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VBAC & Cesarean Rates of California Hospitals, 2006

I’ve copy and pasted the entire spreadsheet below.  Be sure to read, “Why if your hospital ‘allows’ VBAC isn’t enough.”

If you look at the PDF (link provided below), you will see that the California Office of Statewide Health Planning and Development has cesarean section and primary cesarean section listed as “POSSIBLE OVER UTILIZATION” and VBAC listed as “POSSIBLE UNDER UTILIZATION.”  Interesting.  They further address the high cesarean and low VBAC rates in this press release, dated January 17, 2008, which states:

  • The hospital level data will help consumers and payers make more informed healthcare choices by providing information on the experience hospitals have in performing specific procedures and on the rates of use for various procedures.
  • “One alarming trend we see in the 2006 data is the increased use of Caesarean Sections,” said OSHPD Director Dr. David Carlisle. “We are seeing rates that exceed 50% at some hospitals, which is very concerning because the operation is not always necessary, has known complications, and ultimately drives up healthcare costs.”
  • The 2006 data on maternal care suggests that some healthcare providers are more likely to perform cesarean section deliveries than others, with rates varying between 50% and 14% depending on the hospital.
  • Data has shown that many cesarean deliveries are inappropriate and lead to significant complications for the mother.
  • While there are no standards for cesarean rates, this data will help consumers compare birth delivery data to make more informed choices about their health. This is particularly true for maternal care in which mothers and their families often have the opportunity to make plans about the type of care they wish to receive.
  • OSHPD reports 5 utilization indicators for procedures where evidence shows there is under use or overuse, along with large variation in rates across hospitals. Each of the four maternal indicators is risk- adjusted for age, and the laparoscopic cholecystectomy indicator is adjusted for both age and sex. The indicators include:
    • Cesarean Delivery Rate (2): Number of Cesarean Section Deliveries per 100 Deliveries (excludes abnormal presentation, preterm, fetal death, multiple gestation, and breech procedures). Cesarean delivery may be overused in some facilities, so lower rates may represent better care.
    • Vaginal Birth After Cesarean (VBAC) Rate: Number of vaginal births per 100 women with a previous Cesarean delivery. VBAC may be underused in some facilities, so higher rates may represent better care, though this rate includes some women who were probably not good candidates for vaginal birth.
Top 5 California Hospitals: VBACs Performed
  1. Santa Clara Valley Medical Center – 265
  2. Alta Bates Summit Medical Center – Alta Bates Campus – 216
  3. California Hospital Medical Center – Los Angeles – 158
  4. Kern Medical Center- 132
  5. St. Francis Medical Center – 130
Top 5 California Hospitals: VBAC Rate
  1. Kaiser Fnd Hosp – Redwood City – 34.5% (50 VBACs)
  2. Santa Clara Valley Medical Center – 32.0% (265 VBACs)
  3. Alameda Co Medical Center – Highland Campus – 31.3% (77 VBACs)
  4. Kaiser Fnd Hosp – South Sacramento – 30.6% (125 VBACs)
  5. Seton Medical Center – 30.3% (21 VBACs)
Top 5 Hospitals: Primary Cesareans Performed
  1. Sharp Mary Birch Hospital For Women – 1,261 (20.7%)
  2. Cedars Sinai Medical Center – 1,153 (19.8%)
  3. Citrus Valley Medical Center – Qv Campus – 1,136 (28.7%)
  4. Pomona Valley Hospital Medical Center – 1,057 (18.7%)
  5. St. Francis Medical Center – 953 (19.4%)
Top 5 Hospitals: Overall Cesareans Performed
  1. Pomona Valley Hospital Medical Center – 2,252
  2. Sharp Mary Birch Hospital For Women – 2,221
  3. Citrus Valley Medical Center – Qv Campus – 2,105
  4. St. Francis Medical Center – 1,837
  5. Community Regional Medical Center-Fresno – 1,804
Top 6 Hospitals: Overall Cesarean Rate
  1. Sharp Memorial Hospital – 77.9% (3 CS)
  2. Los Angeles Community Hospital- 54.6% (232 CS)
  3. East Valley Hospital Medical Center – 53.2% (195 CS)
  4. Community And Mission Hsp Of Hntg Park – Slauson – 50.9% (889 CS)
  5. East Los Angeles Doctors Hospital – 44.6% (368 CS)
  6. Pacifica Hospital Of The Valley – 43.7% (435 CS)
Inland Empire Hospitals – VBAC vs. Primary CS Rates
  1. Loma Linda University Medical Center, 18.9% vs. 13.1%
  2. Kaiser Fnd Hosp – Fontana, 15.2% vs 13.9%
  3. St. Bernardine Medical Center, 5.8% vs 10.5%
  4. Pomona Valley Hospital Medical Center, 3.8% vs 18.7%
  5. St. Mary Regional Medical Center, 2.5% vs 8.6%
  6. Parkview Community Hospital Medical Center, 1.7% vs 18.4%
  7. Riverside Community Hospital, 1.3% vs 17.7%
  8. Community Hospital Of San Bernardino, 1.0% vs. 23.2%
  9. San Antonio Community Hospital, 0.9% vs 24.1%
  10. Corona Regional Medical Center – Main, 0.8% vs. 16.4%
  11. Montclair Hospital Medical Center – 0.5% vs 21.3%
  12. Hemet Valley Medical Center, 0.5% vs 29.2%
  13. Redlands Community Hospital – 0% vs 15.2%
  14. Hi-Desert Medical Center – 0% vs. 19.5%
  15. Chino Valley Medical Center – 0% vs 12%
  16. Eisenhower Memorial Hospital, No births reported

Hospitals with VBAC Bans?

All these hospitals had 5 or fewer VBACs in 2006.  I wonder if it is because they have banned them.  There are 259 hospitals that reported births and the 101 listed below represents 39% of them.  I guess they should read this and this.

