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Health Indicator Report of Cesarean Deliveries among Low Risk Women

Reducing cesarean births among low-risk (full-term, singleton, and vertex presentation) women is a goal of the Healthy People 2020 initiative.

Notes

This is Healthy New Jersey 2020 (HNJ2020) Objective MCH-14. Confidence intervals are not available for U.S. data.

Data Sources

  • Birth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • National Center for Health Statistics, Centers for Disease Control and Prevention (CDC), [https://www.cdc.gov/nchs/index.htm]

Definition

The low-risk cesarean delivery rate is the percentage of cesarean deliveries among nulliparous (first birth), term (37 completed weeks or more, based on the obstetric estimate), singleton (one fetus), vertex (head first) births

Numerator

Number of cesarean deliveries among nulliparous, full-term, singleton, vertex presentation births

Denominator

Total number of nulliparous, full-term, singleton, vertex presentation births

Healthy People Objective: Reduce cesarean births among low-risk (full-term, singleton, vertex presentation) women: Women with no prior cesarean births

U.S. Target: 23.9 percent
State Target: N/A

Other Objectives

'''Healthy NJ 2020 Objective MCH-14 (NEW)''': Reduce cesarean births among low-risk (nulliparous, full-term, singleton, vertex presentation) women to 27.9% among the total population, 27.0% among Whites, 29.3% among Blacks, 27.6% among Hispanics, and 30.2% among Asians.

How Are We Doing?

The cesarean delivery rate among low risk New Jersey mothers declined in 2010 for the first time since the mid-1990s and in 2015 stood at 31% of births. The rate is slightly higher among Asian (34%) and Black (33%) mothers than among Hispanic (31%) and White (30%) mothers. Cesareans are performed more frequently among older mothers and among non-Medicaid recipients.

How Do We Compare With the U.S.?

The low-risk cesarean rate in New Jersey began to rise in 1995, two years ahead of the US rate, and rose more quickly than the national rate. Both rates peaked in 2009. Currently, the New Jersey low-risk cesarean rate is about 20% higher than the national rate.

What Is Being Done?

The Department of Health tracks many indicators of safety and quality care in maternity hospitals, including cesarean delivery rates.
Page Content Updated On 11/08/2017, Published on 11/08/2017
The information provided above is from the Department of Health's NJSHAD web site (https://nj.gov/health/shad). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Mon, 18 December 2017 13:35:09 from Department of Health, New Jersey State Health Assessment Data Web site: https://nj.gov/health/shad ".

Content updated: Wed, 15 Nov 2017 07:52:42 EST