Exhibit 3.3. Childbirth
Number and Percent of Maternal Stays by Birth Type, 1993-2005
| All-listed Maternal Procedures
| 1993 |
1994 |
1995 |
1996 |
1997 |
1998 |
1999 |
2000 |
2001 |
2002 |
2003 |
2004 |
2005 |
| Discharges |
| All maternal discharges |
3,774,200 |
3,784,300 |
3,768,100 |
3,743,700 |
3,809,100 |
3,750,300 |
3,840,100 |
4,058,300 |
3,980,300 |
4,128,000 |
4,052,300 |
4,216,600 |
4,191,600 |
| Total C-section |
816,600 |
802,000 |
790,900 |
780,200 |
799,000 |
787,400 |
847,600 |
931,400 |
994,800 |
1,102,900 |
1,170,400 |
1,270,200 |
1,302,800 |
| Repeat C-section |
299,000 |
293,500 |
284,200 |
282,100 |
292,500 |
289,900 |
315,600 |
354,000 |
394,800 |
443,700 |
475,400 |
522,400 |
546,400 |
| First time C-section |
517,500 |
508,500 |
506,700 |
498,100 |
506,500 |
497,500 |
532,000 |
577,400 |
599,900 |
659,200 |
695,100 |
747,800 |
756,400 |
| Vaginal delivery discharges |
2,957,600 |
2,982,400 |
2,977,200 |
2,963,500 |
3,010,100 |
2,963,000 |
2,992,500 |
3,126,900 |
2,985,600 |
3,025,100 |
2,881,900 |
2,946,400 |
2,888,800 |
| Vaginal birth after C-section (VBAC) |
138,500 |
152,300 |
157,200 |
161,600 |
159,700 |
155,800 |
144,600 |
138,100 |
111,700 |
94,300 |
75,600 |
69,700 |
62,300 |
| Vaginal birth, no previous C-section |
2,819,200 |
2,830,100 |
2,820,000 |
2,801,900 |
2,850,400 |
2,807,100 |
2,847,900 |
2,988,800 |
2,873,900 |
2,930,800 |
2,806,300 |
2,876,700 |
2,826,500 |
| Standard Errors |
| All maternal discharges |
132,283 |
127,786 |
137,637 |
134,910 |
135,548 |
116,960 |
132,704 |
152,196 |
127,216 |
132,526 |
130,166 |
142,692 |
154,754 |
| Total C-section |
30,671 |
30,950 |
33,797 |
31,732 |
31,134 |
27,165 |
32,442 |
37,100 |
35,426 |
38,269 |
41,944 |
48,284 |
49,708 |
| Repeat C-section |
11,764 |
11,779 |
12,346 |
12,225 |
11,513 |
10,421 |
11,984 |
13,571 |
14,072 |
15,909 |
17,274 |
19,889 |
21,651 |
| First time C-section |
19,434 |
19,659 |
21,838 |
19,849 |
19,953 |
17,134 |
20,791 |
23,928 |
21,975 |
23,069 |
25,257 |
28,917 |
28,842 |
| Vaginal delivery discharges |
104,064 |
99,396 |
105,960 |
105,355 |
106,212 |
91,629 |
101,671 |
117,803 |
93,997 |
97,277 |
91,437 |
97,001 |
108,223 |
| Vaginal birth after C-section (VBAC) |
6,570 |
6,197 |
7,111 |
7,142 |
6,976 |
5,859 |
5,927 |
6,210 |
4,253 |
4,302 |
3,739 |
3,354 |
3,599 |
| Vaginal birth, no previous C-section |
98,367 |
93,849 |
99,621 |
98,837 |
99,688 |
86,279 |
96,134 |
112,000 |
90,320 |
93,670 |
88,607 |
94,391 |
105,341 |
| Percent Distribution |
| All maternal discharges |
100.0 |
100.0 |
100.0 |
100.0 |
100.0 |
100.0 |
100.0 |
100.0 |
100.0 |
100.0 |
100.0 |
100.0 |
100.0 |
| Total C-section |
21.6 |
21.2 |
21.0 |
20.8 |
21.0 |
21.0 |
22.1 |
23.0 |
25.0 |
26.7 |
28.9 |
30.1 |
31.1 |
| Repeat C-section |
7.9 |
7.8 |
7.5 |
7.5 |
7.7 |
7.7 |
8.2 |
8.7 |
9.9 |
10.7 |
11.7 |
12.4 |
13.0 |
| First time C-section |
13.7 |
13.4 |
13.4 |
13.3 |
13.3 |
13.3 |
13.9 |
14.2 |
15.1 |
16.0 |
17.2 |
17.7 |
18.0 |
| Vaginal delivery discharges |
78.4 |
78.8 |
79.0 |
79.2 |
79.0 |
79.0 |
77.9 |
77.0 |
75.0 |
73.3 |
71.1 |
69.9 |
68.9 |
| Vaginal birth after C-section (VBAC) |
3.7 |
4.0 |
4.2 |
4.3 |
4.2 |
4.2 |
3.8 |
3.4 |
2.8 |
2.3 |
1.9 |
1.7 |
1.5 |
| Vaginal birth, no previous C-section |
74.7 |
74.8 |
74.8 |
74.8 |
74.8 |
74.9 |
74.2 |
73.6 |
72.2 |
71.0 |
69.3 |
68.2 |
67.4 |
| Source: AHRQ, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample, 1993-2005. |