December 14, 2002

Reducing caesarean section rates

The rising caesarean section rate is of concern to anyone who has a true interest in the health and welfare of mothers and babies. The present overall rates in Australia, as recently announced by the Federal Minister for Health, Kay Patterson, are 25% for the public sector and 35% in the private system - truly scandalous figures. Given that these are “averaged” over all hospitals, it means that half of all public hospital have higher rates than this - we already know that these figures for private hospitals are very conservative and are probably much higher in many cases.

In the midst of all this gloom, it is good to hear of trends in the other direction . At the Royal North Shore Hospital, the main maternity unit in the affluent northern suburbs of Sydney, a concerted effort by staff has seen the emergency caesarean section rate drop by 25% over the past few months. This has been achieved mainly by relaxing the strict guidelines for induction which is a well-proven route to caesarean birth for many women. They are also exploring other ways of reducing the rate, which has had a morale boosting impact on staff. The hospital honoured the Manager of Labour Ward with a citation for her efforts in encouraging these important changes.

Let’s hope that other units take note and start making conscious efforts to improve birth outcomes. We certainly need something to be done!

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