOURDES MEDICA	542		84.7
MORRISTOWN MEM	2367		83.9
HACKENSACK UNI	3143		83.6
CHILTON MEMORI	637		81.9
UNDERWOOD MEMO	709		81.9
SAINT CLARE'S	974		81.9
KENNEDY MEMORI	912		81.9
THE VALLEY HOS	1825		81.9
HOLY NAME HOSP	762		81.6
OUR LADY OF LO	859		79.0
CLARA MAASS ME	1090		77.2
HOBOKEN UNIVER	864		76.4
ST. JOSEPH'S R	2213		76.3
OCEAN MEDICAL	733		75.3
JERSEY SHORE U	987		74.7
CENTRASTATE ME	963		74.1
MEADOWLANDS HO	351		73.8
MONMOUTH MEDIC	3052		72.7
COOPER HOSPITA	1664		72.1
COMMUNITY MEDI	789		70.3
JFK MEDICAL CE	1816		68.7
ROBERT WOOD JO	2288		68.6
KIMBALL MEDICA	1406		68.1
UNIVERSITY MED Princeton	1408		67.8
THE MOUNTAINSI	438		65.5
SOUTHERN OCEAN	224		64.7
HUNTERDON MEDI	713		63.8
NEWTON MEMORIA	473		60.3
JERSEY CITY ME	866		59.4
ATLANTICARE RE	1517		59.1
CHRIST HOSPITA	639		57.4
UMDNJ/UNIVERSI	1188		54.5
SHORE MEMORIAL	817		54.2
PALISADES MEDI	1026		53.6
TRINITAS HOSPI	1483		53.1
RARITAN BAY ME	725		47.9
NEWARK BETH IS	2367		46.3
MEMORIAL HOSP	242		40.9
ST MARYS HOSPI	759		38.6
CAPE REGIONAL	333		36.0
HACKETTSTOWN R	598		33.6
COLUMBUS HOSPI	131		32.1
MUHLENBERG REG	354		29.7
SOUTH JERSEY H	1776		29.5
CAPITAL HEALTH	1644		29.1
WARREN HOSPITA	93		25.8
SAINT JAMES HO	32		25.0
ATLANTIC CITY	3		0.0
ST. FRANCIS ME	1		0.0
UMDNJ EMERGENC	1		0.0
UNIVERSITY OF	2		0.0
WEST JERSEY HE	1		0.0
Total	66242		71.6

NJ Hospital 2008 Episiotomy Rates

NJ Hospital 2008 Episiotomy Rates (source: NJ Center for Health Statistics)
Alphabetical Order

