Written Answers. - Maternity Services.

Bernard Allen

Question:

540 Mr. Allen asked the Minister for Health and Children if he will make a statement on com ments by a person (details supplied) that the caesarean section rate of 19% in this country is a matter of great concern and the views of the World Health Organisation that any country with a caesarean section rate above 15% needs to look at the reasons for this. [19497/00]

I am aware that the caesarean section rate has increased in the maternity hospitals over the past ten years. There is no correct caesarean section rate and very many reasons influence what a hospital's caesarean section rate may be. As with all medical interventions, caesarean sections should only be undertaken for sound clinical reasons in the interests of both mothers and babies.

My Department's chief medical officer has sought the views of the Institute of Obstetricians and Gynaecologists which is the organisation with professional responsibility for standards in this area. On receipt of its reply, the chief medical officer will consider how best this issue can be addressed.

Bernard Allen

Question:

541 Mr. Allen asked the Minister for Health and Children the number of caesarean sections carried out nationally in each of the years 1990, 1995 to 1999, and to date in 2000. [19498/00]

Bernard Allen

Question:

542 Mr. Allen asked the Minister for Health and Children the number of caesarean sections carried out in each of the public hospitals in each of the health board areas in each of the years 1990, 1995 to 1999, and to date in 2000. [19499/00]

I propose to take Questions Nos. 541 and 542 together.

The number of caesarean section deliveries in each public hospital by health board for the years 1990, 1995-99 and 2000, to the end of August unless otherwise stated, is as follows:

Hospital by Health Board

1990

1995

1996

1997

1998

1999

2000

National Maternity Hospital, Dublin

513

684

778

818

1,003

974

694

Coombe Women's Hospital, Dublin

410

891

929

937

1,015

1,137

842

Rotunda Hospital, Dublin

692

1,004

1,140

1,343

1,518

1,572

1,039

ERHA/EHA Total

1,615

2,579

2,847

3,098

3,536

3,683

2,575

Longford/Westmeath General Hospital

89

129

105

141

166

214

181 *1

General Hospital, Portlaoise

87

98

135

160

166

148

91 *1

Midland HB Total

176

227

240

301

332

362

272

Limerick Regional Maternity Hospital

345

581

713

864

1,002

1,081

n/a

MWHB Total

345

581

713

864

1,002

1,081

n/a

Louth County Hospital

58

83

110

97

98

112

72

Our Lady of Lourdes Hospital, Drogheda

335

381

466

479

527

490

375 *2

General Hospital, Cavan

82

138

118

204

204

246

171

General Hospital, Monaghan

71

42

59

65

65

70

59

NEHB Total

546

644

753

845

894

918

677

Hospital by Health Board

1990

1995

1996

1997

1998

1999

2000

General Hospital, Letterkenny

112

128

190

210

224

261

190

General Hospital, Sligo

108

141

156

172

196

250

155

NWHB Total

220

269

346

382

420

511

345

General Hospital, Wexford

100

154

n/a

n/a

274

356

186

St. Joseph's Hospital, Clonmel

96

121

133

143

186

216

154

Waterford Maternity Hospital (Regional Hospital)

180

237

311

313

359

311

347 *2

St. Luke's Hospital, Kilkenny

109

182

234

256

338

305

236

SEHB Total

485

694

678

712

1,157

1,188

923

St. Finbarr's Hospital, Cork

261

262

287

262

324

280

185

Erinville Hospital, Cork

341

365

380

487

532

614

447

Victoria Hospital, Cork*

68

49

67

10*

General Hospital, Tralee

125

104

140

175

218

194

153

SHB Total

795

780

874

924

1,074

1,088

785

Mayo General Hospital

n/a

164

198

198

203

202

174 *3

University College Hospital, Galway

325

366

446

487

471

521

388 *4

Portiuncula Hospital, Ballinasloe

199

242

264

283

356

381

234

WHB Total

524

772

908

968

1,030

1,104

796

Ireland Total

4,706

6,546

7,359

8,094

9,445

9,935

6,373

*Maternity Unit closed Feb. 1997.
n/a indicates 'Not Available'.
*1 End of July
*2 12/9/00
*3 25/9/00
*4 13/9/00