Originally Posted by MammaB21
I would expect to be warmly guided to the information I was seeking in order to better make a consumer decision. Hospitals aren't exempt from customer/client care.
Originally Posted by bicyclingbethany
Most of these numbers, such as the rate of cesarean deliveries can be found on state government websites.
Most? Not true at all. Not even close. Here is a list
of all of the states with links to their departments of health. You probably don’t have all day to visit all 50 websites, but I can guarantee you that only a handful of them provide aggregate, facility-level (i.e. by each hospital) data on intervention rates—NY and MA because their legally forced to. As Bailefeliz mentions, Oregon has cesarean rates
(and some home birth data), and I know that Utah provides some data.
The closest that other states may get is to list cesarean rates by county. But even that doesn’t put enough in context.
But even in these states, rather than being buried in a government website, the data needs to be made accessible in hard-copy form to all
maternity care clients of any
birth setting. Period. This is required (albeit not complied with) in New York State.
Also, even though cesareans are the most serious intervention, there are more interventions that need to be listed, and it’s hit-and-miss as to which states publish data on forceps deliveries, episiotomies, etc.
Originally Posted by bailefeliz
I just posted on the other thread related to this...I am not so good at this discussion forum business.
LOL! It’s not you. I’m kind of hoping the mods merge the two threads. So we’re not clicking back and forth.
Originally Posted by bailefeliz
In my State, institution specific method of delivery (c/s rates) are published quarterly in Vital Statistics.
You are very lucky indeed. I’m surprised that your state midwifery board doesn’t collect such data. On THAT I agree that there should be more transparency. MWs in my region are voluntarily transparent, but that can’t be counted on everywhere.
Legally, it will depend on where you live, and then it will depend on who volunteers the any information. This is why I cannot support a sweeping statement about how hospitals are somehow more transparent than midwifery services.
You might check out the Coalition for Improving Maternity Services (referenced above). I know that they are trying to collect nationwide, facility-wide data on all hospitals, birthing centers, and homebirth services. I applaud the effort. Women deserve to know regardless of where they have their babies.
What happened to Liz-Hippymom’s baby is unconscionable. (Liz, if you’re reading this, I hope you report her to your State Midwifery Board
if you haven’t already.)
For every story like Liz's there are other tragic stories of a hospital birth gone awry. And to bring this thread back on topic to the meta-analysis
, I think that's why we're all responding based on our gut feelings and personal prejudices; most of us haven't yet read the meta-analysis, am I right?
Finally, I’ll say that Liz’s story is why as a consumer, I fight for midwifery licensure. The cause isn’t just for NCB advocates to feel all happy and chipper; rather, it ensures greater accountability for midwives who, like doctors, have their bad apples among them.