Facility Name	All Vaginal Births	Episiotomies
				% Episiotomy
ATLANTICARE RE	1517	54		3.6
CAPE REGIONAL	333	161		48.3
CAPITAL HEALTH	1644	187		11.4
CENTRASTATE ME	963	201		20.9
CHILTON MEMORI	637	136		21.4
CHRIST HOSPITA	639	69		10.8
CLARA MAASS ME	1090	109		10.0
COMMUNITY MEDI	789	187		23.7
COOPER HOSPITA	1664	50		3.0
ENGLEWOOD HOSP	1492	353		23.7
HACKENSACK UNI	3143	764		24.3
HACKETTSTOWN R	598	83		13.9
HOBOKEN UNIVER	864	100		11.6
HOLY NAME HOSP	762	45		5.9
HUNTERDON MEDI	713	93		13.0
JERSEY CITY ME	866	198		22.9
JERSEY SHORE U	987	27		2.7
JFK MEDICAL CE	1816	895		49.3
KENNEDY MEMORI	912	156		17.1
KIMBALL MEDICA	1406	391		27.8
LOURDES MEDICA	542	101		18.6
MEADOWLANDS HO	351	153		43.6
MEMORIAL HOSP	242	45		18.6
MONMOUTH MEDIC	3052	40		1.3
MORRISTOWN MEM	2367	814		34.4
NEWARK BETH IS	2367	320		13.5
NEWTON MEMORIA	473	76		16.1
OCEAN MEDICAL	733	112		15.3
OUR LADY OF LO	859	19		2.2
OVERLOOK HOSPI	1420	417		29.4
PALISADES MEDI	1026	303		29.5
RARITAN BAY ME	725	244		33.7
RIVERVIEW MEDI	803	210		26.2
ROBERT WOOD JO	2288	340		14.9
SAINT CLARE'S	974	587		60.3
SHORE MEMORIAL	817	316		38.7
SOMERSET MEDIC	799	218		27.3
SOUTH JERSEY H	1776	78		4.4
SOUTHERN OCEAN	224	36		16.1
ST BARNABAS ME	2946	779		26.4
ST MARYS HOSPI	759	166		21.9
ST PETERS UNIV	3790	1309		34.5
ST. JOSEPH'S R	2213	89		4.0
THE MOUNTAINSI	438	119		27.2
THE VALLEY HOS	1825	666		36.5
TRINITAS HOSPI	1483	136		9.2
UMDNJ/UNIVERSI	1188	24		2.0
UNDERWOOD MEMO	709	51		7.2
UNIVERSITY MED Princeton	1408	23		1.6
VIRTUA-MEMORIA	1234	161		13.0
VIRTUA-WEST JE	2958	48		1.6

NJ Hospital 2008 Episiotomy Rates (source: NJ Center for Health Statistics)
High to Low

Facility Name	All Vaginal Births	Episiotomies
				% Episiotomy
SAINT CLARE'S	974	587		60.3
JFK MEDICAL CE	1816	895		49.3
CAPE REGIONAL	333	161		48.3
MEADOWLANDS HO	351	153		43.6
SHORE MEMORIAL	817	316		38.7
THE VALLEY HOS	1825	666		36.5
ST PETERS UNIV	3790	1309		34.5
MORRISTOWN MEM	2367	814		34.4
RARITAN BAY ME	725	244		33.7
PALISADES MEDI	1026	303		29.5
OVERLOOK HOSPI	1420	417		29.4
KIMBALL MEDICA	1406	391		27.8
SOMERSET MEDIC	799	218		27.3
THE MOUNTAINSI	438	119		27.2
ST BARNABAS ME	2946	779		26.4
RIVERVIEW MEDI	803	210		26.2
HACKENSACK UNI	3143	764		24.3
COMMUNITY MEDI	789	187		23.7
ENGLEWOOD HOSP	1492	353		23.7
JERSEY CITY ME	866	198		22.9
ST MARYS HOSPI	759	166		21.9
CHILTON MEMORI	637	136		21.4
CENTRASTATE ME	963	201		20.9
LOURDES MEDICA	542	101		18.6
MEMORIAL HOSP	242	45		18.6
KENNEDY MEMORI	912	156		17.1
SOUTHERN OCEAN	224	36		16.1
NEWTON MEMORIA	473	76		16.1
OCEAN MEDICAL	733	112		15.3
ROBERT WOOD JO	2288	340		14.9
HACKETTSTOWN R	598	83		13.9
NEWARK BETH IS	2367	320		13.5
VIRTUA-MEMORIA	1234	161		13.0
HUNTERDON MEDI	713	93		13.0
HOBOKEN UNIVER	864	100		11.6
CAPITAL HEALTH	1644	187		11.4
CHRIST HOSPITA	639	69		10.8
CLARA MAASS ME	1090	109		10.0
TRINITAS HOSPI	1483	136		9.2
UNDERWOOD MEMO	709	51		7.2
HOLY NAME HOSP	762	45		5.9
SOUTH JERSEY H	1776	78		4.4
ST. JOSEPH'S R	2213	89		4.0
ATLANTICARE RE	1517	54		3.6
COOPER HOSPITA	1664	50		3.0
JERSEY SHORE U	987	27		2.7
OUR LADY OF LO	859	19		2.2
UMDNJ/UNIVERSI	1188	24		2.0
UNIVERSITY MED Princeton	1408	23		1.6
VIRTUA-WEST JE	2958	48		1.6
MONMOUTH MEDIC	3052	40		1.3

