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| Cesarean Section Delivery Utilization TABLE BACK to List of IndicatorsD R A F T |
| Cesarean section (C-section) is the surgical removal of the baby through the mother's abdomen. Whether or not this procedure is necessary and appropriate depends largely on each individual's clinical characteristics. The decision is usually a joint one between the patient and her doctor. Babies in the breech (buttocks first) position, prior C-section(s), the number of previous births, placental or umbilical cord complications, infections and high or low birth weight are factors that may cause a woman to have a C-section, according to the American College of Obstetrics and Gynecology. Hospitals that serve as referral centers for high risk pregnancies, those with intensive care units for very sick babies, and those serving mothers who have not had the benefit of prenatal care can be expected to have higher C-section rates. In general, lower percentages are better. |
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|
| 2002 Procedure utilization in Colorado hospitals | ||
| City | Facility | Facility Group |
Number
of Cases
|
Number
of procedures performed
|
Observed
utilization rate
|
Expected
utilization rate
|
Risk-Adjusted
Utilization Rate (RAUR)
|
95%
Confidence Interval for RAUR
|
2001
rating
|
2002
rating
|
| State Total |
64,955
|
13,929
|
21.4%
|
|
21.4%
|
|
|
|
||
| Alamosa | San Luis Valley Regional Med. Cntr. |
560
|
96
|
17.1%
|
19.4%
|
18.9%
|
(15.5%,
22.4%)
|
|
|
|
| Aspen | Aspen Valley Hosp. |
328
|
71
|
21.6%
|
23.7%
|
19.6%
|
(15.0%,
24.1%)
|
|
|
|
| Boulder | Boulder Community Hosp. |
1,677
|
332
|
19.8%
|
23.6%
|
18.0%
|
(16.0%,
20.0%)
|
|
|
|
| Brush | East Morgan County Hosp. |
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
|
| Burlington | Kit Karson Memorial Library |
68
|
23
|
33.8%
|
20.4%
|
35.6%
|
(25.7%,
45.5%)
|
|
|
|
| Cañon City | St. Thomas More Hosp. | Centura |
310
|
59
|
19.0%
|
19.7%
|
20.7%
|
(16.0%,
25.3%)
|
|
|
| Colorado Spgs. | Memorial Hosp. |
4,258
|
909
|
21.3%
|
20.8%
|
22.0%
|
(20.7%,
23.2%)
|
|
|
|
| Colorado Spgs. | Penrose Community Hosp. | Centura |
3,244
|
670
|
20.7%
|
21.7%
|
20.4%
|
(18.9%,
21.8%)
|
|
|
| Colorado Spgs. | Penrose Hosp. | Centura |
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
| Colorado Spgs. | Spring Cntr. for Women |
—
|
—
|
—
|
—
|
—
|
—
|
|
—
|
|
| Cortez | Southwest Memorial Hosp. |
211
|
43
|
20.4%
|
20.2%
|
21.7%
|
(16.1%,
27.3%)
|
|
|
|
| Craig | Memorial Hospital |
79
|
18
|
22.8%
|
20.4%
|
24.0%
|
(14.8%,
33.1%)
|
|
|
|
| Delta | Delta County Memorial Hosp. |
218
|
55
|
25.2%
|
20.4%
|
26.5%
|
(21.0%,
32.1%)
|
|
|
|
| Denver Metro | ||||||||||
| Denver | The Childrens Hosp. |
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
|
| Denver | Denver Health Med. Cntr. |
3,569
|
624
|
17.5%
|
19.9%
|
18.8%
|
(17.4%,
20.2%)
|
|
|
|
| Littleton | Littleton Adventist Hosp. | Centura |
2,177
|
421
|
19.3%
|
24.0%
|
17.3%
|
(15.5%,
19.0%)
|
|
|
| Wheat Ridge | Lutheran Med. Cntr. | Exempla |
2,868
|
525
|
18.3%
|
21.9%
|
17.9%
|
(16.4%,
19.5%)
|
|
|
| Aurora | The Med. Cntr. of Aurora - South Campus | HealthONE |
3,551
|
663
|
18.7%
|
21.0%
|
19.0%
|
(17.7%,
20.4%)
|
|
|
| Thornton | North Suburban Med. Cntr. | HealthONE |
1,678
|
306
|
18.2%
|
20.3%
|
19.2%
|
(17.2%,
21.2%)
|
|
|
| Brighton | Platte Valley Med. Cntr. |
1,067
|
323
|
30.3%
|
20.5%
|
31.7%
|
(29.2%,
34.2%)
|
|
|
|
| Denver | Porter Adventist Hosp. | Centura |
760
|
152
|
20.0%
|
22.2%
|
19.3%
|
(16.3%,
22.3%)
|
|
|
| Denver | Presbyterian St. Lukes Med. Cntr. | HealthONE |
1,827
|
520
|
28.5%
|
21.8%
|
27.9%
|
(26.0%,
29.8%)
|
|
|
| Denver | Rose Med. Cntr. |
4,621
|
1,176
|
25.4%
|
22.7%
|
24.1%
|
