1. Electronic Birth Certificate Data 2008-2010 Hudson Valley Regional Perinatal Forum Annual Retreat March 18, 2011 The Regional Perinatal Center – Westchester Medical Center Data Source: EBC Data 2008 - 2010

2. Primary, Repeat and Total (% of Total Deliveries) C/S Rates by Hospital in 2010 Red line indicates target rate of Healthy People 2020 for Primary C/S (23.9%) Black line indicates NVSR prelim data for 2009 Total C/S (32.9%) * Out of 2806 births at Good Samaritan, n=292 mode of delivery missing (10%) *

3. * * Indicates non-elective C/S *

4. Dominant Indications for Primary C/S – RPC, years 2008-2010 *Indication for Primary C/S over total # of Primary C/S

5. Preexisting Conditions vs. Pregnancy-Related Conditions (Total C/S) Example: a NH White female with Gestational Diabetes has 50.2% chance of receiving a C/S Procedure

6. % of C/S by Ethnicity – RPC 2008-2010 Total % C/SPrimary % C/S *e.g., NH Other # primary C/S over Total NH Other deliveries.

7. * e.g., NH Other at Vassar C/S over all NH Other deliveries at Vassar.

8. * e.g., NH Other at Vassar Primary C/S over all NH Other deliveries at Vassar.

9. 2010 Total C/S Rate by Race and Gestational Age *69% of All NH Other deliveries at <34wks gestations had C/S

10. Primary C/S Total C/S Likelihood of NICU Admittance by Gestational Age and Race Of NHO infants born at 34-36wks by C/S, 44.4% were admitted to the NICU *

12. *Red line indicates target rate of Healthy People 2020 for breast-feeding (81.9%) *Green line indicates target rate of Healthy People 2010 (75%) *

13. Diet by Delivery Mode 2010

14. RPC Diet by Delivery Mode and Ethnicity *n=899 (6.2%) of infants had unknown diet % Birth by Vaginal Delivery % Birth by Cesarean Section (Total C/S)

15. C/S Rate by Bodyweight of the mother Primary CS Total C/S *

16. NICU admittance rate by race and bodyweight of the mother Of NH Black infants born by mothers who were obese, 25.8% were admitted to the NICU *

17. Rate of C/S by Mother’s Age and Race Primary C/S Rate (Primary CS / Total Births) Total C/S Rate (Total CS / Total Births) *