Ensuring the health and safety of you and your baby is your doctors sacred duty and 24/7 endeavor. There is nothing more important than keeping you and your family safe. As you know or will soon discover creating a safe environment for growth and development of the next generation is one of your main tasks as parents. Safety is our mutual responsibility.
By knowing everything it is possible to know about you.
By talking with you for as long as you need whenever you ask.
By making it possible for you to reach us at any time.
By delivering your baby in a hospital (not at home or in a low-risk birthing center) with safety protocols and expert staff.
By sufficiently monitoring your baby’s heart rate in labor when the contractions are powerful and frequent.
By seeing you every day in the hospital until you go home to start this new chapter of your life.
By our personal total dedication to our beloved profession of doctoring though our unceasing reading, conversation, thought and learning.
At VOB we track the following national quality measures as advised by the National Quality Forum, The Joint Commission, Healthy People 2010/2020 and ACOG. In our view the goal of tracking data is transparency and self-reflection. Numbers are merely a tool, never a rigid goal. Numbers help us think about the care we give and how to continuously learn and improve.
Total Cesarean Delivery Rate
Uncomplicated Cesarean Delivery Rate aka Nulliparous, Term, Singleton, Vertex (NTSV)
Vaginal Birth after Cesarean (VBAC) Success Rate
The California Maternal Quality Care Collaborative said in 2011:
“Women having their first births are up to 10 times more likely to have a cesarean than women having their second or subsequent child. With current U.S. Obstetric practices, if the first birth results in a cesarean delivery, then over 90 percent of all subsequent births will be cesarean. The opposite holds true: if the first birth is vaginal, more than 90% of all subsequent births will be vaginal.”
The joint workshop of the Eunice Kennedy Shriver National Institute of Child Health and Human Development with the Society for Maternal Fetal Medicine with the American College of Obstetricians and Gynecologists said in 2012:
“Of U.S. Women who require an initial cesarean delivery, more than 90% will have a subsequent repeat cesarean delivery. Not only does cesarean delivery increase the risk of maternal complications in the index pregnancy, including intraoperative complications, it has serious implications for future gestations. Adhesions of the uterus, bowel and bladder can result in trauma at surgery, whereas abnormal placentation (placenta previa, accreta, increta, percreta) and uterine rupture can be catestrophic for both mother and neonate. Given the risks associate with the initial cesarean delivery and its implications for subsequent pregnancies, the most effective approach to reducing overall morbidities related to cesarean delivery is to avoid the first cesarean delivery. Incidences of maternal as well as perinatal morbidity and mortality should be kept to the lowest level achievable.”