  1. Anaheim General Hospital
  2. Banner Lassen Medical Center
  3. Barstow Community Hospital
  4. Barton Memorial Hospital
  5. Bellflower Medical Center
  6. Beverly Hospital
  7. Centinela Freeman Reg Medical Center – Memorial Campus
  8. Central Valley General Hospital
  9. Chino Valley Medical Center
  10. Coastal Communities Hospital
  11. Colusa Regional Medical Center
  12. Community Hospital Monterey Peninsula
  13. Community Hospital Of San Bernardino
  14. Corona Regional Medical Center – Main
  15. Delano Regional Medical Center
  16. Desert Valley Hospital
  17. Doctors Hospital Of Manteca
  18. Doctors Medical Center – San Pablo Campus
  19. East Los Angeles Doctors Hospital
  20. East Valley Hospital Medical Center
  21. Eden Medical Center
  22. El Centro Regional Medical Center
  23. Fairchild Medical Center
  24. Feather River Hospital
  25. Foothill Presbyterian Hospital-Johnston Memorial
  26. French Hospital Medical Center
  27. George L Mee Memorial Hospital
  28. Goleta Valley Cottage Hospital
  29. Greater El Monte Community Hospital
  30. Hazel Hawkins Memorial Hospital
  31. Hemet Valley Medical Center
  32. Henry Mayo Newhall Memorial Hospital
  33. Hi-Desert Medical Center
  34. La Palma Intercommunity Hospital
  35. Little Company Of Mary – San Pedro Hospital
  36. Lodi Memorial Hospital
  37. Lompoc Healthcare District
  38. Los Angeles Community Hospital
  39. Los Angeles Metropolitan Medical Center
  40. Mammoth Hospital
  41. Marian Medical Center
  42. Mark Twain St. Joseph’S Hospital
  43. Mayers Memorial Hospital
  44. Memorial Hospital Los Banos
  45. Memorial Hospital Medical Center – Modesto
  46. Memorial Hospital Of Gardena
  47. Mendocino Coast District Hospital
  48. Mercy Medical Center Mt. Shasta
  49. Montclair Hospital Medical Center
  50. Monterey Park Hospital
  51. Moreno Valley Community Hospital
  52. Mountains Community Hospital
  53. Natividad Medical Center
  54. Northern Inyo Hospital
  55. Oak Valley District Hospital (2-Rh)
  56. Oroville Hospital
  57. Pacific Alliance Medical Center, Inc.
  58. Pacific Hospital Of Long Beach
  59. Palo Verde Hospital
  60. Paradise Valley Hospital
  61. Parkview Community Hospital Medical Center
  62. Petaluma Valley Hospital
  63. Pioneers Memorial Hospital
  64. Plumas District Hospital
  65. Pomerado Hospital
  66. Providence Holy Cross Medical Center
  67. Redbud Community Hospital
  68. Redlands Community Hospital
  69. Regional Medical Of San Jose
  70. Ridgecrest Regional Hospital
  71. Salinas Valley Memorial Hospital
  72. San Antonio Community Hospital
  73. San Dimas Community Hospital
  74. San Gorgonio Memorial Hospital
  75. San Ramon Regional Medical Center
  76. Santa Barbara Cottage Hospital
  77. Sierra Kings District Hospital
  78. Sierra Nevada Memorial Hospital
  79. Sierra View District Hospital
  80. Simi Valley Hospital And Health Care Svcs-Sycamore
  81. Sonoma Valley Hospital
  82. Sonora Regional Medical Center – Greenley
  83. St. Elizabeth Community Hospital
  84. St. Helena Hospital
  85. St. John’S Pleasant Valley Hospital
  86. St. John’S Regional Medical Center
  87. St. Joseph Hospital – Eureka
  88. St. Louise Regional Hospital
  89. St. Rose Hospital
  90. Sutter Amador Hospital
  91. Sutter Auburn Faith Hospital
  92. Sutter Coast Hospital
  93. Sutter Davis Hospital
  94. Sutter Lakeside Hospital
  95. Sutter Medical Center Of Santa Rosa
  96. Sutter Tracy Community Hospital
  97. Twin Cities Community Hospital
  98. Verdugo Hills Hospital
  99. Victor Valley Community Hospital
  100. Western Medical Center Hospital – Anaheim
  101. Woodland Memorial Hospital

Utilization Rates* for Selected Medical Procedures in California Hospitals, 2006
Office of Statewide Health Planning and Development, Hospital Patient Data**  (Here is the info as a Adobe Acrobat PDF for easy printing and as an Excel file if you want to sort the numbers yourself.) 

COUNTY HOSPITAL CS
(COUNT)		 CS
(AGE Adj) %		 PRIMARY CS
(COUNT)		 PRIMARY
CS
(AGE Adj) %		 VBAC
UNCOMP
(COUNT)		 VBAC
UNCOMP
(AGE Adj) %		 VBAC,ALL
(COUNT)		 VBAC,ALL
(AGE Adj) %
Statewide   135120 27.3 68540 16.4 6687 9.1 7493 9.0
Alameda Alameda Co Medical Center – Highland Campus 315 21.6 160 12.7 76 32.8 77 31.3
Alameda Alameda Hospital . . . . . . . .
Alameda Alta Bates Summit Medical Center – Alta Bates Campus 1645 23.8 900 15.5 198 21.1 216 20.2
Alameda Alta Bates Summit Medical Center – Summit Campus-Hawthorne . . . . . . . .
Alameda Childrens Hospital And Research Center At Oakland . . . . . . . .
Alameda Eden Medical Center 249 25.7 141 16.7 3 2.7 3 2.3
Alameda Kaiser Fnd Hosp – Fremont . . . . . . . .
Alameda Kaiser Fnd Hosp – Hayward 587 21.5 337 14.5 75 23.2 85 22.0
Alameda Kaiser Fnd Hosp – Oakland Campus 583 25.1 336 17.3 46 15.8 53 16.0
Alameda Kindred Hospital – San Francisco Bay Area . . . . . . . .
Alameda San Leandro Hospital . . . . . . . .
