ICAN of Somerset County, NJ

Only 13.8% of Cesarean moms in NJ attempt VBAC

So I was looking at the 2007 birth statistics trying to determine how many woman in NJ actually attempt a VBAC. 

In 2007 we had:

18,768 births with women who had a previous c-section

         16,179 (86.2%) women had a repeat c-section (86.2%)
          2,589 (13.8%) women attempted a VBAC (13.8%)

Of the 2,589 VBAC attempts:
       1,466 had a successful VBAC (7.8% of all women with previous c-s)
        1,123 had a failed TOL ( 6.0% of all women with previous c-s)

Looking at these numbers, it means that only 56.6% of women in NJ who attempt a VBAC actually have a successful VBAC.  :(  Our VBAC success rate SHOULD be higher.  Studies consistently shower higher rates of success with VBAC.  Why are NJ women different???

NJ would rank 51st in maternal death rate per 100,000 live births

The US ranks 41st in the world for maternal death rate with  13.1 maternal deaths per 100,000 live births.  (CHC reference) & (reference). There are 40 other countries were it is safer for women to give birth!!  (reference)

It is safer to give birth in the following countries: Australia, Austria,Belgium,Bosnia and Herzegovina,  Bulgaria, Canada, Chile, Croatia, Cyprus, Czech Republic, Denmark, Finland, France,Germany, Greece, Hungary, Iceland, Ireland, Israel, Italy, Japan, Kuwait, Latvia, Lithuania, Luxemborg, Malta, Netherlands,New Zealand, Norway, Poland, Portugal, Quatar, Slovakia, Slovenia, Spain, Sweden, Switzerland, The former Yugoslav Republic of Macedonia, and the United Kingdom

If NJ were a separate country, (with our  maternal death rate of 21 deaths per 100,000 live births) we would rank 51st in the world.  

In addition the the 40 countries the US (as a whole) ranks behind, we would also be behind: Bahamas, Barbados, Balaras, Brunei Darussalam, Republic of Korea, Saudi Arabia, Serbia and Montenegro, Singapore, Ukraine, Uruguay

MATERNAL DEATH RATE IN NJ IS 21 per 100,000 live births

Does this get your attention??

In 2004, the NJ maternal death rate was 21 deaths per 100,000 live births.*
{reference: ; birth data from the Center for Health Statistics, electronic birth certificate file)

In 2004, the US maternal death rate was 13.1 deaths per 100,000 live births.

REFERENCE:(page 12/120)

The NJ maternal death rate is 60% higher than the US average

NJ 2005 information

In 2005, the NJ maternal death rate was still 21 deaths per 100,000 live births

In 2005, the number of NJ maternal deaths was 23 (reference), while the number of births was 110.302 (reference: Center for Health Statistics, Electronic birth certificate data)

* Note: in 2004, there was a change to the NJ death certificate expanding the check boxes for pregnancy related deaths so it is possible that more women are being included in the NJ maternal death rate than in prior years in NJ and it is possible that more women are being in included in the NJ maternal death rate than other states in the US who do not routinely ask about pregnancy (or as many pregnancy related questions) on death certificates.

NJ HOSPITALS USE OF PAIN RELIEF FOR VAGINAL BIRTH 2007

Where are you most likely to have an epidural??  Which hospitals can support a natural vaginal delivery??

Below are the statistics for the use of various types of pain relief for vaginal deliveries in NJ hospitals.

Pain relief used during vaginal delivery (hospital alphabetical order):