NJ Hospitals 2008 Midwife-Attended Births

NJ Hospitals 2008 Midwife-Attended Births (source: NJ center for Health Statistics)
Alphabetical Order

Facility Name	All Births	Attendant at Birth
		MD	DO	CNM	Other midwife		% midwife attended	% c-section	% VBAC
ATLANTICARE RE	2455	1724	198	533	0		21.7	38.2	4.6
CAPE REGIONAL	517	289	227	0	0		0.0	35.6	8.6
CAPITAL HEALTH	2458	1286	259	913	0		37.1	33.1	19.0
CENTRASTATE ME	1876	1876	0	0	0		0.0	48.7	2.0
CHILTON MEMORI	1006	967	31	0	0		0.0	36.7	5.2
CHRIST HOSPITA	1221	1221	0	0	0		0.0	47.7	3.4
CLARA MAASS ME	1818	1812	0	0	0		0.0	40.0	4.5
COMMUNITY MEDI	1441	718	656	64	0		4.4	45.2	4.1
COOPER HOSPITA	2368	2060	308	0	0		0.0	29.7	19.8
ENGLEWOOD HOSP	2168	2168	0	0	0		0.0	31.2	10.5
HACKENSACK UNI	6165	5735	430	0	0		0.0	49.0	6.1
HACKETTSTOWN R	885	398	132	346	0		39.1	32.4	0.0
HOBOKEN UNIVER	1526	1526	0	0	0		0.0	43.4	4.8
HOLY NAME HOSP	1343	1138	151	37	17		4.0	43.3	3.2
HUNTERDON MEDI	1235	940	205	87	0		7.0	42.3	12.7
JERSEY CITY ME	1530	1406	0	123	1		8.1	43.4	6.9
JERSEY SHORE U	1744	1673	0	71	0		4.1	43.4	8.8
JFK MEDICAL CE	2823	2694	118	0	0		0.0	35.7	6.8
KENNEDY MEMORI	1517	417	841	258	1		17.1	39.9	11.9
KIMBALL MEDICA	1844	949	300	591	0		32.0	23.8	32.9
LOURDES MEDICA	885	623	262	0	0		0.0	38.8	4.7
MEADOWLANDS HO	810	810	0	0	0		0.0	56.7	4.2
MEMORIAL HOSP	377	343	34	0	0		0.0	35.8	0.0
MONMOUTH MEDIC	4160	2372	1539	249	0		6.0	26.6	23.8
MORRISTOWN MEM	4043	3745	64	230	0		5.7	41.5	8.8
NEWARK BETH IS	3818	2688	398	727	4		19.1	38.0	5.1
NEWTON MEMORIA	703	503	130	64	0		9.1	32.7	4.8
OCEAN MEDICAL	1044	1018	0	19	0		1.8	29.8	7.0
OUR LADY OF LO	1327	677	588	61	0		4.6	35.3	10.7
OVERLOOK HOSPI	2476	2464	0	0	12		0.5	42.6	3.6
PALISADES MEDI	1463	1370	0	93	0		6.4	29.9	12.1
RARITAN BAY ME	1076	1052	0	22	1		2.1	32.6	5.3
RIVERVIEW MEDI	1465	1465	0	0	0		0.0	45.2	2.9
ROBERT WOOD JO	3591	3249	109	232	0		6.5	36.3	9.1
SAINT CLARE'S	1662	1261	369	32	0		1.9	41.4	4.1
SHORE MEMORIAL	1357	1227	0	129	0		9.5	39.8	3.9
SOMERSET MEDIC	1339	1312	0	27	0		2.0	40.3	4.7
SOUTH JERSEY H	2548	1106	112	1330	0		52.2	30.3	4.1
SOUTHERN OCEAN	342	296	1	44	0		12.9	34.5	2.0
ST BARNABAS ME	5808	5685	123	0	0		0.0	49.3	2.1
ST MARYS HOSPI	1201	735	128	338	0		28.1	36.8	2.0
ST PETERS UNIV	6351	6219	132	0	0		0.0	40.3	6.5
ST. JOSEPH'S R	3738	3323	17	397	0		10.6	40.8	2.7
THE MOUNTAINSI	728	728	0	0	0		0.0	39.8	9.9
THE VALLEY HOS	3436	3176	209	51	0		1.5	46.9	4.4
TRINITAS HOSPI	2219	1241	0	889	13		40.6	33.2	13.0
UMDNJ/UNIVERSI	1955	1889	43	1	0		0.1	39.2	19.9
UNDERWOOD MEMO	1030	701	329	0	0		0.0	31.2	7.6
UNIVERSITY MED Princeton	2020	1730	0	290	0		14.4	30.3	9.4
VIRTUA-MEMORIA	2162	1412	743	4	3		0.3	42.9	3.6