Alameda St. Rose Hospital 224 23.0 118 13.3 4 3.6 5 3.9
Alameda Valley Memorial Hospital – Livermore 449 29.7 236 19.3 7 3.2 7 2.9
Alameda Washington Hospital – Fremont 615 22.9 323 14.2 28 8.8 33 9.5
Amador Sutter Amador Hospital 62 41.7 32 26.6 0 . 0 .
Butte Biggs Gridley Memorial Hospital . . . . . . . .
Butte Enloe Medical Center – Esplanade Campus 390 24.9 186 13.6 8 3.8 8 3.6
Butte Feather River Hospital 168 24.7 96 15.5 2 2.7 2 2.4
Butte Oroville Hospital 170 34.5 78 18.3 2 2.1 2 1.9
Calaveras Mark Twain St. Joseph’S Hospital 16 17.1 4 4.8 0 . 0 .
Colusa Colusa Regional Medical Center 67 33.6 33 19.5 1 2.8 1 2.4
Contra Costa Contra Costa Regional Medical Center 404 20.5 206 11.9 90 31.0 96 29.5
Contra Costa Doctors Medical Center – San Pablo Campus 73 16.7 49 11.6 3 11.0 3 10.6
Contra Costa John Muir Medical Center-Concord Campus . . . . . . . .
Contra Costa John Muir Medical Center-Walnut Creek Campus 650 22.3 317 13.6 59 15.3 60 13.7
Contra Costa Kaiser Fnd Hosp – Richmond Campus . . . . . . . .
Contra Costa Kaiser Fnd Hosp – Walnut Creek 829 19.7 473 13.2 81 18.7 90 17.9
Contra Costa San Ramon Regional Medical Center 287 33.4 161 24.1 0 . 0 .
Contra Costa Sutter Delta Medical Center 190 21.9 100 13.0 17 16.0 19 15.6
Del Norte Sutter Coast Hospital 69 21.6 38 12.7 0 . 0 .
El Dorado Barton Memorial Hospital 117 24.0 51 12.1 1 1.5 1 1.3
El Dorado Marshall  Medical Center (1-Rh) 153 25.5 72 13.9 7 7.9 11 10.9
Fresno Coalinga Regional Medical Center . . . . . . . .
Fresno Community Medical Center – Clovis 856 32.2 408 18.9 23 4.9 28 5.3
Fresno Community Regional Medical Center-Fresno 1804 28.5 759 13.9 85 7.5 105 7.8
Fresno Fresno Heart Hospital . . . . . . . .
Fresno Fresno Surgery Center . . . . . . . .
Fresno Kaiser Fnd Hosp – Fresno 286 23.9 168 16.3 43 26.7 43 23.9
Fresno Kingsburg Medical Center . . . . . . . .
Fresno San Joaquin Valley Rehabilitation Hospital . . . . . . . .
Fresno Sierra Kings District Hospital 453 32.1 198 16.4 0 . 0 .
Fresno St. Agnes Medical Center 1021 32.9 548 20.5 19 3.9 20 3.7
Fresno University Medical Center . . . . . . . .
Glenn Glenn Medical Center . . . . . . . .
Humboldt Jerold Phelps Community Hospital . . . . . . . .
Humboldt Mad River Community Hospital 96 18.9 51 11.6 20 30.7 20 29.0
Humboldt Redwood Memorial Hospital 62 17.7 32 10.1 12 28.4 13 26.3
Humboldt St. Joseph Hospital – Eureka 172 29.0 90 17.3 1 1.2 2 2.1
Imperial El Centro Regional Medical Center 600 43.5 300 27.8 3 1.0 3 0.9
Imperial Pioneers Memorial Hospital 350 26.9 125 11.1 0 . 0 .
Inyo Northern Inyo Hospital 45 22.1 17 9.5 0 . 0 .
Inyo Southern Inyo Hospital . . . . . . . .
Kern Bakersfield Heart Hospital . . . . . . . .
Kern Bakersfield Memorial Hospital- 34Th Street 452 19.6 186 8.9 39 12.7 44 12.6
Kern Delano Regional Medical Center 210 25.0 77 10.5 2 1.5 2 1.4
Kern Good Samaritan Hospital-Bakersfield . . . . . . . .
Kern Kern Medical Center 912 25.5 340 11.2 110 16.1 132 16.5
Kern Kern Valley Healthcare District . . . . . . . .
Kern Mercy Hospital – Bakersfield 769 24.1 396 14.6 93 19.8 101 19.1
Kern Ridgecrest Regional Hospital 160 35.8 84 21.6 2 2.5 2 2.4
Kern San Joaquin Community Hospital 409 21.9 131 7.9 28 9.1 28 8.3
Kern Tehachapi Hospital . . . . . . . .
Kings Central Valley General Hospital 649 36.3 294 19.6 5 1.4 5 1.3
Kings Corcoran District Hospital . . . . . . . .
Kings Hanford Community Medical Center 201 32.1 86 16.2 6 4.9 6 4.2
Lake Redbud Community Hospital 32 19.5 8 5.4 1 4.0 1 3.7
Lake Sutter Lakeside Hospital 82 28.1 42 16.2 1 2.4 2 4.5
Lassen Banner Lassen Medical Center 51 25.4 18 10.4 0 . 0 .
Los Angeles Alhambra Hospital . . . . . . . .
Los Angeles Antelope Valley Hospital Medical Center 1324 26.8 601 13.9 24 3.2 32 3.8
Los Angeles Barlow Respiratory Hospital . . . . . . . .
Los Angeles Bellflower Medical Center 722 39.9 353 24.0 0 . 0 .
Los Angeles Beverly Hospital 586 36.4 293 21.8 1 0.3 1 0.3
Los Angeles Brotman Medical Center . . . . . . . .
Los Angeles California Hospital Medical Center – Los Angeles 893 27.0 464 16.4 141 24.7 158 22.6
Los Angeles Catalina Island Medical Center . . . . . . . .
Los Angeles Cedars Sinai Medical Center 1781 25.6 1153 19.8 108 14.9 125 14.9
Los Angeles Centinela Freeman Reg Medical Center – Centinela Campus 912 28.9 388 14.6 33 5.9 37 5.6
Los Angeles Centinela Freeman Reg Medical Center – Marina Campus . . . . . . . .