Facility Name	All Vaginal Births	Epidural	Spinal	Local	None		% Epidural
ATLANTIC CITY	5	0	0	1	4		0.0
ATLANTICARE RE	1509	833	18	240	444		55.2
BARNERT HOSPIT	287	40	3	100	148		13.9
BURDETTE TOMLI	110	34	2	44	35		30.9
CAPE REGIONAL	255	76	2	119	82		29.8
CAPITAL HEALTH	1801	546	9	648	678		30.3
CENTRASTATE ME	1048	800	13	220	83		76.3
CHILTON MEMORI	640	528	8	94	38		82.5
CHRIST HOSPITA	641	307	12	263	127		47.9
CLARA MAASS ME	876	654	9	140	96		74.7
COLUMBUS HOSPI	531	192	4	116	218		36.2
COMMUNITY MEDI	993	597	6	326	145		60.1
COOPER HOSPITA	1706	1247	19	80	389		73.1
EAST ORANGE GE	1	0	0	1	0		0.0
ENGLEWOOD HOSP	1407	1232	19	90	61		87.6
HACKENSACK MED	396	335	4	77	15		84.6
HACKENSACK UNI	2444	2055	20	468	148		84.1
HACKETTSTOWN R	607	184	2	291	168		30.3
HOBOKEN UNIVER	782	572	4	243	97		73.1
HOLY NAME HOSP	687	544	21	60	73		79.2
HUNTERDON MEDI	763	448	9	275	144		58.7
JERSEY CITY ME	1000	560	10	391	203		56.0
JERSEY SHORE U	961	674	8	98	219		70.1
JFK MEDICAL CE	1816	1236	20	1406	68		68.1
KENNEDY MEMORI	972	780	14	69	129		80.2
KIMBALL MEDICA	1416	795	138	207	318		56.1
LOURDES MEDICA	610	527	0	56	40		86.4
MEADOWLANDS HO	388	257	5	144	27		66.2
MEMORIAL HOSP	257	89	1	96	73		34.6
MONMOUTH MEDIC	2982	2144	49	301	596		71.9
MORRISTOWN MEM	2258	1973	15	202	114		87.4
MUHLENBERG REG	838	280	3	333	263		33.4
NEWARK BETH IS	2031	876	11	502	724		43.1
NEWTON MEMORIA	468	266	4	148	90		56.8
OCEAN MEDICAL	675	491	8	277	60		72.7
OUR LADY OF LO	942	704	11	59	166		74.7
OVERLOOK HOSPI	1398	1191	17	139	83		85.2
PALISADES MEDI	984	520	10	526	109		52.8
PASCACK VALLEY	571	369	4	116	83		64.6
RARITAN BAY ME	739	322	3	378	158		43.6
RIVERVIEW MEDI	941	808	10	63	70		85.9
ROBERT WOOD JO	2408	1589	20	350	506		66.0
SAINT CLARE'S	1122	923	8	256	75		82.3
SAINT JAMES HO	406	35	3	282	86		8.6
SHORE MEMORIAL	879	495	1	509	94		56.3
SOMERSET MEDIC	900	708	5	268	64		78.7
SOUTH JERSEY H	1723	459	19	331	957		26.6
SOUTHERN OCEAN	177	94	2	51	28		53.1
ST BARNABAS ME	3211	2868	36	159	178		89.3
ST MARYS HOSPI	1009	297	10	511	309		29.4
ST PETERS UNIV	3746	3026	736	912	268		80.8
ST. JOSEPH'S R	1910	1484	27	115	289		77.7
THE MOUNTAINSI	481	329	3	88	69		68.4
THE VALLEY HOS	1770	1465	4	227	112		82.8
TRINITAS HOSPI	1373	718	16	267	423		52.3
UMDNJ/UNIVERSI	1157	609	12	217	337		52.6
UNDERWOOD MEMO	782	627	7	40	117		80.2
UNIVERSITY MED	1344	865	8	259	220		64.4
UNIVERSITY OF	2	0	0	0	2		0.0
VALLEY HOSPITA	1	0	0	1	0		0.0
VIRTUA CAMDEN	1	0	0	0	1		0.0
VIRTUA WEST JE	1	1	0	0	0		100.0
VIRTUA-MEMORIA	1345	1108	2	114	142		82.4
VIRTUA-WEST JE	3016	2665	22	157	171		88.4
WARREN HOSPITA	187	63	6	63	60		33.7
WEST JERSEY HE	2	0	0	1	1		0.0
WILLIAM B. KES	1	0	0	0	1		0.0
Total	68690	46514	1472	14585	11296		67.7

Pain relief used during vaginal birth (high to low epidural rate):

