lower hudson valley perinatal network

Lower Hudson Valley Perinatal Network

Quarterly Education & Networking

Conference

January 22, 2008

Optimizing Birth: A Tale of Two Delivery Modes

Lower Hudson Valley Hospital Delivery Rates Data Over

Time:2000 – 2005

2000-2005 Hospital Total C-section Rates in Dutchess County

0.0%

10.0%

20.0%

30.0%

40.0%

2000 2001 2002 2003 2004 2005

Year

% o

f C

-se

cti

on

s p

er

Ho

sp

ita

l

North Dutchess Hospital - Level 1

Vassar Brothers Medical Center- Level 3

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2005.

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2005 & Vital Statistics Data, 2000-2005, and CDC National Statistics Reports, Births: Final Data, 2000-2005.

2000-2005 Total C-section Rates by Region Type

0.0%

10.0%

20.0%

30.0%

40.0%

2000 2001 2002 2003 2004 2005

Year

% o

f T

ota

l C-s

ec

tio

ns

pe

r R

eg

ion

Ty

pe

Dutchess

All NYS

National

2000-2003 Hospital Primary C-section Rates in Dutchess County

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

2000 2001 2002 2003

Year

% P

rim

ary

C-s

ec

tio

ns

pe

r H

os

pit

al

North Dutchess Hospital -Level 1

Vassar Brothers MedicalCenter - Level 3

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003.

Data not available for 2004 and 2005.

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003 & Vital Statistics Data, 2000-2003, and CDC National Statistics Reports, Births: Final Data, 2000-2003.

2000-2003 Primary C-section Rates by Region Type

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

2000 2001 2002 2003

Year

% P

rim

ary

C-s

ecti

on

s p

er R

egio

n T

ype

Dutchess

All NYS

National

County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years.

2000-2003 Hospital VBAC Rates in Dutchess County

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

2000 2001 2002 2003

Year

% V

BA

Cs

pe

r H

os

pit

al

North Dutchess Hospital -Level 1

Vassar Brothers MedicalCenter - Level 3

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003.

Data not available for 2004 and 2005.

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003 & Vital Statistics Data, 2000-2003, and CDC National Statistics Reports, Births: Final Data, 2000-2003.

2000-2003 VBAC Rates by Region Type

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

2000 2001 2002 2003

Year

% V

BA

Cs

per

Reg

ion

Typ

e

Dutchess

All NYS

National

County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years.

2000-2005 Hospital Total C-section Rates in Putnam County

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

2000 2001 2002 2003 2004 2005

Year

% o

f C

-sec

tio

ns

Putnam HospitalCenter - Level 1

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2005.

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2005 & Vital Statistics Data, 2000-2005, and CDC National Statistics Reports, Births: Final Data, 2000-2005.

2000-2005 Total C-section Rates by Region Type

0.0%

10.0%

20.0%

30.0%

40.0%

2000 2001 2002 2003 2004 2005

Years

% o

f T

ota

l C-s

ec

tio

ns

pe

r R

eg

ion

Ty

pe

Putnam

All NYS

National

2000-2005 Hospital Primary C-section Rates in Putnam County

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

2000 2001 2002 2003

Year

% P

rim

ary

C-s

ecti

on

s

Putnam HospitalCenter - Level 1

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003.

Data not available for 2004 and 2005.

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003 & Vital Statistics Data, 2000-2003, and CDC National Statistics Reports, Births: Final Data, 2000-2003.

2000-2003 Primary C-section Rates by Region Type

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

2000 2001 2002 2003

Year

% P

rim

ary

C-s

ecti

on

s p

er R

egio

n T

ype

Putnam

All NYS

National

County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years.

2000-2003 Hospital VBAC Rates in Putnam County

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

8.0%

9.0%

2000 2001 2002 2003

Year

% V

BA

Cs

Putnam HospitalCenter - Level 1

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003.

Data not available for 2004 and 2005.

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003 & Vital Statistics Data, 2000-2003, and CDC National Statistics Reports, Births: Final Data, 2000-2003.

2000-2003 VBAC Rates by Region Type

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

2000 2001 2002 2003

Year

% V

BA

Cs p

er

Reg

ion

Typ

e Putnam

All NYS

National

County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years.

2000-2005 Hospital Total C-section Rates in Rockland County

0.0%

10.0%

20.0%

30.0%

40.0%

2000 2001 2002 2003 2004 2005

Year

% o

f C

-sec

tio

ns

per

Ho

spit

al Good SamaritanHospital - Level 2

Nyack Hospital -Level 2

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2005.

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2005 & Vital Statistics Data, 2000-2005, and CDC National Statistics Reports, Births: Final Data 2000-2005.

2000-2005 Total C-section Rates by Region Type

0.0%

10.0%

20.0%

30.0%

40.0%

2000 2001 2002 2003 2004 2005

Year

% o

f T

ota

l C

-sec

tio

ns

per

Reg

ion

Typ

e

Rockland

All NYS

National

2000-2003 Hospital Primary C-section Rates in Rockland County

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

2000 2001 2002 2003

Year

% P

rim

ary

C-s

ec

tio

ns

pe

r H

os

pit

al

Good Samaritan Hospital - Level 2

Nyack Hospital - Level 2

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003.