Los Angeles Centinela Freeman Reg Medical Center – Memorial Campus 6 32.8 3 19.7 0 . 0 .
Los Angeles Century City Doctors Hospital . . . . . . . .
Los Angeles Children’S Hospital Of Los Angeles . . . . . . . .
Los Angeles Citrus Valley Medical Center – Ic Campus . . . . . . . .
Los Angeles Citrus Valley Medical Center – Qv Campus 2105 43.3 1136 28.7 12 1.2 17 1.5
Los Angeles City Of Angels Medical Center – Downtown Campus . . . . . . . .
Los Angeles Coast Plaza Doctors Hospital 0 . 0 . . . . .
Los Angeles Community And Mission Hsp Of Hntg Park – Slauson 889 50.9 483 35.6 7 1.7 7 1.6
Los Angeles Community Hospital Of Gardena . . . . . . . .
Los Angeles Community Hospital Of Long Beach . . . . . . . .
Los Angeles Doctors Hospital Of West Covina, Inc . . . . . . . .
Los Angeles Downey Regional Medical Center 372 25.3 175 14.2 29 12.9 30 12.1
Los Angeles Earl And Lorraine Miller Childrens Hospital 1411 27.6 660 15.7 105 12.3 117 11.4
Los Angeles East Los Angeles Doctors Hospital 368 44.6 189 28.2 0 . 0 .
Los Angeles East Valley Hospital Medical Center 195 53.2 112 38.8 1 1.2 1 1.1
Los Angeles Encino-Tarzana Regional Medical Center-Encino . . . . . . . .
Los Angeles Encino-Tarzana Regional Medical Center-Tarzana 592 26.6 304 17.0 13 4.4 14 4.3
Los Angeles Foothill Presbyterian Hospital-Johnston Memorial 213 33.4 105 20.5 0 . 0 .
Los Angeles Garfield Medical Center 1328 37.1 677 23.8 8 1.2 14 1.8
Los Angeles Glendale Adventist Medical Center – Wilson Terrace 739 32.1 399 21.2 33 8.9 38 8.7
Los Angeles Glendale Memorial Hospital And Health Center 416 27.8 223 17.5 11 5.4 14 6.1
Los Angeles Good Samaritan Hospital-Los Angeles 1242 26.7 677 17.3 63 10.1 69 9.9
Los Angeles Greater El Monte Community Hospital 207 30.7 89 15.9 0 . 0 .
Los Angeles Helford Clinical Research Hosp At City Of Hope . . . . . . . .
Los Angeles Henry Mayo Newhall Memorial Hospital 378 27.1 175 15.6 0 . 0 .
Los Angeles Hollywood Community Hospital Of Hollywood . . . . . . . .
Los Angeles Hollywood Presbyterian Medical Center 1431 36.8 797 24.5 65 9.3 72 8.9
Los Angeles Huntington Memorial Hospital 931 30.0 500 20.1 24 5.3 28 5.1
Los Angeles Kaiser Fnd Hosp – Baldwin Park 579 19.6 307 12.3 78 22.3 82 20.9
Los Angeles Kaiser Fnd Hosp – Bellflower 630 21.1 327 13.0 117 27.9 129 26.1
Los Angeles Kaiser Fnd Hosp – Harbor City 446 26.4 275 19.1 35 17.1 36 15.3
Los Angeles Kaiser Fnd Hosp – Panorama City 411 30.6 218 20.0 24 11.1 35 12.5
Los Angeles Kaiser Fnd Hosp – Sunset 623 28.0 395 21.3 58 20.4 62 19.7
Los Angeles Kaiser Fnd Hosp – West La 333 23.4 215 17.7 49 29.6 55 27.8
Los Angeles Kaiser Fnd Hosp – Woodland Hills 357 21.8 174 13.0 37 16.9 49 18.8
Los Angeles Kindred Hospital – La Mirada . . . . . . . .
Los Angeles Kindred Hospital – Los Angeles . . . . . . . .
Los Angeles Lakewood Regional Medical Center . . . . . . . .
Los Angeles Lancaster Community Hospital . . . . . . . .
Los Angeles Little Company Of Mary – San Pedro Hospital 206 25.9 95 13.4 0 . 0 .
Los Angeles Little Company Of Mary Hospital 647 27.3 366 18.6 10 3.5 10 3.2
Los Angeles Long Beach Memorial Medical Center . . . . . . . .
Los Angeles Los Angeles Co Harbor-Ucla Medical Center 164 18.5 82 10.4 26 23.9 31 22.9
Los Angeles Los Angeles Co Martin Luther King Jr/Drew Medical Center 136 33.2 66 19.6 10 12.5 11 10.8
Los Angeles Los Angeles Co Olive View-Ucla Medical Center 268 30.5 116 17.5 49 24.4 55 23.3
Los Angeles Los Angeles Co Rancho Los Amigos National Rehab Center . . . . . . . .
Los Angeles Los Angeles Co Usc Medical Center 391 31.8 207 20.7 38 17.2 48 16.4
Los Angeles Los Angeles Community Hospital 232 54.6 146 42.8 0 . 0 .
Los Angeles Los Angeles Metropolitan Medical Center 316 32.1 155 18.3 0 . 1 0.6
Los Angeles Memorial Hospital Of Gardena 573 39.8 280 24.0 1 0.3 1 0.3
Los Angeles Methodist Hospital Of Southern California 568 28.2 328 19.2 15 5.9 16 5.3
Los Angeles Miracle Mile Medical Center . . . . . . . .
Los Angeles Mission Community Hospital – Panorama Campus 0 . 0 . . . . .
Los Angeles Monterey Park Hospital 613 36.7 302 21.6 3 1.0 3 0.9
Los Angeles Motion Picture And Television Hospital . . . . . . . .
Los Angeles Northridge Hospital Medical Center 844 33.8 406 20.3 12 2.7 14 2.8
Los Angeles Norwalk Community Hospital . . . . . . . .
Los Angeles Olympia Medical Center . . . . . . . .
