The secret number maternity hospitals don’t want you to know, and why we’re revealing it via USATODAY
People facing hip and knee replacement can go online and find out how often those surgeries go awry at hospitals across the country.
There are certainly questions about the data. Some hospitals are more likely to treat patients with health problems, so childbirth complication rates are difficult to compare. Some of the best-equipped hospitals in the country may have higher complication rates because mothers who are very sick get referred there.
“You’re going to get a lot of defensiveness in response to probing questions,” said Dr. Elliott Main, medical director of the California Maternal Quality Care Collaborative. “But the value of a story or a series like this is it truly is making people stop and think about their reflexive responses.” The resulting “severe maternal morbidity rate” is like a composite score of things that can go wrong at the hospital before, during or after delivery – heart attacks, strokes, blood transfusions, hysterectomies and other emergencies that can permanently harm or even kill a new mother.
Some experts say that could inflate the rate. Others note that transfusions are counted for all hospitals and a blood transfusion is not part of a routine childbirth. There’s no consensus among experts about how to adjust the data to factor in all of the variables unique to childbirth.
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