Somerset County Public Health Profile Report
Cesarean Deliveries among Low Risk Women: Percentage of Low-Risk Births, 2017
Somerset28.9% 95% Confidence Interval(26.3% - 31.7%)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.
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?Compared to vaginal deliveries, cesareans carry an increased risk of infection, blood clots, longer recovery, and difficulty with future pregnancies. Reducing cesarean births among low-risk women is a goal of the Healthy People 2020 initiative.
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 2017 stood at 29.7% of births. The rate is slightly higher among Asian and Black (32%) mothers than among Hispanic (30%) and White (28%) mothers. It is also higher overall among foreign-born mothers than US-born mothers. Cesareans are performed more frequently among older mothers and among non-Medicaid recipients.
What Is Being Done?In 2017, a team composed of DOH staff and external partners [http://www.njha.com/njpqc/initiatives/collaborative-to-reduce-nulliparous-term-singleton-vertex-ntsv-cesarean-deliveries/ collaborated] to develop a plan to reduce low risk c-sections in New Jersey hospitals. In 2018, DOH awarded [https://nj.gov/health/news/2018/approved/20180711a.shtml $4.7 million] to eight agencies to improve health outcomes among infants and mothers in New Jersey, including implementation of a doula pilot program to reduce the likelihood of certain birth and delivery/labor outcomes such as cesarean births.
Healthy People Objective MICH-7.1: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 - NJ objective is for women who have never given birth before. US objective is for women who have never had a c-section before.
Health Care System Factors:
Note2017 data are preliminary and based on nearly 100% of registered births occurring in calendar year 2017, which were received and processed as of October 2, 2018.
Data SourcesBirth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
Measure Description for Cesarean Deliveries among Low Risk Women
Definition: The low-risk cesarean delivery rate is the percentage of cesarean deliveries among '''n'''ulliparous (first birth), '''t'''erm (37 completed weeks or more, based on the obstetric estimate), '''s'''ingleton (one fetus), '''v'''ertex (head first) births, sometimes referred to as NTSV births.
Numerator: Number of cesarean deliveries among nulliparous, full-term, singleton, vertex presentation (NTSV) births
Denominator: Total number of nulliparous, full-term, singleton, vertex presentation (NTSV) births