Los Angeles Pacific Alliance Medical Center, Inc. 528 29.4 248 15.9 1 0.4 1 0.3
Los Angeles Pacific Hospital Of Long Beach 336 33.0 104 12.8 0 . 0 .
Los Angeles Pacifica Hospital Of The Valley 435 43.7 220 28.0 5 2.3 7 2.9
Los Angeles Pomona Valley Hospital Medical Center 2252 33.4 1057 18.7 48 3.9 54 3.8
Los Angeles Presbyterian Intercommunity Hospital 874 27.7 407 15.7 56 10.7 64 10.5
Los Angeles Promise Hospital Of East Los Angeles-East L.A. Campus 1 . 1 . . . . .
Los Angeles Providence Holy Cross Medical Center 855 32.6 518 22.2 4 1.2 5 1.3
Los Angeles Providence Saint Joseph Medical Center 826 28.8 467 19.1 27 7.0 34 7.7
Los Angeles San Dimas Community Hospital 214 26.9 107 16.3 3 2.7 3 2.4
Los Angeles San Gabriel Valley Medical Center 615 31.4 322 20.6 11 3.6 14 3.8
Los Angeles Santa Monica – Ucla Medical Center 487 33.8 268 24.3 5 2.3 6 2.5
Los Angeles Sherman Oaks Hospital . . . . . . . .
Los Angeles Shriners Hospital For  Children – L.A. . . . . . . . .
Los Angeles St. Francis Medical Center 1837 32.3 953 19.4 113 11.3 130 11.0
Los Angeles St. John’S Hospital And Health Center 564 26.1 361 20.4 15 7.1 16 6.9
Los Angeles St. Mary Medical Center 741 28.1 402 17.1 20 5.5 27 6.5
Los Angeles St. Vincent Medical Center . . . . . . . .
Los Angeles Temple Community Hospital . . . . . . . .
Los Angeles Torrance Memorial Medical Center 1289 33.3 661 22.0 27 4.2 32 4.3
Los Angeles Tri-City Regional Medical Center . . . . . . . .
Los Angeles Ucla Medical Center 420 22.4 251 15.9 63 27.4 67 24.9
Los Angeles Usc Kenneth Norris, Jr. Cancer Hospital . . . . . . . .
Los Angeles Usc University Hospital . . . . . . . .
Los Angeles Valley Presbyterian Hospital 1709 35.6 877 21.9 23 2.7 27 2.7
Los Angeles Verdugo Hills Hospital 311 33.9 151 22.0 0 . 1 0.6
Los Angeles Vista Specialty Hospital Of San Gabriel Valley . . . . . . . .
Los Angeles West Hills Hospital And Medical Center 380 30.3 185 19.1 7 3.5 7 3.3
Los Angeles White Memorial Medical Center 928 31.8 470 19.5 93 16.9 109 16.1
Los Angeles Whittier Hospital Medical Center 616 31.1 273 16.6 4 1.2 6 1.6
Madera Children’S Hospital Central California . . . . . . . .
Madera Madera Community Hospital 439 25.0 187 12.1 14 5.2 16 5.3
Marin Kaiser Fnd Hosp – San Rafael . . . . . . . .
Marin Kentfield Rehabilitation Hospital . . . . . . . .
Marin Marin General Hospital 295 18.2 174 12.7 53 30.8 56 28.3
Marin Novato Community Hospital . . . . . . . .
Mariposa John C Fremont Healthcare District . . . . . . . .
Mendocino Frank R Howard Memorial Hospital . . . . . . . .
Mendocino Mendocino Coast District Hospital 27 19.1 13 10.1 0 . 0 .
Mendocino Ukiah Valley Medical Center/Hospital Drive 158 22.6 87 13.9 19 20.9 19 18.6
Merced Memorial Hospital Los Banos 198 27.2 84 13.2 0 . 2 1.5
Merced Mercy Medical Center Merced – Community Campus 631 25.9 269 12.6 23 6.0 27 6.1
Modoc Modoc Medical Center 0 . 0 . . . . .
Modoc Surprise Valley Community Hospital 0 . 0 . . . . .
Mono Mammoth Hospital 31 21.8 22 16.6 0 . 0 .
Monterey Community Hospital Monterey Peninsula 288 23.4 141 13.5 1 0.7 1 0.6
Monterey George L Mee Memorial Hospital 150 27.2 76 15.4 2 2.6 2 2.1
Monterey Natividad Medical Center 521 25.1 225 12.1 2 0.7 5 1.5
Monterey Salinas Valley Memorial Hospital 675 29.3 301 15.5 1 0.3 4 0.9
Napa N M Holderman Memorial Hospital (Vet’S Home Of Calif) . . . . . . . .
Napa Queen Of The Valley Hospital – Napa 224 24.2 99 12.8 19 13.2 20 12.3
Napa St. Helena Hospital 63 24.3 35 15.5 0 . 0 .
Nevada Sierra Nevada Memorial Hospital 95 22.2 59 15.1 2 5.3 2 4.2
Nevada Tahoe Forest Hospital 96 22.1 54 14.4 5 10.7 7 13.1
Orange Anaheim General Hospital 105 31.1 56 19.1 1 2.0 2 3.6
Orange Anaheim Memorial Medical Center 419 22.8 177 11.4 23 8.7 26 8.9
Orange Chapman Medical Center . . . . . . . .
Orange Children’S Hospital At Mission . . . . . . . .
Orange Children’S Hospital Of Orange County . . . . . . . .
Orange Coastal Communities Hospital 809 41.7 389 24.9 2 0.5 2 0.4
Orange College Hospital Costa Mesa . . . . . . . .
Orange Fountain Valley Rgnl Hosp And Medical Center – Euclid 865 25.4 460 16.2 39 8.9 44 9.0
Orange Garden Grove Hospital And Medical Center 902 32.8 389 17.2 35 6.4 36 5.7
Orange Hoag Memorial Hospital Presbyterian 1523 29.3 813 19.8 33 4.5 37 4.6
Orange Huntington Beach Hospital . . . . . . . .