NJ Hospitals 2008 Midwife-Attended Births (source: NJ center for Health Statistics)
High to Low

Facility Name	All Births	Attendant at Birth
		MD	DO	CNM	Other midwife		% midwife attended	% c-section	% VBAC
SOUTH JERSEY H	2548	1106	112	1330	0		52.2	30.3	4.1
TRINITAS HOSPI	2219	1241	0	889	13		40.6	33.2	13.0
HACKETTSTOWN R	885	398	132	346	0		39.1	32.4	0.0
CAPITAL HEALTH	2458	1286	259	913	0		37.1	33.1	19.0
KIMBALL MEDICA	1844	949	300	591	0		32.0	23.8	32.9
ST MARYS HOSPI	1201	735	128	338	0		28.1	36.8	2.0
ATLANTICARE RE	2455	1724	198	533	0		21.7	38.2	4.6
NEWARK BETH IS	3818	2688	398	727	4		19.1	38.0	5.1
KENNEDY MEMORI	1517	417	841	258	1		17.1	39.9	11.9
UNIVERSITY MED Princeton	2020	1730	0	290	0		14.4	30.3	9.4
SOUTHERN OCEAN	342	296	1	44	0		12.9	34.5	2.0
ST. JOSEPH'S R	3738	3323	17	397	0		10.6	40.8	2.7
SHORE MEMORIAL	1357	1227	0	129	0		9.5	39.8	3.9
NEWTON MEMORIA	703	503	130	64	0		9.1	32.7	4.8
JERSEY CITY ME	1530	1406	0	123	1		8.1	43.4	6.9
HUNTERDON MEDI	1235	940	205	87	0		7.0	42.3	12.7
ROBERT WOOD JO	3591	3249	109	232	0		6.5	36.3	9.1
PALISADES MEDI	1463	1370	0	93	0		6.4	29.9	12.1
MONMOUTH MEDIC	4160	2372	1539	249	0		6.0	26.6	23.8
MORRISTOWN MEM	4043	3745	64	230	0		5.7	41.5	8.8
OUR LADY OF LO	1327	677	588	61	0		4.6	35.3	10.7
COMMUNITY MEDI	1441	718	656	64	0		4.4	45.2	4.1
JERSEY SHORE U	1744	1673	0	71	0		4.1	43.4	8.8
HOLY NAME HOSP	1343	1138	151	37	17		4.0	43.3	3.2
VIRTUA-WEST JE	5282	4711	433	129	8		2.6	44.0	4.5
RARITAN BAY ME	1076	1052	0	22	1		2.1	32.6	5.3
SOMERSET MEDIC	1339	1312	0	27	0		2.0	40.3	4.7
SAINT CLARE'S	1662	1261	369	32	0		1.9	41.4	4.1
OCEAN MEDICAL	1044	1018	0	19	0		1.8	29.8	7.0
THE VALLEY HOS	3436	3176	209	51	0		1.5	46.9	4.4
OVERLOOK HOSPI	2476	2464	0	0	12		0.5	42.6	3.6
VIRTUA-MEMORIA	2162	1412	743	4	3		0.3	42.9	3.6
UMDNJ/UNIVERSI	1955	1889	43	1	0		0.1	39.2	19.9
COOPER HOSPITA	2368	2060	308	0	0		0.0	29.7	19.8
ENGLEWOOD HOSP	2168	2168	0	0	0		0.0	31.2	10.5
THE MOUNTAINSI	728	728	0	0	0		0.0	39.8	9.9
CAPE REGIONAL	517	289	227	0	0		0.0	35.6	8.6
UNDERWOOD MEMO	1030	701	329	0	0		0.0	31.2	7.6
JFK MEDICAL CE	2823	2694	118	0	0		0.0	35.7	6.8
ST PETERS UNIV	6351	6219	132	0	0		0.0	40.3	6.5
HACKENSACK UNI	6165	5735	430	0	0		0.0	49.0	6.1
CHILTON MEMORI	1006	967	31	0	0		0.0	36.7	5.2
HOBOKEN UNIVER	1526	1526	0	0	0		0.0	43.4	4.8
LOURDES MEDICA	885	623	262	0	0		0.0	38.8	4.7
CLARA MAASS ME	1818	1812	0	0	0		0.0	40.0	4.5
MEADOWLANDS HO	810	810	0	0	0		0.0	56.7	4.2
CHRIST HOSPITA	1221	1221	0	0	0		0.0	47.7	3.4
RIVERVIEW MEDI	1465	1465	0	0	0		0.0	45.2	2.9
ST BARNABAS ME	5808	5685	123	0	0		0.0	49.3	2.1
CENTRASTATE ME	1876	1876	0	0	0		0.0	48.7	2.0
MEMORIAL HOSP	377	343	34	0	0		0.0	35.8	0.0

