Reply to DMV low C-section rates?

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Reply to "DMV low C-section rates?"

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[quote=Anonymous]Why does this matter to you? Rates are highly dependent on the patient population. Sibley has a high rate because many older moms deliver there and many choose the hospital for a planned C section. GW has a lower rate in part due to the midwife practice. But the rate alone is not a measure of quality. Low rates mean providers may pursue vaginal births when it’s not safe, and these births may injure moms and babies but still may be perceived as “successful” if you are just looking at the vaginal birth rate alone. What isn’t measured in that is the rate of severe maternal tears, pelvic floor injury, fetal injury, mental health issues parents experience as the result of birth injury, future surgical correction costs for moms who endure birth injury (eg pelvic floor reconstruction), pelvic floor PT costs, etc. Looking at C section rare is sort of a red herring. Far more important than how the baby was born is: was mom injured in the process? Was baby injured in the process? Did anyone experience significant trauma from the birth? Did baby undergo risk that was unnecessary - eg oxygen deprivation? Etc. it’s a lot more complex than just c section rate versus vag rate. [/quote]

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