Somerset County Public Health Profile Report
Midwife-Attended Births: Percentage of Live Births, 2017
Somerset3.2% 95% Confidence IntervalNADescription 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.
State7.8% U.S.9.1%NA=Data not available.
Somerset 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?Some expectant mothers choose to use a Certified Nurse Midwife (CNM) instead of a traditional physician for their birth experience. CNMs are advanced practice nurses with additional training in delivering babies and providing prenatal and postpartum care to women. CNMs must be Registered Nurses (RNs) and must hold a college degree, such as a Master of Science in Nursing (MSN).
How Are We Doing?Certified Nurse Midwives are more likely to attend births to younger women, women who have had 3 or more previous deliveries, and women delivering at a freestanding birthing center or at home. Although the rate of deliveries by CNMs is higher for freestanding birthing centers and residences, the majority of deliveries attended by CNMs occur in hospitals (7,786 births in 2017). The CNM delivery rates among residents of Atlantic (32%) and Mercer (26%) Counties are more than double the rate in any other New Jersey county.
Data SourcesBirth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health Centers for Disease Control and Prevention, National Center for Health Statistics. Natality public-use data. CDC WONDER On-line Database accessed at [http://wonder.cdc.gov/natality.html]
Measure Description for Midwife-Attended Births
Definition: Besides the mother, the attendant at birth is the person primarily responsible for the delivery. A Certified Nurse Midwife (CNM) is a person who is a registered nurse and who holds certification from the American College of Nurse Midwives (ACNM) or the American Midwifery Certification Board (AMCB) or its successors.
Numerator: Number of births attended by a Certified Nurse Midwife
Denominator: Total number of live births