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.