Cesareans in the News

New Jersey hospital Kimball honored for low rate of C-section births today:

LAKEWOOD — Sumayyah Simone stood in the back of the room, away from the podium, the speakers and the spotlight.

But Simone and pregnant women like her were the reason everyone gathered.

Simone, due to give birth to her second child next month, was the impetus last week for a group of doctors, nurses and midwives to pack themselves into a hallway in Kimball Medical Center's maternity ward and accept an award for good maternity practices.

All because women like Simone want a natural birth.

"There's a trust relationship which I think is really important with a caretaker," said Simone, a 37-year-old Plainfield woman who has a Lakewood doctor monitoring her pregnancy. "When you're in a hospital, you need to trust your doctor."

And when a natural birth is needed or wanted, Kimball Medical Center is among the hospitals of choice.

According to a review of recent state health statistics, the rate of Caesarean-section births at Kimball is the lowest in New Jersey.

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And in South Carolina:

Multiple reasons account for rise in C-sections
By Mike Foley

Back in 1979, when Dr. Kenneth Trofatter began delivering babies in Greenville, the number of women having Caesarean births was about 16 percent.

Last year at Greenville Memorial Hospital, where Trofatter is now the director of maternal-fetal medicine for the University Medical Group, the hospital had 34.6 percent of its births via C-section, a surgical birth method where the baby is removed through an incision in the uterus. Across the country, the Caesarean rate rose to 29.1 percent in 2004 according to the World Health Organization, the latest year for which figures are available.

The end result is higher medical costs, for both private insurers and Medicare, and no end to the debate about the rising numbers of surgeries that some say aren’t always medically necessary. Among his colleagues, Trofatter said, there are two distinct feelings on the issue.

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Today's higher Caesarean rate raises concerns
Expectant moms must weigh risks, benefits for themselves and baby
By Mike Foley

Among his colleagues in obstetrics, Dr. R.E. Lattimore is an anomaly.

“I probably have one of the lower C-section rates in town,” Lattimore said. “It’s probably 14-16 percent over the long haul.”

The long haul in this case is Lattimore’s career as an ob-gyn in Greenville, now in its 21st year. During those two-plus decades, he’s remained conservative in his approach about unnecessary surgeries, including elective Caesareans.

“I’d prefer not to be on the wrong end of a lawsuit because a woman had an elective C-section and something went wrong,” he said.

While Lattimore said he sees lots of reasons for the ever-increasing number of C-sections, he believes that “everyone would like to see lower C-section rates.” But that’s not happening locally, in South Carolina, in the United States, or around the world.

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