Of the 10 most frequently performed
in-patient procedures, 5 are
related to maternity and newborn
care (2010 figures - latest available). Bad news: the cesarean section
(surgical delivery) rate continues to rise; it is up 41% since 2004, despite
global evidence that rates over 15% do more harm than good. This is a place to
cut the cost of maternity care. A cesarean section costs on average $9956 more than vaginal delivery. Good news: Fetal monitoring,
circumcision and stripping of membranes are performed less frequently now than
in 1997. The reduction in procedures returns to mothers some control over their
most significant life event, and begins to recognize that over-management is
not beneficial. Repair of obstetric 1,292,000 No change laceration Cesarean section 1,278,000 41% Circumcision 1,164,000 -31% Artificial rupture of 917,000 -5% membranes Fetal monitoring 875,000 -23% |