NJ Hospitals 2008 VBAC Rates

NJ Hospitals 2008 VBAC rates (source: NJ Center for Health Statistics)
Alphabetical Order

Facility Name	All Births	# Prior Cesarean
			# VBAC		% VBAC
ATLANTICARE RE	2455	432	20		4.6
CAPE REGIONAL	517	81	7		8.6
CAPITAL HEALTH	2458	342	65		19.0
CENTRASTATE ME	1876	397	8		2.0
CHILTON MEMORI	1006	192	10		5.2
CHRIST HOSPITA	1221	238	8		3.4
CLARA MAASS ME	1818	312	14		4.5
COMMUNITY MEDI	1441	291	12		4.1
COOPER HOSPITA	2368	364	72		19.8
ENGLEWOOD HOSP	2168	325	34		10.5
HACKENSACK UNI	6165	1206	73		6.1
HACKETTSTOWN R	885	101	0		0.0
HOBOKEN UNIVER	1526	270	13		4.8
HOLY NAME HOSP	1343	221	7		3.2
HUNTERDON MEDI	1235	237	30		12.7
JERSEY CITY ME	1530	306	21		6.9
JERSEY SHORE U	1744	227	20		8.8
JFK MEDICAL CE	2823	454	31		6.8
KENNEDY MEMORI	1517	269	32		11.9
KIMBALL MEDICA	1844	286	94		32.9
LOURDES MEDICA	885	150	7		4.7
MEADOWLANDS HO	810	167	7		4.2
MEMORIAL HOSP	377	58	0		0.0
MONMOUTH MEDIC	4160	390	93		23.8
MORRISTOWN MEM	4043	726	64		8.8
MUHLENBERG REG	476	62	0		0.0
NEWARK BETH IS	3818	665	34		5.1
NEWTON MEMORIA	703	83	4		4.8
OCEAN MEDICAL	1044	157	11		7.0
OUR LADY OF LO	1327	215	23		10.7
OVERLOOK HOSPI	2476	468	17		3.6
PALISADES MEDI	1463	215	26		12.1
RARITAN BAY ME	1076	171	9		5.3
RIVERVIEW MEDI	1465	306	9		2.9
ROBERT WOOD JO	3591	569	52		9.1
SAINT CLARE'S	1662	269	11		4.1
SHORE MEMORIAL	1357	256	10		3.9
SOMERSET MEDIC	1339	276	13		4.7
SOUTH JERSEY H	2548	392	16		4.1
SOUTHERN OCEAN	342	51	1		2.0
ST BARNABAS ME	5808	1133	24		2.1
ST MARYS HOSPI	1201	245	5		2.0
ST PETERS UNIV	6351	1044	68		6.5
ST. FRANCIS ME	1	0	0		#DIV/0!
ST. JOSEPH'S R	3738	655	18		2.7
THE MOUNTAINSI	728	131	13		9.9
THE VALLEY HOS	3436	706	31		4.4
TRINITAS HOSPI	2219	330	43		13.0
UMDNJ/UNIVERSI	1955	362	72		19.9
UNDERWOOD MEMO	1030	144	11		7.6
UNIVERSITY MED Princeton	2020	298	28		9.4
VIRTUA-MEMORIA	2162	415	15		3.6
VIRTUA-WEST JE	5282	866	39		4.5

