The Clinton Herald, Clinton, Iowa

Lifestyles

December 6, 2012

Hospital incentives help babies determine own birth dates

The evidence has been in for some time. Scheduling births may be convenient for physicians, hospitals and expectant parents, but it generally isn't good for the health of mothers and children. It's expensive to boot.

To get a baby to arrive on schedule, doctors often perform a cesarean section, the most common surgery in the United States Since 1996, C-section rates have risen every year to 33 percent of all births in 2009. According to the World Health Organization, the right figure for any country is about 15 percent. The desire to deliver by appointment also prompts doctors to induce labor, for instance by injecting mothers with a hormone or breaking the amniotic sac. Induction rates have doubled over two decades to 23 percent in 2009.

These procedures are sometimes medically necessary — a cesarean, for instance, when the baby is in the breech position, or induction when the baby is more than two weeks overdue. Their elective use, however, has contributed to babies being born too early. From 1990 to 2009, the percentage of U.S. babies delivered at 37 to 38 weeks increased from 19 percent to 27 percent. These newborns aren't technically premature, but a growing body of research shows they are vulnerable. According to a study published last year, children born at 37 weeks are twice as likely to die in their first year as those born at 40 weeks. They have significantly more health problems as well.

These complications tax the health system. Weak newborns often wind up in neonatal intensive care units, which can cost $2,500 a day. Even when all goes well, a cesarean section, because it is surgery, costs 60 percent more than a vaginal delivery, averaging $24,300 versus $15,200.

As hospitals and insurers struggle to contain expenses, a confluence of interests emerges. By reducing elective birth interventions, providers and insurers can cut costs while mothers and newborns achieve better health.

Text Only
Lifestyles
  • Way of the Cross photo The Way of the Cross By Amy Kent Herald Staff Writer The Way of the Cross

    April 19, 2014 1 Photo

  • Screen shot 2014-04-18 at 4.44.15 PM.png Paint, doodle and sketch: 3 apps for art lovers

    In the absence of a palette of watercolors and a sketchpad, these three apps can fill in as your art supplies of choice.

    April 19, 2014 1 Photo

  • Costume jewelry popular at auction It was a large and varied auction on April 12 at the National Guard Armory and by the start of the auction more than 100 people had already registered for their bidding number, and 30 to 40 additional people showed up during the first 20 minutes of t

    April 19, 2014

  • Student leadership Alumni honor students at luncheon CLINTON -- Clinton Community College student leaders were recognized at a student leader luncheon. The CCC Alumni Association honored 30 students, who were nominated by the CCC staff and faculty for showing leadership in the classroom, on campus and

    April 18, 2014 1 Photo

  • EICC to host career fair DAVENPORT-- Manufacturing jobs are available for those who look for them. Eastern Iowa Community College's Blong Technology Center is helping in that search with its upcoming Advanced Manufacturing Career Fair, from 2 to 6 p.m April 29. Several area

    April 18, 2014

  • CCC Veterans Association host 'Honor Flight' showing CLINTON -- The Clinton Community College Student Veterans Association will be host a public showing of the Honor Flight Movie at 6 p.m. Thursday, May 8. The movie will be shown at Clinton Community College Auditorium, 1000 Lincoln Blvd., Clinton. The

    April 17, 2014

  • Sound of Music Screenings showcase films at TLP MOUNT CARROLL, Ill. -- Timber Lake Playhouse will host two events next month. A sing-along "Sound of Music" event will be held at 6:30 p.m. Saturday, May 3, and at 2 p.m. Sunday, May 4, at the Mount Carroll theater. A screening of "Young Frankenstein

    April 17, 2014 1 Photo

  • April is Donate Life Month

    CLINTON -- The month of April is National Donate Life Month across the United States. Hospitals across the nation, like Mercy Medical Center in Clinton, join to recognize the impact that organ and tissue donations make and to honor the generosity of

    April 17, 2014

  • Screen shot 2014-04-11 at 4.49.09 PM.png Train, entertain your pets with these 3 smartphone apps

    While they may not have thumbs to use the phone, pets can benefit from smartphone apps designed specifically for them.

    April 13, 2014 1 Photo

  • Alternatives available for addicts DEAR ANNIE: I enjoy reading your column and agree with most of your advice, including your recommendations when it comes to handling alcohol addictions and binge drinking. I do not work in this field, but I've seen alternatives to AA that may be more

    April 12, 2014

Elections
Front page
Clinton Herald Photos


Browse, buy and submit pictures with our photo site.

Poll

Should the city of Clinton appeal the open records violation ruling that will cost taxpayers $40,600?

Yes
No
     View Results
AP Video
Olympics 2014
Featured Comment
Featured Ads
Blue Zones Project
Parade
Magazine

Click HERE to read all your Parade favorites including Hollywood Wire, Celebrity interviews and photo galleries, Food recipes and cooking tips, Games and lots more.