Orange Irvine Regional Hospital And Medical Center 566 28.8 315 19.9 15 5.7 19 6.6
Orange Kaiser Fnd Hosp – Anaheim 674 21.9 357 13.9 87 21.6 94 20.3
Orange Kindred Hospital – Brea . . . . . . . .
Orange Kindred Hospital- Westminster . . . . . . . .
Orange La Palma Intercommunity Hospital 157 22.7 68 11.5 1 1.1 1 1.1
Orange Los Alamitos Medical Center 400 25.2 185 13.8 5 2.3 6 2.5
Orange Mission Hospital Regional Medical Center 692 25.3 349 15.2 22 6.1 23 5.6
Orange Orange Coast Memorial Medical Center 414 26.5 214 16.7 9 4.3 9 4.0
Orange Placentia Linda Hospital . . . . . . . .
Orange Saddleback Memorial Medical Center 604 22.1 282 13.1 68 17.7 76 17.4
Orange Saddleback Memorial Medical Center – San Clemente . . . . . . . .
Orange South Coast Medical Center 183 25.0 88 14.8 6 6.0 6 5.6
Orange St. Joseph Hospital – Orange 1382 29.3 710 18.4 77 10.3 81 9.7
Orange St. Jude Medical Center 464 21.7 257 14.4 35 14.6 37 13.3
Orange Tustin Hospital Medical Center . . . . . . . .
Orange University Of California Irvine Medical Center 289 25.8 147 15.4 42 22.9 59 22.1
Orange West Anaheim Medical Center . . . . . . . .
Orange Western Medical Center – Santa Ana 1014 31.3 458 16.9 22 3.8 31 4.7
Orange Western Medical Center Hospital – Anaheim 662 26.9 219 10.6 1 0.2 3 0.6
Placer Kaiser Fnd Hosp – Sacramento/Roseville-Eureka 0 . 0 . . . . .
Placer Sutter Auburn Faith Hospital 127 27.8 66 16.5 0 . 0 .
Placer Sutter Roseville Medical Center 656 25.2 326 14.7 31 8.6 34 8.8
Plumas Eastern Plumas Hospital – Portola Campus . . . . . . . .
Plumas Plumas District Hospital 28 30.7 16 19.8 0 . 0 .
Plumas Seneca Healthcare District . . . . . . . .
Riverside Corona Regional Medical Center – Main 511 26.2 285 16.4 2 0.9 2 0.8
Riverside Desert Regional Medical Center 982 31.8 470 18.3 27 5.0 28 4.6
Riverside Eisenhower Memorial Hospital . . . . . . .  
Riverside Hemet Valley Medical Center 479 41.9 293 29.2 1 0.5 1 0.5
Riverside John F Kennedy Memorial Hospital 851 29.3 370 14.6 7 1.4 9 1.6
Riverside Kaiser Fnd Hosp – Riverside 761 22.1 379 13.0 84 18.0 91 17.2
Riverside Menifee Valley Medical Center . . . . . . . .
Riverside Moreno Valley Community Hospital 379 25.5 145 11.0 2 0.8 2 0.8
Riverside Palo Verde Hospital 46 31.5 18 14.4 0 . 0 .
Riverside Parkview Community Hospital Medical Center 500 31.7 246 18.4 4 1.5 5 1.7
Riverside Riverside Community Hospital 935 30.4 473 17.7 5 1.1 7 1.3
Riverside Riverside County Regional Medical Center 660 23.0 201 8.2 40 8.0 45 7.7
Riverside San Gorgonio Memorial Hospital 124 35.2 69 21.9 3 5.2 3 5.0
Riverside Southwest Healthcare System-Murrieta 815 24.5 362 12.7 10 2.2 13 2.6
Sacramento Kaiser Fnd Hosp – Sacramento/Roseville-Morse 833 23.2 467 15.5 115 24.0 128 22.3
Sacramento Kaiser Fnd Hosp – South Sacramento 486 14.2 237 8.0 119 32.3 125 30.6
Sacramento Kindred Hospital – Sacramento . . . . . . . .
Sacramento Mercy General Hospital 609 26.3 363 17.4 38 13.4 42 13.3
Sacramento Mercy Hospital – Folsom 215 19.4 105 11.3 10 8.4 10 7.8
Sacramento Mercy San Juan Hospital 696 25.1 364 15.0 52 13.5 57 12.4
Sacramento Methodist Hospital Of Sacramento 256 22.2 138 13.7 25 17.4 26 14.8
Sacramento Shriners Hospitals For Children Northern Calif. . . . . . . . .
Sacramento Sutter General Hospital . . . . . . . .
Sacramento Sutter Memorial Hospital 1248 25.8 638 15.4 90 12.9 101 11.8
Sacramento University Of California Davis Medical Center 577 25.3 309 16.1 95 26.2 104 24.7
San Benito Hazel Hawkins Memorial Hospital 176 33.8 81 18.6 0 . 0 .
San Bernardino Arrowhead Regional Medical Center 922 28.8 413 15.0 53 9.4 59 9.4
San Bernardino Barstow Community Hospital 66 24.8 29 12.1 4 9.7 4 8.4
San Bernardino Bear Valley Community Hospital 0 . 0 . . . . .
San Bernardino Chino Valley Medical Center 31 28.5 11 12.0 0 . 0 .
San Bernardino Colorado River Medical Center . . . . . . . .
San Bernardino Community Hospital Of San Bernardino 859 39.2 428 23.2 3 0.7 5 1.0
San Bernardino Desert Valley Hospital 131 33.6 83 23.5 1 2.0 1 1.7
San Bernardino Hi-Desert Medical Center 119 31.3 68 19.5 0 . 0  
San Bernardino Kaiser Fnd Hosp – Fontana 983 23.6 496 13.9 91 15.7 100 15.2
San Bernardino Kindred Hospital – Ontario . . . . . . . .
San Bernardino Loma Linda University Medical Center 578 24.3 261 13.1 86 21.2 96 18.9
San Bernardino Montclair Hospital Medical Center 405 36.1 199 21.3 1 0.5 1 0.5
San Bernardino Mountains Community Hospital 29 27.8 17 18.0 0 . 0 .
