Middlesex County Public Health Profile Report
Vaginal Birth after Previous Cesarean: Percent of Live Births to Mothers with a Previous Cesarean, 2017-2019
Middlesex11.4% 95% Confidence Interval(10.6% - 12.3%)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.
Middlesex 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?VBAC is associated with decreased maternal morbidity and a decreased risk of complications in future pregnancies.[https://www.ncbi.nlm.nih.gov/pubmed/30681543 ^1^]
How Are We Doing?The vaginal birth after cesarean (VBAC) rate rose rapidly and steadily throughout the early 1990s but peaked in 1996 and began a rapid decline that lasted until 2008. The VBAC rate has been slowly but steadily increasing again since then. VBACs are much more common among residents of Ocean County than elsewhere in New Jersey.
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:
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