1 Dr Ganga
Ganesan is a Clinical Performance Officer with the Clinical
Quality Branch, MOH.
The Caesarean Section
rates are not adjusted for clinical factors that may
substantially account for the differences in rates between
hospitals, i.e., prior Caesarean Section, birth order, breech
presentation, placental or cord complications, sexually
transmitted diseases, infections, and birth weight.
inpatient quality indicators: Quality of care in hospitals –
Volume, mortality, and utilization.
AHRQ Pub. No. 02-R0204, Revision 3 (21 July 2004), p. 66.
Sentinel Caesarean Section Audit.
Royal College of Obstetricians and Gynaecologists (RCOG)
Clinical Effectiveness Support Unit, Oct 2001.
OECD Health Data 2004, 1st
US News &
Aug 5, 2002, p.42.
Guideline: Caesarean Section.
National Institute for Clinical Excellence. April 2004.
The same study showed no
difference in terms of maternal mortality or serious maternal
morbidity. Hannah ME, Hannah WJ, Hewson SA, Hodnett ED, Saigal
S, Willan AR.
caesarean section versus planned vaginal birth for breech
presentation at term: a randomized multicentre trial.
The Lancet, 2000; Vol 356: p 1375-83
Size: 50% of patients pay this amount or less, 50% pay more.
This figure provides an estimate of the typical bill sizes for
MOH Information Paper