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Understanding C-Section Trends in Washington State: Insights and Strategies (1989-2009)

This comprehensive review examines the trends in Medicaid maternity expenditures, particularly focusing on cesarean section (C-section) and vaginal delivery rates in Washington State from 1989 to 2009. The analysis reveals significant regional and hospital-level variation in C-section rates between 1996 and 2007. Notably, C-section rates in Level 3, Level 2, and Level 1 nursery hospitals vary from 18% to 39%. The report discusses strategies to reduce unnecessary C-sections, such as monitoring birth certificates and providing feedback on policies targeting early deliveries.

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Understanding C-Section Trends in Washington State: Insights and Strategies (1989-2009)

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  1. What’s the Goal? Jeff Thompson, MD MPH Chief Medical Officer, Washington State Health Care Authority

  2. What’s the trend? Medicaid Maternity Expenditures WA State C-Section and Vaginal Deliveries 1989-2009 Washington State Department of Social & Health Services

  3. What About this Variation Thing? • Cesarean rates rose significantly in each state from 1996 to 2007 In WA State Cesarean rates vary greatly by hospital and region using 2008 data • Level 3 Nursery Hospitals: 34% (range 18 – 39%) • Level 2 Nursery Hospitals: 28% (range 23 – 36%) • Level 1 Nursery Hospitals: 27%(range 10 – 39%) 1(http://www.doh.wa.gov/ehsphl/chs/chs-data/public/CSectionsInWA.pdf) Accounting for risk factors WA still has variation

  4. What works to Elective Reduce C-sections, Inductions and < 39 week delivery? Strategies to Reduce Cesarean Sections: Oregon Health and Science University

  5. Using Birth Certificates – All Births can be tracked Feedback Reporting: on the < 39 weeks program is showing some success!

  6. What’s the Goal! Washington State Department of Social & ealth Services

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