Data not available for 2004 and 2005.

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003 & Vital Statistics Data, 2000-2003, and CDC National Statistics Reports, Births: Final Data 2000-2003.

2000-2003 Primary C-section Rates by Region Type

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

2000 2001 2002 2003

Year

% P

rim

ary

C-s

ec

tio

ns

pe

r R

eg

ion

Ty

pe

Rockland

All NYS

National

County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years.

2000-2003 Hospital VBAC Rates in RocklandCounty

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

2000 2001 2002 2003

Year

% V

BA

Cs

pe

r H

os

pit

al

Good Samaritan Hospital -Level 2

Nyack Hospital - Level 2

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003.

Data not available for 2004 and 2005.

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003 & Vital Statistics Data, 2000-2003, and CDC National Statistics Reports, Births: Final Data, 2000-2003.

2000-2003 VBAC Rates by Region Type

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

2000 2001 2002 2003

Year

% V

BA

Cs

per

Reg

ion

Typ

e

Rockland

All NYS

National

County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years.

2000-2005 Hospital Total C-section Rates in Northern Westchester County*

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

2000 2001 2002 2003 2004 2005

Year

% o

f C

-se

cti

on

s p

er

Ho

sp

ita

l

Hudson Valley HospitalCenter - Level 2

Northern WestchesterHospital - Level 2

Phelps Memorial HospitalAssociation - Level 1

Westchester Medical Center- Level 4

* Northern Westchester County constitutes the area above Interstate 287.

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2005.

2000-2005 Hospital Total C-section Rates in Southern Westchester County*

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

2000 2001 2002 2003 2004 2005

Year

% o

f C

-se

cti

on

s p

er

Ho

sp

ita

l

Lawrence Hospital Center -Level 2

Sound Shore MedicalCenter of Westchester -Level 3

St. John's RiversideHospital - Level 2

White Plains HospitalCenter - Level 3

* Southern Westchester County constitutes the area below Interstate 287.

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2005.

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2005 & Vital Statistics Data, 2000-2005, and CDC National Statistics Reports, Births: Final Data 2000-2005.

2000-2005 Total C-section Rates by Region Type

0.0%

10.0%

20.0%

30.0%

40.0%

2000 2001 2002 2003 2004 2005

Year

% o

f T

ota

l C

-sec

tio

ns

per

Reg

ion

Typ

e

All Westchester

All NYS

National

2000-2003 Hospital Primary C-section Rates in Northern Westchester County*

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

2000 2001 2002 2003

Year

% P

rim

ary

C-s

ec

tio

ns

pe

r H

os

pit

al

Hudson Valley HospitalCenter - Level 2

Northern WestchesterHospital - Level 2

Phelps Memorial HospitalAssociation - Level 1

Westchester MedicalCenter - Level 4

* Northern Westchester County constitutes the area above Interstate 287.

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003.

Data not available for 2004 and 2005.

2000-2003 Hospital Primary C-section Rates in Southern Westchester County*

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

2000 2001 2002 2003

Year

% P

rim

ary

C-s

ec

tio

ns

pe

r H

os

pit

al

Lawrence Hospital Center- Level 2

Sound Shore MedicalCenter of Westchester -Level 3St. John's RiversideHospital - Level 2

White Plains HospitalCenter - Level 3

* Southern Westchester County constitutes the area below Interstate 287.

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003.

Data not available for 2004 and 2005.

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003 & Vital Statistics Data, 2000-2003, and CDC National Statistics Reports, Births: Final Data 2000-2003.

2000-2003 Primary C-section Rates by Region Type

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

2000 2001 2002 2003

Year

% P

rim

ary

C-s

ec

tio

ns

pe

r R

eg

ion

Ty

pe

AllWestchester

All NYS

National

County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years.

2000-2003 Hospital VBAC Rates in Northern Westchester County*

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

50.0%

2000 2001 2002 2003

Year

% V

BA

Cs

pe

r H

os

pit

al

Hudson Valley HospitalCenter - Level 2

Northern WestchesterHospital - Level 2

Phelps Memorial HospitalAssociation - Level 1

Westchester Medical Center -Level 4

* Northern Westchester County constitutes the area above Interstate 287.

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003.

Data not available for 2004 and 2005.

2000-2003 Hospital VBAC Rates in Southern Westchester County*

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

2000 2001 2002 2003

Year

% V

BA

Cs

pe

r H

os

pit

al

Lawrence Hospital Center -Level 2

Sound Shore Medical Centerof Westchester - Level 3

St. John's Riverside Hospital -Level 2

White Plains Hospital Center -Level 3

* Southern Westchester County constitutes the area below Interstate 287.

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003.

Data not available for 2004 and 2005.

Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003 & Vital Statistics Data, 2000-2003, and CDC National Statistics Reports, Births: Final Data, 2000-2003.

2000-2003 VBAC Rates by Region Type

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

2000 2001 2002 2003

Year

% V

BA

Cs

per

Reg

ion

Typ

e

AllWestchester

All NYS

National

County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years.

For more information on the data presented in this Data Book please contact the Lower

Hudson Valley Perinatal Network at

info@lhvpn.net or (914) 493-6435.

Thank you!