NJ Hospitals 2008 VBAC rate
High to Low

Facility Name	All Births	Prior Cesarean
			VBAC	% VBAC
KIMBALL MEDICA	1844	286	94	32.9
MONMOUTH MEDIC	4160	390	93	23.8
UMDNJ/UNIVERSI	1955	362	72	19.9
COOPER HOSPITA	2368	364	72	19.8
CAPITAL HEALTH	2458	342	65	19.0
TRINITAS HOSPI	2219	330	43	13.0
HUNTERDON MEDI	1235	237	30	12.7
PALISADES MEDI	1463	215	26	12.1
KENNEDY MEMORI	1517	269	32	11.9
OUR LADY OF LO	1327	215	23	10.7
ENGLEWOOD HOSP	2168	325	34	10.5
THE MOUNTAINSI	728	131	13	9.9
UNIVERSITY MED Princeton	2020	298	28	9.4
ROBERT WOOD JO	3591	569	52	9.1
MORRISTOWN MEM	4043	726	64	8.8
JERSEY SHORE U	1744	227	20	8.8
CAPE REGIONAL	517	81	7	8.6
UNDERWOOD MEMO	1030	144	11	7.6
OCEAN MEDICAL	1044	157	11	7.0
JERSEY CITY ME	1530	306	21	6.9
JFK MEDICAL CE	2823	454	31	6.8
ST PETERS UNIV	6351	1044	68	6.5
HACKENSACK UNI	6165	1206	73	6.1
RARITAN BAY ME	1076	171	9	5.3
CHILTON MEMORI	1006	192	10	5.2
NEWARK BETH IS	3818	665	34	5.1
NEWTON MEMORIA	703	83	4	4.8
HOBOKEN UNIVER	1526	270	13	4.8
SOMERSET MEDIC	1339	276	13	4.7
LOURDES MEDICA	885	150	7	4.7
ATLANTICARE RE	2455	432	20	4.6
VIRTUA-WEST JE	5282	866	39	4.5
CLARA MAASS ME	1818	312	14	4.5
THE VALLEY HOS	3436	706	31	4.4
MEADOWLANDS HO	810	167	7	4.2
COMMUNITY MEDI	1441	291	12	4.1
SAINT CLARE'S	1662	269	11	4.1
SOUTH JERSEY H	2548	392	16	4.1
SHORE MEMORIAL	1357	256	10	3.9
OVERLOOK HOSPI	2476	468	17	3.6
VIRTUA-MEMORIA	2162	415	15	3.6
CHRIST HOSPITA	1221	238	8	3.4
HOLY NAME HOSP	1343	221	7	3.2
RIVERVIEW MEDI	1465	306	9	2.9
ST. JOSEPH'S R	3738	655	18	2.7
ST BARNABAS ME	5808	1133	24	2.1
ST MARYS HOSPI	1201	245	5	2.0
CENTRASTATE ME	1876	397	8	2.0
SOUTHERN OCEAN	342	51	1	2.0
MEMORIAL HOSP	377	58	0	0.0
HACKETTSTOWN R	885	101	0	0.0

