Bergen County Public Health Profile Report
Vaginal Birth after Previous Cesarean: Percent of Live Births to Mothers with a Previous Cesarean, 2013-2015
Bergen6.9% 95% Confidence Interval(6.2% - 7.6%)Description of the Confidence IntervalThe confidence interval indicates the range of probable true values for the level of risk in the community.
A value of "NA" (Not Available) will appear if the confidence interval was not published with the NJSHAD indicator data for this measure.
State10.5% U.S. NANA=Data not available.
Bergen Compared to State
Description of Gauge
Description of the GaugeThis graphic is based on the county data to the left. It compares the county value of this indicator to the state overall value.
The county value is considered statistically significantly different from the state value if the state value is outside the range of the county's 95% confidence interval. If the county's data or 95% confidence interval information is not available, a blank gauge image will be displayed with the message, "missing information."NOTE: The labels used on the gauge graphic are meant to describe the county's status in plain language. The placement of the gauge needle is based solely on the statistical difference between the county and state values. When selecting priority health issues to work on, a county should take into account additional factors such as how much improvement could be made, the U.S. value, the statistical stability of the county number, the severity of the health condition, and whether the difference is clinically significant.
- Excellent = The county's value on this indicator is BETTER than the state value, and the difference IS statistically significant.
- Watch = The county's value is BETTER than state value, but the difference IS NOT statistically significant.
- Improvement Needed = The county's value on this indicator is WORSE than the state value, but the difference IS NOT statistically significant.
- Reason for Concern = The county's value on this indicator is WORSE than the state value, and the difference IS statistically significant.
Why Is This Important?Reducing cesarean births among low-risk (full-term, singleton, and vertex presentation) women with a prior cesarean birth is a goal of the Healthy People 2020 initiative. A reduction in the repeat cesarean rate indicates a corresponding increase in the rate of vaginal birth after previous cesarean (VBAC) deliveries.
How Are We Doing?The VBAC rate rose rapidly and steadily throughout the early 1990s but peaked in 1996 and began a rapid decline. VBACs are much more common in some New Jersey counties than in others.
What Is Being Done?The Department of Health statistically tracks many indicators of safety and quality care in maternity hospitals, including cesarean delivery rates. See [http://www.state.nj.us/health/fhs/professional/safequality.shtml Safety and Quality in Maternity Care] for more information.
Healthy People Objective MICH-7.2:Reduce cesarean births among low-risk (full-term, singleton, vertex presentation) women: Prior cesarean birth
U.S. Target: 81.7 percent
Health Care System Factors:
NoteHudson, Salem, and Warren Counties each have a large proportion (> 10%) of records missing method of delivery. Interpret with caution.
Data SourcesBirth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
Measure Description for Vaginal Birth after Previous Cesarean
Definition: A vaginal delivery by a mother who had a cesarean for one or more previous deliveries.
Numerator: Number of births delivered vaginally after a previous cesarean
Denominator: Total number of live births to mothers who previously had a cesarean