New York Hospital Changing Policies.

I just read this great article I got through the ICAN Blog.


http://www.nytimes.com/2010/04/20/nyregion/20bigcity.html?hp

It's a New York Times article about two hospitals on Staten Island, one with an increasing cesarean rate and the other with a declining rate.

The article talks about the fact that many hospitals pay lip service to the fact that the cesarean rate is dangerously high, but have not taken dramatic steps to reduce them.

The article gives credit to Dr. Mitchell A. Maiman, the chairman of the obstetrics and gynecology department the one of the two hospitals, Staten Island University Hospital, for building the goal of cesarean reduction into policy.

Some of the things that they are doing...

Dr. Maiman and his colleagues do not allow unnecessary inductions for first-time pregnancies at any point before the 41st week.

They also do not allow C-sections for no reason other than the mother wants one, stating:
“I find that most of the time, if you explain to a mother you’ll recover faster, it’s safer,” he said, “then most women will choose a vaginal delivery.”

I found that the following quote from the article to be important as it illuminates the fact that women rarely request cesareans if given good information.

"Mother-demanded C-sections are unusual enough that the policy is probably more useful to Dr. Maiman for the message it sends to doctors and patients..." (bold mine)

Dr. Maiman actively encourages VBACs. -YAY!

And I love this one:

Residents are trained not only to avoid unnecessary C-sections, but to let higher-ups know if they witness another doctor about to perform one. -Go Dr.Maiman!

Change only happens when we DO!