(22.8%,
25.3%)
|
|
|
|
| Denver | St. Anthony Central Hosp. | Centura |
1,604
|
292
|
18.2%
|
19.8%
|
19.7%
|
(17.7%,
21.8%)
|
|
|
| Westminister | St. Anthony North Hosp. | Centura |
822
|
115
|
14.0%
|
20.1%
|
14.9%
|
(12.1%,
17.8%)
|
|
|
| Denver | St. Joseph Hosp. | Exempla |
4,669
|
943
|
20.2%
|
21.8%
|
19.9%
|
(18.7%,
21.1%)
|
|
|
| Englewood | Swedish Med. Cntr. |
3,715
|
865
|
23.3%
|
23.1%
|
21.6%
|
(20.2%,
22.9%)
|
|
|
|
| Denver | University Hosp. |
3,058
|
631
|
20.6%
|
20.4%
|
21.7%
|
(20.2%,
23.1%)
|
|
|
|
| Durango | Mercy Med. Cntr. |
726
|
202
|
27.8%
|
21.6%
|
27.7%
|
(24.6%,
30.7%)
|
|
|
|
| Estes Park | Estes Park Med. Cntr. |
63
|
15
|
23.8%
|
21.1%
|
24.2%
|
(13.9%,
34.5%)
|
|
|
|
| Fort Collins | Poudre Valley Hosp. |
2,396
|
603
|
25.2%
|
21.9%
|
24.6%
|
(22.9%,
26.3%)
|
|
|
|
| Fort Morgan | Colorado Plains Med. Cntr. |
403
|
115
|
28.5%
|
20.7%
|
29.5%
|
(25.4%,
33.6%)
|
|
|
|
| Glenwood Spgs. | Valley View Hosp. |
664
|
137
|
20.6%
|
21.2%
|
20.9%
|
(17.7%,
24.1%)
|
|
|
|
| Grand Junction | Community Hosp. |
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
|
| Grand Junction | St. Marys Hosp. and Med. Cntr. |
1,829
|
395
|
21.6%
|
20.5%
|
22.6%
|
(20.6%,
24.5%)
|
|
|
|
| Greeley | North Colorado Med. Cntr. |
2,247
|
468
|
20.8%
|
20.4%
|
21.9%
|
(20.2%,
23.6%)
|
|
|
|
| Gunnison | Gunnison Valley Hosp. |
142
|
22
|
15.5%
|
22.8%
|
14.6%
|
(7.7%,
21.5%)
|
|
|
|
| Haxtun | Haxtun Hosp. Dist. |
less
than 5 —
|
—
|
—
|
—
|
—
|
—
|
—
|
||
| Holyoke | Melissa Memorial Hosp. |
34
|
6
|
17.6%
|
19.0%
|
19.9%
|
(5.9%,
33.9%)
|
|
|
|
| Hugo | Lincoln Community Hosp. |
31
|
8
|
25.8%
|
21.3%
|
26.0%
|
(11.3%,
40.7%)
|
|
|
|
| Julesburg | Sedgwick Cnty. Mem. Hosp. |
15
|
||||||||
| La Jara | Conejos County Hosp. |
12
|
—
|
—
|
||||||
| La Junta | Arkansas Valley Regional Med. Cntr. |
321
|
67
|
20.9%
|
19.6%
|
22.8%
|
(18.2%,
27.4%)
|
|
|
|
| Lamar | Prowers Med. Cntr. |
235
|
92
|
39.1%
|
20.3%
|
41.4%
|
(36.1%,
46.8%)
|
|
|
|
| Leadville | St. Vincent General Hosp. |
6
|
—
|
—
|
—
|
—
|
—
|
|
—
|
|
| Longmont | Longmont United Hosp. |
1,487
|
317
|
21.3%
|
21.6%
|
21.1%
|
(19.0%,
23.3%)
|
|
|
|
| Louisville | Avista Adventist Hosp. | Centura |
2,214
|
480
|
21.7%
|
22.5%
|
20.6%
|
(18.9%,
22.4%)
|
|
|
| Loveland | McKee Med. Cntr. |
978
|
264
|
27.0%
|
21.0%
|
27.5%
|
(24.9%,
30.2%)
|
|
|
|
| Meeker | Pioneers of Rio Blanco |
less
than 5 —
|
—
|
—
|
—
|
—
|
—
|
—
|
||
| Montrose | Montrose Memorial Hosp. |
458
|
129
|
28.2%
|
20.7%
|
29.2%
|
(25.4%,
33.0%)
|
|
|
|
| Pueblo | Parkview Med. Cntr. |
1,536
|
279
|
18.2%
|
20.1%
|
19.4%
|
(17.3%,
21.5%)
|
|
|
|
| Pueblo | St. Mary Corwin Med. Cntr. | Centura |
754
|
124
|
16.4%
|
20.1%
|
17.5%
|
(14.6%,
20.5%)
|
|
|
| Rifle | Grand River Hosp. District |
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
|
| Salida | Heart of the Rockies Regional Med. Cntr. |
138
|
29
|
21.0%
|
20.6%
|
21.9%
|
(14.9%,
28.8%)
|
|
|
|
| Springfield | Southeast Colorado Hosp. |
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
|
| Steamboat Spgs. | Yampa Valley Med. Cntr. |
323
|
109
|
33.7%
|
21.8%
|
33.2%
|
(28.6%,
37.7%)
|
|
|
|
| Sterling | Sterling Regional MedCntr. |
273
|
71
|
26.0%
|
20.4%
|
27.4%
|
(22.4%,
32.3%)
|
|
|
|
| Trinidad | Mount San Rafael Hosp. |
10
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
|
| Vail | Vail Valley Med. Cntr. |
602
|
135
|
22.4%
|
22.6%
|
21.3%
|
(18.0%,
24.6%)
|
|
|
|
| Walsenberg | Huerfano Med. Cntr. |
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
|
| Wray | Wray Community District Hosp. |
84
|
24
|
28.6%
|
21.0%
|
29.2%
|
(20.3%,
38.1%)
|
|
|
|
| Yuma | Yuma District Hosp. |
31
|
0
|
0.0%
|
—
|
1.1%
|
(0.0%,
15.8%)
|
—
|
|
|
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