Facility Name	All Vaginal Births	Epidural	Spinal	Local	None		% Epidural
VIRTUA WEST JE	1	1	0	0	0		100.0
ST BARNABAS ME	3211	2868	36	159	178		89.3
VIRTUA-WEST JE	3016	2665	22	157	171		88.4
ENGLEWOOD HOSP	1407	1232	19	90	61		87.6
MORRISTOWN MEM	2258	1973	15	202	114		87.4
LOURDES MEDICA	610	527	0	56	40		86.4
RIVERVIEW MEDI	941	808	10	63	70		85.9
OVERLOOK HOSPI	1398	1191	17	139	83		85.2
HACKENSACK MED	396	335	4	77	15		84.6
HACKENSACK UNI	2444	2055	20	468	148		84.1
THE VALLEY HOS	1770	1465	4	227	112		82.8
CHILTON MEMORI	640	528	8	94	38		82.5
VIRTUA-MEMORIA	1345	1108	2	114	142		82.4
SAINT CLARE'S	1122	923	8	256	75		82.3
ST PETERS UNIV	3746	3026	736	912	268		80.8
KENNEDY MEMORI	972	780	14	69	129		80.2
UNDERWOOD MEMO	782	627	7	40	117		80.2
HOLY NAME HOSP	687	544	21	60	73		79.2
SOMERSET MEDIC	900	708	5	268	64		78.7
ST. JOSEPH'S R	1910	1484	27	115	289		77.7
CENTRASTATE ME	1048	800	13	220	83		76.3
OUR LADY OF LO	942	704	11	59	166		74.7
CLARA MAASS ME	876	654	9	140	96		74.7
HOBOKEN UNIVER	782	572	4	243	97		73.1
COOPER HOSPITA	1706	1247	19	80	389		73.1
OCEAN MEDICAL	675	491	8	277	60		72.7
MONMOUTH MEDIC	2982	2144	49	301	596		71.9
JERSEY SHORE U	961	674	8	98	219		70.1
THE MOUNTAINSI	481	329	3	88	69		68.4
JFK MEDICAL CE	1816	1236	20	1406	68		68.1
MEADOWLANDS HO	388	257	5	144	27		66.2
ROBERT WOOD JO	2408	1589	20	350	506		66.0
PASCACK VALLEY	571	369	4	116	83		64.6
UNIVERSITY MED	1344	865	8	259	220		64.4
COMMUNITY MEDI	993	597	6	326	145		60.1
HUNTERDON MEDI	763	448	9	275	144		58.7
NEWTON MEMORIA	468	266	4	148	90		56.8
SHORE MEMORIAL	879	495	1	509	94		56.3
KIMBALL MEDICA	1416	795	138	207	318		56.1
JERSEY CITY ME	1000	560	10	391	203		56.0
ATLANTICARE RE	1509	833	18	240	444		55.2
SOUTHERN OCEAN	177	94	2	51	28		53.1
PALISADES MEDI	984	520	10	526	109		52.8
UMDNJ/UNIVERSI	1157	609	12	217	337		52.6
TRINITAS HOSPI	1373	718	16	267	423		52.3
CHRIST HOSPITA	641	307	12	263	127		47.9
RARITAN BAY ME	739	322	3	378	158		43.6
NEWARK BETH IS	2031	876	11	502	724		43.1
COLUMBUS HOSPI	531	192	4	116	218		36.2
MEMORIAL HOSP	257	89	1	96	73		34.6
WARREN HOSPITA	187	63	6	63	60		33.7
MUHLENBERG REG	838	280	3	333	263		33.4
BURDETTE TOMLI	110	34	2	44	35		30.9
CAPITAL HEALTH	1801	546	9	648	678		30.3
HACKETTSTOWN R	607	184	2	291	168		30.3
CAPE REGIONAL	255	76	2	119	82		29.8
ST MARYS HOSPI	1009	297	10	511	309		29.4
SOUTH JERSEY H	1723	459	19	331	957		26.6
BARNERT HOSPIT	287	40	3	100	148		13.9
SAINT JAMES HO	406	35	3	282	86		8.6
ATLANTIC CITY	5	0	0	1	4		0.0
EAST ORANGE GE	1	0	0	1	0		0.0
UNIVERSITY OF	2	0	0	0	2		0.0
VALLEY HOSPITA	1	0	0	1	0		0.0
VIRTUA CAMDEN	1	0	0	0	1		0.0
WEST JERSEY HE	2	0	0	1	1		0.0
WILLIAM B. KES	1	0	0	0	1		0.0
Total	68690	46514	1472	14585	11296		67.7

NJ HOSPITALS BREECH VAGINAL DELIVERY STATISTICS 2007

TISI'm afraid this number is already decreasing since the few midwives left who were skilled at breech delivery are no longer permitted to attend breech births.  Studies have not shown better outcomes when breech births are all done by cesarean.