VBAC rate is determined based on the number of births that prior cesareans (i.e. the stats only include women that were potential eligible for VBAC)

NJ Hopitals 2008 Cesarean Rate

NJ Hospital Cesarean Rates 2008 (source: NJ Center for Health Statistics)
Alphabetical Order
    

Facility Name	All Births
			% c-section	% Primary C-section
ATLANTICARE RE	2455		38.2	21.4
CAPE REGIONAL	517		35.6	21.3
CAPITAL HEALTH	2458		33.1	21.8
CENTRASTATE ME	1876		48.7	27.9
CHILTON MEMORI	1006		36.7	18.6
CHRIST HOSPITA	1221		47.7	28.8
CLARA MAASS ME	1818		40.0	23.7
COMMUNITY MEDI	1441		45.2	25.9
COOPER HOSPITA	2368		29.7	17.4
ENGLEWOOD HOSP	2168		31.2	17.8
HACKENSACK UNI	6165		49.0	30.6
HACKETTSTOWN R	885		32.4	21.0
HOBOKEN UNIVER	1526		43.4	26.5
HOLY NAME HOSP	1343		43.3	27.3
HUNTERDON MEDI	1235		42.3	25.5
JERSEY CITY ME	1530		43.4	24.8
JERSEY SHORE U	1744		43.4	31.5
JFK MEDICAL CE	2823		35.7	20.7
KENNEDY MEMORI	1517		39.9	24.3
KIMBALL MEDICA	1844		23.8	13.2
LOURDES MEDICA	885		38.8	22.6
MEADOWLANDS HO	810		56.7	36.9
MEMORIAL HOSP	377		35.8	20.4
MONMOUTH MEDIC	4160		26.6	19.5
MORRISTOWN MEM	4043		41.5	25.1
NEWARK BETH IS	3818		38.0	21.5
NEWTON MEMORIA	703		32.7	21.5
OCEAN MEDICAL	1044		29.8	15.8
OUR LADY OF LO	1327		35.3	20.8
OVERLOOK HOSPI	2476		42.6	24.4
PALISADES MEDI	1463		29.9	17.0
RARITAN BAY ME	1076		32.6	17.6
RIVERVIEW MEDI	1465		45.2	24.9
ROBERT WOOD JO	3591		36.3	21.9
SAINT CLARE'S	1662		41.4	25.9
SHORE MEMORIAL	1357		39.8	21.7
SOMERSET MEDIC	1339		40.3	20.7
SOUTH JERSEY H	2548		30.3	15.5
SOUTHERN OCEAN	342		34.5	19.9
ST BARNABAS ME	5808		49.3	29.2
ST MARYS HOSPI	1201		36.8	16.8
ST PETERS UNIV	6351		40.3	25.0
ST. JOSEPH'S R	3738		40.8	23.8
THE MOUNTAINSI	728		39.8	23.6
THE VALLEY HOS	3436		46.9	27.2
TRINITAS HOSPI	2219		33.2	20.2
UMDNJ/UNIVERSI	1955		39.2	24.4
UNDERWOOD MEMO	1030		31.2	18.3
UNIVERSITY MED Princeton	2020		30.3	16.9
VIRTUA-MEMORIA	2162		42.9	24.4
VIRTUA-WEST JE	5282		44.0	28.3

 