San Bernardino Rancho Specialty Hospital . . . . . . . .
San Bernardino Redlands Community Hospital 555 25.6 291 15.2 0 . 0  
San Bernardino San Antonio Community Hospital 672 34.6 382 24.1 1 0.3 3 0.9
San Bernardino St. Bernardine Medical Center 368 20.3 176 10.5 11 5.4 14 5.8
San Bernardino St. Mary Regional Medical Center 417 18.6 179 8.6 4 1.6 7 2.5
San Bernardino Victor Valley Community Hospital 509 39.0 200 19.2 1 0.3 2 0.6
San Diego Alvarado Hospital Medical Center . . . . . . . .
San Diego Children’S Hospital -  San Diego . . . . . . . .
San Diego Fallbrook Hospital District 133 25.6 73 16.2 6 9.0 6 8.4
San Diego Grossmont Hospital 920 28.5 477 17.5 73 14.2 82 14.1
San Diego Kaiser Fnd Hosp – San Diego 918 24.7 531 16.9 82 17.6 90 16.7
San Diego Kindred Hospital – San Diego . . . . . . . .
San Diego Palomar Medical Center 1010 25.6 494 14.8 108 17.3 114 17.0
San Diego Paradise Valley Hospital 507 26.2 208 12.9 3 1.0 4 1.2
San Diego Pomerado Hospital 277 27.0 145 16.9 3 2.2 3 1.9
San Diego Promise Hospital Of San Diego . . . . . . . .
San Diego San Diego Hospice And Palliative Care-Acute Care Center . . . . . . . .
San Diego Scripps Green Hospital . . . . . . . .
San Diego Scripps Memorial Hospital – Encinitas 309 19.5 169 12.6 62 30.9 64 29.2
San Diego Scripps Memorial Hospital – La Jolla 1189 28.7 699 21.3 61 11.3 65 10.9
San Diego Scripps Mercy Hospital 542 25.8 336 18.2 53 20.6 54 19.0
San Diego Scripps Mercy Hospital – Chula Vista 509 30.1 308 20.2 23 10.3 25 10.3
San Diego Sharp Chula Vista Medical Center 945 33.0 442 18.8 8 1.6 8 1.4
San Diego Sharp Coronado Hospital And Healthcare Center . . . . . . . .
San Diego Sharp Mary Birch Hospital For Women 2221 30.2 1261 20.7 97 9.2 107 8.6
San Diego Sharp Memorial Hospital 3 77.9 3 80.4 . . . .
San Diego Tri-City Medical Center 833 25.7 449 15.8 42 9.8 45 9.1
San Diego University Of Calif-San Diego Medical Center 649 26.1 369 17.1 25 8.2 33 8.8
San Francisco California Pacific Medical Center – Pacific Campus 1122 18.4 615 12.2 74 13.1 79 12.1
San Francisco Chinese Hospital . . . . . . . .
San Francisco Kaiser Fnd Hosp – Geary S F 579 24.1 391 19.1 37 16.7 41 15.1
San Francisco Laguna Honda Hospital And Rehabilitation Center . . . . . . . .
San Francisco San Francisco General Hospital 182 16.9 109 11.1 34 31.6 37 30.0
San Francisco St. Francis Memorial Hospital . . . . . . . .
San Francisco St. Luke’S Hospital 178 16.7 98 10.3 24 23.0 26 20.3
San Francisco St. Mary’S Medical Center, San Francisco . . . . . . . .
San Francisco Ucsf Medical Center 330 19.2 215 14.3 27 19.2 38 21.8
San Joaquin Dameron Hospital 479 23.0 224 12.3 13 4.9 18 5.4
San Joaquin Doctors Hospital Of Manteca 173 23.6 82 12.6 3 3.2 4 3.9
San Joaquin Kaiser Fnd Hosp – Manteca . . . . . . . .
San Joaquin Lodi Memorial Hospital 501 39.8 277 26.3 1 0.4 1 0.4
San Joaquin San Joaquin General Hospital 628 25.9 245 11.6 21 5.2 25 5.3
San Joaquin St. Joseph’S Medical Center Of Stockton 544 24.4 259 13.1 17 5.6 20 5.9
San Joaquin Sutter Tracy Community Hospital 215 30.0 97 16.5 0 . 0 .
San Luis Obispo Arroyo Grande Community Hospital . . . . . . . .
San Luis Obispo French Hospital Medical Center 147 19.6 88 12.8 1 1.7 1 1.5
San Luis Obispo Sierra Vista Regional Medical Center 322 28.8 161 17.9 35 17.9 38 16.8
San Luis Obispo Twin Cities Community Hospital 180 31.2 92 18.9 2 2.2 2 2.0
San Mateo Kaiser Fnd Hosp – Redwood City 193 13.7 107 8.8 50 36.8 50 34.5
San Mateo Kaiser Fnd Hosp – South San Francisco . . . . . . . .
San Mateo Menlo Park Surgical Hospital . . . . . . . .
San Mateo Peninsula Medical Center 404 21.3 219 13.8 19 9.4 22 8.7
San Mateo San Mateo Medical Center . . . . . . . .
San Mateo Sequoia Hospital 333 25.8 176 17.4 22 12.5 24 12.7
San Mateo Seton Medical Center 103 17.7 63 12.1 18 31.3 21 30.3
San Mateo Seton Medical Center – Coastside . . . . . . . .
Santa Barbara Goleta Valley Cottage Hospital 57 18.6 33 12.1 1 4.0 1 4.0
Santa Barbara Lompoc Healthcare District 101 24.3 40 11.0 1 1.6 1 1.6
Santa Barbara Marian Medical Center 816 31.4 364 16.4 2 0.4 4 0.8
Santa Barbara Santa Barbara Cottage Hospital 556 24.7 266 14.0 2 0.7 3 0.9
Santa Barbara Santa Ynez Valley Cottage Hospital . . . . . . . .