Breech vaginal births in NJ hospitals (alphabetical order):

Facility Name	All Vaginal Births	Breech
			Breech Vaginal Delivery Rate (%)
ATLANTIC CITY	5	0	0.00
ATLANTICARE RE	1509	8	0.53
BARNERT HOSPIT	287	1	0.35
BURDETTE TOMLI	110	0	0.00
CAPE REGIONAL	255	0	0.00
CAPITAL HEALTH	1801	11	0.61
CENTRASTATE ME	1048	7	0.67
CHILTON MEMORI	640	0	0.00
CHRIST HOSPITA	641	3	0.47
CLARA MAASS ME	876	11	1.26
COLUMBUS HOSPI	531	4	0.75
COMMUNITY MEDI	993	13	1.31
COOPER HOSPITA	1706	9	0.53
EAST ORANGE GE	1	0	0.00
ENGLEWOOD HOSP	1407	10	0.71
HACKENSACK MED	396	4	1.01
HACKENSACK UNI	2444	6	0.25
HACKETTSTOWN R	607	10	1.65
HOBOKEN UNIVER	782	0	0.00
HOLY NAME HOSP	687	3	0.44
HUNTERDON MEDI	763	20	2.62
JERSEY CITY ME	1000	2	0.20
JERSEY SHORE U	961	0	0.00
JFK MEDICAL CE	1816	46	2.53
KENNEDY MEMORI	972	59	6.07
KIMBALL MEDICA	1416	3	0.21
LOURDES MEDICA	610	49	8.03
MEADOWLANDS HO	388	0	0.00
MEMORIAL HOSP	257	0	0.00
MONMOUTH MEDIC	2982	15	0.50
MORRISTOWN MEM	2258	18	0.80
MUHLENBERG REG	838	1	0.12
NEWARK BETH IS	2031	5	0.25
NEWTON MEMORIA	468	6	1.28
OCEAN MEDICAL	675	1	0.15
OUR LADY OF LO	942	0	0.00
OVERLOOK HOSPI	1398	16	1.14
PALISADES MEDI	984	14	1.42
PASCACK VALLEY	571	23	4.03
RARITAN BAY ME	739	2	0.27
RIVERVIEW MEDI	941	5	0.53
ROBERT WOOD JO	2408	12	0.50
SAINT CLARE'S	1122	1	0.09
SAINT JAMES HO	406	0	0.00
SHORE MEMORIAL	879	2	0.23
SOMERSET MEDIC	900	3	0.33
SOUTH JERSEY H	1723	8	0.46
SOUTHERN OCEAN	177	1	0.56
ST BARNABAS ME	3211	1	0.03
ST MARYS HOSPI	1009	0	0.00
ST PETERS UNIV	3746	16	0.43
ST. JOSEPH'S R	1910	1	0.05
THE MOUNTAINSI	481	2	0.42
THE VALLEY HOS	1770	14	0.79
TRINITAS HOSPI	1373	2	0.15
UMDNJ/UNIVERSI	1157	2	0.17
UNDERWOOD MEMO	782	0	0.00
UNIVERSITY MED	1344	1	0.07
UNIVERSITY OF	2	0	0.00
VALLEY HOSPITA	1	0	0.00
VIRTUA CAMDEN	1	0	0.00
VIRTUA WEST JE	1	0	0.00
VIRTUA-MEMORIA	1345	2	0.15
VIRTUA-WEST JE	3016	14	0.46
WARREN HOSPITA	187	0	0.00
WEST JERSEY HE	2	0	0.00
WILLIAM B. KES	1	0	0.00
Total	68690	467	0.68

Breech vaginal births in NJ hospitals (high to low):

