Markham Stouffville Hospital
“We all continue to work daily on improving care for women and holding each other accountable for high quality evidence-based practice.”
5.9% reduction in C-sections
C-sections were reduced to 23.7% from 29.6% during the five years starting 2009/10 and ending 2013/14.
Upsetting the Apple Cart in a City in Southern Ontario: Changing the Status Quo Hierarchy and Higher Cesarean Rates
Markham Stouffville Hospital (MSH) serves the fastest growing region in Ontario, Canada, with a 22% increase in population size between 2001 and 2006. In the period that followed that rapid growth, MSH experienced a rise in C-sections from 25% in 2005 to 29.6% in 2010 and the induction rate increased from 16% in 2002/03 to 24% in 2009/10. The MSH MOREOB team identified three kinds of interventions that would be necessary to reverse those trends: interventions aimed at pregnant women planning to deliver at MSH, interventions aimed at MSH providers, and interventions that would affect hospital policies. While only 15% of women attempted VBAC in 2009-2010, this rate rose steadily to 33.6% of women in 12/14 with about 80% of those having vaginal births, and MSH surpassed its original goal of reducing the CS rate to 25%.