NJ Hospital Cesarean Rates 2008

High to Low

Facility Name	All Births
			% C-section	% Primary C-section
MEADOWLANDS HO	810		56.7	36.9
ST BARNABAS ME	5808		49.3	29.2
HACKENSACK UNI	6165		49.0	30.6
CENTRASTATE ME	1876		48.7	27.9
CHRIST HOSPITA	1221		47.7	28.8
THE VALLEY HOS	3436		46.9	27.2
COMMUNITY MEDI	1441		45.2	25.9
RIVERVIEW MEDI	1465		45.2	24.9
VIRTUA-WEST JE	5282		44.0	28.3
JERSEY SHORE U	1744		43.4	31.5
JERSEY CITY ME	1530		43.4	24.8
HOBOKEN UNIVER	1526		43.4	26.5
HOLY NAME HOSP	1343		43.3	27.3
VIRTUA-MEMORIA	2162		42.9	24.4
OVERLOOK HOSPI	2476		42.6	24.4
HUNTERDON MEDI	1235		42.3	25.5
MORRISTOWN MEM	4043		41.5	25.1
SAINT CLARE'S	1662		41.4	25.9
ST. JOSEPH'S R	3738		40.8	23.8
SOMERSET MEDIC	1339		40.3	20.7
ST PETERS UNIV	6351		40.3	25.0
CLARA MAASS ME	1818		40.0	23.7
KENNEDY MEMORI	1517		39.9	24.3
THE MOUNTAINSI	728		39.8	23.6
SHORE MEMORIAL	1357		39.8	21.7
UMDNJ/UNIVERSI	1955		39.2	24.4
LOURDES MEDICA	885		38.8	22.6
ATLANTICARE RE	2455		38.2	21.4
NEWARK BETH IS	3818		38.0	21.5
ST MARYS HOSPI	1201		36.8	16.8
CHILTON MEMORI	1006		36.7	18.6
ROBERT WOOD JO	3591		36.3	21.9
MEMORIAL HOSP	377		35.8	20.4
JFK MEDICAL CE	2823		35.7	20.7
CAPE REGIONAL	517		35.6	21.3
OUR LADY OF LO	1327		35.3	20.8
SOUTHERN OCEAN	342		34.5	19.9
TRINITAS HOSPI	2219		33.2	20.2
CAPITAL HEALTH	2458		33.1	21.8
NEWTON MEMORIA	703		32.7	21.5
RARITAN BAY ME	1076		32.6	17.6
HACKETTSTOWN R	885		32.4	21.0
ENGLEWOOD HOSP	2168		31.2	17.8
UNDERWOOD MEMO	1030		31.2	18.3
SOUTH JERSEY H	2548		30.3	15.5
UNIVERSITY MED Princeton	2020		30.3	16.9
PALISADES MEDI	1463		29.9	17.0
OCEAN MEDICAL	1044		29.8	15.8
COOPER HOSPITA	2368		29.7	17.4
MONMOUTH MEDIC	4160		26.6	19.5
MUHLENBERG REG	476		25.6	12.6
KIMBALL MEDICA	1844		23.8	13.2

NJ HOSPITAL BIRTH STATISTICS 2008

They are in!!!  I will begin the process of publishing the birth statistics for 2008.

Among this year's highlights:

The cesarean rate in NJ rose to 39.4% of all births, up from 38.9% in 2007.

Nearly 3/4 of all vaginal births in NJ include epidurals

The GOLD STAR goes to Monmouth Medical Center for LOWERING their c-section rate to 26.6% (from 27.4%) and upping their VBAC rate to 23.8% (from 21.2%)and having an epsiotomy rate of just 1.3%!

St Barnabas can no longer claim to deliver the most babies in NJ!  That title now belongs to St Peters followed by Hackensack followed by St Barnabas

The cesarean rate at Southern Ocean County Hospital fell a total 10% (from 44.9 to 34.5%)!  Granted, they don't do many births(342 in 2008) but it's refreshing!