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Complete Health Indicator Report of 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

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/29064970 ^1^]

Healthy People Objective: Reduce cesarean births among low-risk (full-term, singleton, vertex presentation) women: Prior cesarean birth

U.S. Target: 81.7 percent

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. The VBAC rate among White mothers is significantly above that of other racial/ethnic groups and the VBAC rate among US-born mothers overall is above that of foreign-born mothers. VBACs are much more common among residents of Ocean, Camden, and Hunterdon Counties than elsewhere in New Jersey.

How Do We Compare With the U.S.?

The VBAC rate in New Jersey is lower than in the nation as a whole.


Related Indicators

Related Health Care System Factors Indicators:



Data Tables


VBAC and Repeat Cesareans by Year, New Jersey, 1990-2017

Method of DeliveryYearPercent of Live Births to Mothers with a Previous CesareanLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 56
VBAC199017.2%16.6%17.9%2,34413,611
VBAC199119.1%18.5%19.8%2,57113,439
VBAC199220.5%19.8%21.2%2,81013,711
VBAC199321.4%20.8%22.1%2,92813,657
VBAC199422.2%21.5%23.0%2,93013,184
VBAC199526.9%26.1%27.6%3,57413,304
VBAC199635.6%34.9%36.4%5,40515,165
VBAC199734.2%33.5%35.0%5,22515,273
VBAC199833.2%32.5%34.0%5,05115,196
VBAC199929.9%29.1%30.6%4,54215,207
VBAC200026.7%26.0%27.4%4,12015,453
VBAC200121.1%20.5%21.8%3,29015,577
VBAC200216.5%15.9%17.1%2,55515,468
VBAC200313.9%13.4%14.4%2,26716,303
VBAC200411.1%10.7%11.6%1,81916,321
VBAC20059.2%8.8%9.7%1,56917,037
VBAC20068.5%8.1%8.9%1,48317,510
VBAC20077.7%7.4%8.1%1,41818,351
VBAC20087.2%6.8%7.5%1,29918,148
VBAC20097.3%6.9%7.7%1,34318,377
VBAC20107.9%7.5%8.3%1,41918,057
VBAC20118.5%8.1%8.9%1,57018,412
VBAC20128.8%8.4%9.2%1,58718,122
VBAC20139.7%9.2%10.1%1,78518,491
VBAC201410.4%9.9%10.8%1,93418,669
VBAC201511.5%11.0%12.0%1,96317,072
VBAC201611.9%11.5%12.4%2,05617,227
VBAC201711.7%11.3%12.2%2,09217,842
Repeat cesarean199082.8%11,26713,611
Repeat cesarean199180.9%10,86813,439
Repeat cesarean199279.5%10,90113,711
Repeat cesarean199378.6%10,72913,657
Repeat cesarean199477.8%10,25413,184
Repeat cesarean199573.1%9,73013,304
Repeat cesarean199664.4%9,76015,165
Repeat cesarean199765.8%10,04815,273
Repeat cesarean199866.8%10,14515,196
Repeat cesarean199970.1%10,66515,207
Repeat cesarean200073.3%11,33315,453
Repeat cesarean200178.9%12,28715,577
Repeat cesarean200283.5%12,91315,468
Repeat cesarean200386.1%14,03616,303
Repeat cesarean200488.9%14,50216,321
Repeat cesarean200590.8%15,46817,037
Repeat cesarean200691.5%16,02717,510
Repeat cesarean200792.3%16,93318,351
Repeat cesarean200892.8%16,84918,148
Repeat cesarean200992.7%17,03418,377
Repeat cesarean201092.1%16,63818,057
Repeat cesarean201191.5%16,84218,412
Repeat cesarean201291.2%16,53518,122
Repeat cesarean201390.3%16,70618,491
Repeat cesarean201489.6%16,73518,669
Repeat cesarean201588.5%15,10917,072
Repeat cesarean201688.1%15,17117,227
Repeat cesarean201788.3%15,75017,842

Data Notes

2017 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 Source

Birth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health


Vaginal Birth after Previous Cesarean (VBAC) by Mother's Race/Ethnicity, New Jersey, 2017

Race/EthnicityPercent of Live Births to Mothers with a Previous CesareanLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 6
White13.9%13.1%14.7%9887,122
Black10.9%9.7%12.2%2782,557
Hispanic10.0%9.2%10.8%5315,335
Asian9.7%8.5%11.1%2032,095
New Jersey11.7%11.3%12.2%2,09217,842
United States12.8%76,301597,677

Data Notes

2017 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.   [[br]] Data for White, Black, and Asian do not include Hispanics. Hispanic ethnicity includes persons of any race.

Data Sources

  • Birth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • National Vital Statistics Reports, NCHS, CDC


Vaginal Birth after Previous Cesarean (VBAC) by Mother's Race/Ethnicity and Birth Place, New Jersey, 2017

Birth PlaceRace/EthnicityPercentage of Live BirthsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 15
U.S. States and D.C.White13.8%12.9%14.7%7945,774
U.S. States and D.C.Black11.6%10.2%13.2%2111,813
U.S. States and D.C.Hispanic9.8%8.4%11.4%1551,579
U.S. States and D.C.Asian9.6%6.1%14.7%20208
U.S. States and D.C.New Jersey12.6%12.0%13.3%1,2259,684
U.S. TerritoriesWhite**
U.S. TerritoriesBlack**
U.S. TerritoriesHispanic14.4%10.4%19.5%36250
U.S. TerritoriesAsian**
U.S. TerritoriesNew Jersey13.7%10.0%18.7%36262
Remainder of WorldWhite14.4%12.6%16.5%1891,311
Remainder of WorldBlack9.2%7.3%11.6%67725
Remainder of WorldHispanic9.7%8.7%10.7%3383,496
Remainder of WorldAsian9.7%8.4%11.2%1831,885
Remainder of WorldNew Jersey10.5%9.8%11.2%8247,835

Data Notes

2017 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.   [[br]] Data for White, Black, and Asian do not include Hispanics. Hispanic ethnicity includes persons of any race.

Data Source

Birth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health


Vaginal Birth after Previous Cesarean (VBAC) by County of Residence, New Jersey, 2015-2017

CountyPercent of Live Births to Mothers with a Previous CesareanLower LimitUpper Limit
Record Count: 23
Atlantic10.2%8.9%11.8%
Bergen7.0%6.3%7.8%
Burlington13.6%12.2%15.1%
Camden19.3%17.9%20.8%
Cape May7.6%5.6%10.3%
Cumberland11.0%9.2%13.0%
Essex12.0%11.1%12.9%
Gloucester12.7%11.1%14.5%
Hudson6.4%5.7%7.2%
Hunterdon18.3%15.1%22.0%
Mercer13.7%12.3%15.4%
Middlesex11.4%10.6%12.3%
Monmouth13.6%12.3%15.0%
Morris10.7%9.6%11.9%
Ocean27.5%25.9%29.1%
Passaic6.3%5.6%7.1%
Salem10.1%7.2%14.0%
Somerset11.8%10.4%13.5%
Sussex6.9%5.1%9.2%
Union10.2%9.3%11.3%
Warren10.4%7.9%13.5%
New Jersey11.7%11.4%12.0%
United States12.8%

Data Notes

2017 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 Source

Birth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health

References and Community Resources

1. ACOG [https://www.ncbi.nlm.nih.gov/pubmed/29064970 Practice Bulletin No. 184: Vaginal Birth After Cesarean Delivery]. 2017 Nov;130(5):e217-e233.

Page Content Updated On 12/04/2018, Published on 12/04/2018
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