Santa Clara Community Hospital Of Los Gatos 194 23.7 103 15.8 12 11.9 13 12.2
Santa Clara El Camino Hospital 1102 24.9 614 16.9 17 3.4 18 3.2
Santa Clara Good Samaritan Hospital-San Jose 965 30.4 584 22.9 18 4.6 25 5.3
Santa Clara Kaiser Fnd Hosp – Santa Clara 747 21.9 468 16.1 70 20.2 78 19.7
Santa Clara Kaiser Fnd Hosp – Santa Teresa Community Hospital 452 18.8 254 12.2 62 23.9 70 24.3
Santa Clara Lucile Salter Packard Children’S Hosp. At Stanford 1076 22.9 567 14.5 90 15.2 104 14.7
Santa Clara O’Connor Hospital – San Jose 894 26.3 448 15.8 32 6.7 34 6.4
Santa Clara Regional Medical Of San Jose 282 27.9 112 13.9 3 1.8 4 2.1
Santa Clara Santa Clara Valley Medical Center 918 18.6 448 10.2 237 33.4 265 32.0
Santa Clara St. Louise Regional Hospital 172 27.2 91 16.4 1 1.2 2 2.1
Santa Clara Stanford Hospital 0 . 0 . . . . .
Santa Cruz Dominican Hospital – Santa Cruz/Soquel 218 21.2 109 12.7 28 20.5 32 20.4
Santa Cruz Sutter Maternity And Surgery Center Of Santa Cruz 146 16.5 73 9.6 18 19.9 18 18.2
Santa Cruz Watsonville Community Hospital 430 28.1 217 16.3 19 8.1 21 7.7
Shasta Mayers Memorial Hospital 22 24.1 12 14.0 0 . 0 .
Shasta Mercy Medical Center 493 27.3 269 16.6 5 2.2 7 2.5
Shasta Patients’ Hospital Of Redding . . . . . . . .
Shasta Shasta Regional Medical Center . . . . . . . .
Siskiyou Fairchild Medical Center 56 29.1 38 20.6 1 5.3 1 5.0
Siskiyou Mercy Medical Center Mt. Shasta 39 28.5 25 19.6 1 6.5 1 5.7
Solano Kaiser Fnd Hosp – Rehabilitation Center Vallejo 501 22.5 287 14.9 61 22.2 65 20.8
Solano North Bay Medical Center 400 29.4 197 16.6 6 2.9 6 2.5
Solano North Bay Vacavalley Hospital . . . . . . . .
Solano Sutter Solano Medical Center 205 22.6 94 11.9 21 15.9 22 15.4
Sonoma Healdsburg District Hospital . . . . . . . .
Sonoma Kaiser Fnd Hosp – Santa Rosa 407 23.2 238 16.0 42 20.0 47 20.0
Sonoma Palm Drive Hospital . . . . . . . .
Sonoma Petaluma Valley Hospital 115 23.5 51 11.9 0 . 1 1.4
Sonoma Santa Rosa Memorial Hospital – Montgomery 261 21.9 114 11.9 52 26.2 55 24.9
Sonoma Sonoma Valley Hospital 49 22.9 19 10.5 1 3.3 1 2.9
Sonoma Sutter Medical Center Of Santa Rosa 314 18.7 155 10.1 0 . 1 0.5
Stanislaus Doctors Medical Center 1234 30.9 514 15.4 46 6.0 53 6.2
Stanislaus Emanuel Medical Center, Inc 531 20.7 203 9.1 19 5.5 20 5.4
Stanislaus Memorial Hospital Medical Center – Modesto 531 29.7 300 19.4 3 1.3 4 1.6
Stanislaus Oak Valley District Hospital (2-Rh) 70 22.2 23 8.3 0 . 0 .
Stanislaus Stanislaus Surgical Hospital . . . . . . . .
Sutter Fremont Medical Center 565 28.4 259 15.1 25 7.5 26 7.1
Tehama St. Elizabeth Community Hospital 160 26.4 73 13.6 1 1.1 1 1.0
Trinity Trinity Hospital . . . . . . . .
Tulare Kaweah Delta District Hospital 1043 30.3 489 16.7 29 5.0 33 4.8
Tulare Sierra View District Hospital 523 28.5 232 14.5 2 0.7 2 0.6
Tulare Tulare District Hospital 428 41.6 185 22.6 4 1.6 6 2.1
Tuolumne Sonora Regional Medical Center – Greenley 170 32.7 89 19.7 0 . 0 .
Tuolumne Tuolumne General Hospital . . . . . . . .
Ventura Community Memorial Hospital-San Buenaventura 842 30.1 399 17.3 18 3.9 19 3.7
Ventura Los Robles Hospital & Medical Center 579 31.8 304 21.5 23 7.8 23 6.6
Ventura Ojai Valley Community Hospital . . . . . . . .
Ventura Simi Valley Hospital And Health Care Svcs-Sycamore 127 22.0 62 12.5 0 . 1 1.4
Ventura St. John’S Pleasant Valley Hospital 101 22.6 43 11.4 2 3.4 2 3.3
Ventura St. John’S Regional Medical Center 414 23.5 229 14.3 2 1.1 4 1.7
Ventura Thousand Oaks Surgical Hospital . . . . . . . .
Ventura Ventura County Medical Center 706 25.2 265 10.8 19 4.1 22 4.1
Yolo Sutter Davis Hospital 183 14.8 91 8.0 0 . 0 .
Yolo Woodland Memorial Hospital 158 23.2 71 11.7 1 1.1 1 1.0
Yuba Rideout Memorial Hospital . . . . . . . .

* Agency for Healthcare Research and Quality, Inpatient Quality Indicators, Version 3.1. All indicators are age-adjusted and laparoscopic cholecystectomy is also sex-adjusted.
**Patient Discharge Data 2006 OSHPD

Note: Blank cells indicate that no procedures were performed; VBAC = Vaginal Birth After Cesarean; CS = Cesarean Section.
(go here for rate explanation  )

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May 28th, 2008 | Category: California, Cesarean section, Hospital birth, Hospital VBAC Bans, Hospitals that support VBAC, Repeat Cesarean, VBAC | 2 comments

2 comments to VBAC & Cesarean Rates of California Hospitals, 2006

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