The hospital at which I am currently planning to deliver has a rate of 22%. That seems high, but I'm not really sure when the red flag should come up.
I am still wrestling with whether to ditch my OB and go with a midwife at a different hospital (where they have a birthing center int he hospital) or stick it out with my very good but very traditional OB.
If it were up to me I would switch in a second but my husband really has a lot of confidence in the OB to manage potential problems.
Re: What is an acceptable (or good) c section rate for low-risk births?
The WHO says 10-15% is the goal
https://ican-online.org/pregnancy/cesarean-fact-sheet
Average in the US is currently 33%
https://ican-online.org/news/cesarean-rate-jumps-again-record-high
22% is low for a hospital in the US, compared to many hospitals that have rates in the 30 or 40% range. A hospital's overall c/s rate will probably include higher risk deliveries and scheduled c-sections. Repeat c/s alone usually account for a significant amount of c-sections done.
For just low-risk births, 22% is high. Think about that--1 in 5 low-risk women can't deliver their babies safely without surgery? If that were the case, I don't think the human species would have survived the tens of thousands of years before safe c-sections were developed.
Like PP mentioned, the WHO recommends an rate of 10-15% for all births. One nurse midwife practice I interviewed with had a 12% c/s rate, and that is pretty good. Out of hospital providers, who by definition only work with low-risk mothers, often report even lower c/s rates. The Farm, where Ina May Gaskin does deliveries, reports a c/s rate of 1.4%.
If you're considering looking at other facilities, this is a great resource for a list of "baby-friendly" hospitals
https://www.babyfriendlyusa.org/eng/03.html
I was curious about the hospitals that would be listed as baby friendly for my area so I went to the link you posted. One of the hospitals that is listed for my area and is "baby friendly", I know for sure is not natural birth friendly. When I was researching hospitals for DD's birth this "baby friendly" hospital had a c-section rate in 2009 that was higher than 75%. Insane crazy high and they don't even have a high level NICU. So just because it's a baby friendly hospital doesn't mean it's natural childbirth friendly.
My figures were wrong. The hospital has a 70% c-section rate in 2008. Still horribly high.
https://www.theunnecesarean.com/blog/2010/4/9/california-cesarean-rates-by-hospital-2008.html
Keep in mind that Baby Friendly focuses on breastfeeding, not birth practices. My local hospital is a certified Baby Friendly hospital and it has a c/s rate of 38%.
I would ask your OB their specific stats rather than just going with the hospital stats. However in general, in the US 22% is actually a pretty good statistic, sadly.
But for example, the hospital I am delivering at has just under a 50% c/s rate. 50%!!! This freaked me out completely until I talked to my midwife and found out that for her practice specifically, the c/s rate is under 20%, and that includes everybody even the elective repeat c/sers. Of the rest the midwives deliver 85% themselves and the docs only step in for high-risk patients.
I like those stats. A lot. What should actually be scary though, is that if my practice only has a 20ish% c/s rate...which other practices are sectioning just about *all* of their patients to make up an average of 50%? THAT is scary.
Mine has a 17% rate for low-risk which is on the lower end for our state [I think the lowest of regular hospitals was 8% that I saw listed but it went as high as 50%.] 22% would fall under the bottom half of hospitals here, closer to the bottom third because there are so many in the 28-35% c/s rate.
Personally, I would check out a birth center if it was an option. Perhaps your husband would be comforted if you did a tour of the facility and they were able to talk to him about what would happen if any complications arise?
The rate at my hospital is 1 in 3, which I don't think is good at all.