Facility Name	All Vaginal Births	Breech
			Breech Vaginal Delivery Rate (%)
LOURDES MEDICA	610	49	8.03
KENNEDY MEMORI	972	59	6.07
PASCACK VALLEY	571	23	4.03
HUNTERDON MEDI	763	20	2.62
JFK MEDICAL CE	1816	46	2.53
HACKETTSTOWN R	607	10	1.65
PALISADES MEDI	984	14	1.42
COMMUNITY MEDI	993	13	1.31
NEWTON MEMORIA	468	6	1.28
CLARA MAASS ME	876	11	1.26
OVERLOOK HOSPI	1398	16	1.14
HACKENSACK MED	396	4	1.01
MORRISTOWN MEM	2258	18	0.80
THE VALLEY HOS	1770	14	0.79
COLUMBUS HOSPI	531	4	0.75
ENGLEWOOD HOSP	1407	10	0.71
CENTRASTATE ME	1048	7	0.67
CAPITAL HEALTH	1801	11	0.61
SOUTHERN OCEAN	177	1	0.56
RIVERVIEW MEDI	941	5	0.53
ATLANTICARE RE	1509	8	0.53
COOPER HOSPITA	1706	9	0.53
MONMOUTH MEDIC	2982	15	0.50
ROBERT WOOD JO	2408	12	0.50
CHRIST HOSPITA	641	3	0.47
SOUTH JERSEY H	1723	8	0.46
VIRTUA-WEST JE	3016	14	0.46
HOLY NAME HOSP	687	3	0.44
ST PETERS UNIV	3746	16	0.43
THE MOUNTAINSI	481	2	0.42
BARNERT HOSPIT	287	1	0.35
SOMERSET MEDIC	900	3	0.33
RARITAN BAY ME	739	2	0.27
NEWARK BETH IS	2031	5	0.25
HACKENSACK UNI	2444	6	0.25
SHORE MEMORIAL	879	2	0.23
KIMBALL MEDICA	1416	3	0.21
JERSEY CITY ME	1000	2	0.20
UMDNJ/UNIVERSI	1157	2	0.17
VIRTUA-MEMORIA	1345	2	0.15
OCEAN MEDICAL	675	1	0.15
TRINITAS HOSPI	1373	2	0.15
MUHLENBERG REG	838	1	0.12
SAINT CLARE'S	1122	1	0.09
UNIVERSITY MED	1344	1	0.07
ST. JOSEPH'S R	1910	1	0.05
ST BARNABAS ME	3211	1	0.03
ATLANTIC CITY	5	0	0.00
BURDETTE TOMLI	110	0	0.00
CAPE REGIONAL	255	0	0.00
CHILTON MEMORI	640	0	0.00
EAST ORANGE GE	1	0	0.00
HOBOKEN UNIVER	782	0	0.00
JERSEY SHORE U	961	0	0.00
MEADOWLANDS HO	388	0	0.00
MEMORIAL HOSP	257	0	0.00
OUR LADY OF LO	942	0	0.00
SAINT JAMES HO	406	0	0.00
ST MARYS HOSPI	1009	0	0.00
UNDERWOOD MEMO	782	0	0.00
UNIVERSITY OF	2	0	0.00
VALLEY HOSPITA	1	0	0.00
VIRTUA CAMDEN	1	0	0.00
VIRTUA WEST JE	1	0	0.00
WARREN HOSPITA	187	0	0.00
WEST JERSEY HE	2	0	0.00
WILLIAM B. KES	1	0	0.00
Total	68690	467	0.68

NJ HOSPITAL EPISIOTOMY RATES 2007

A different kind of cut....  which hospitals are most likely to do an episiotomy??

Below are the statistics for episiotomies done on vaginal births in NJ hospitals

Episiotomy statistics listed for hospitals (in alphabetical order):

Facility Name	All Vaginal Births	Episiotomies
			Episiotomy Rate (%)
ATLANTIC CITY	5	0	0.0
ATLANTICARE RE	1509	90	6.0
BARNERT HOSPIT	287	75	26.1
BURDETTE TOMLI	110	41	37.3
CAPE REGIONAL	255	114	44.7
CAPITAL HEALTH	1801	236	13.1
CENTRASTATE ME	1048	267	25.5
CHILTON MEMORI	640	144	22.5
CHRIST HOSPITA	641	116	18.1
CLARA MAASS ME	876	149	17.0
COLUMBUS HOSPI	531	46	8.7
COMMUNITY MEDI	993	269	27.1
COOPER HOSPITA	1706	62	3.6
EAST ORANGE GE	1	0	0.0
ENGLEWOOD HOSP	1407	338	24.0
HACKENSACK MED	396	94	23.7
HACKENSACK UNI	2444	563	23.0
HACKETTSTOWN R	607	71	11.7
HOBOKEN UNIVER	782	84	10.7
HOLY NAME HOSP	687	43	6.3
HUNTERDON MEDI	763	132	17.3
JERSEY CITY ME	1000	226	22.6
JERSEY SHORE U	961	24	2.5
JFK MEDICAL CE	1816	913	50.3
KENNEDY MEMORI	972	185	19.0
KIMBALL MEDICA	1416	326	23.0
LOURDES MEDICA	610	170	27.9
MEADOWLANDS HO	388	178	45.9
MEMORIAL HOSP	257	30	11.7
MONMOUTH MEDIC	2982	39	1.3
MORRISTOWN MEM	2258	803	35.6
MUHLENBERG REG	838	230	27.4
NEWARK BETH IS	2031	325	16.0
NEWTON MEMORIA	468	103	22.0
OCEAN MEDICAL	675	113	16.7
OUR LADY OF LO	942	100	10.6
OVERLOOK HOSPI	1398	497	35.6
PALISADES MEDI	984	385	39.1
PASCACK VALLEY	571	214	37.5
RARITAN BAY ME	739	229	31.0
RIVERVIEW MEDI	941	238	25.3
ROBERT WOOD JO	2408	345	14.3
SAINT CLARE'S	1122	680