FLORIDA

 

NTSV Cesarean Birth Rate Dashboard: Florida

The Healthy People 2020 target of 23.9% not yet met.

Preliminary 2017 data show that Florida's NTSV cesarean rate is now the highest in the nation and far in excess of the Healthy People 2020 target of 23.9 percent.   

What does NTSV mean?

How does Florida compare to the United States?

How does Florida rank among other states?

 

About this state dashboard

Centers for Disease Control and Prevention (CDC) National Center for Health Statistics provided a special report on state-level final data to CesareanRates.org. These include maternal morbidity cases, maternal conditions and characteristics of labor and delivery not currently accessible in CDC WONDER. Our organization is publishing these alongside national numbers to inform the public, policy makers, public health experts and the obstetric and midwifery community about state-level progress toward Healthy People 2020 goals for childbirth.

 

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Defined by the World Health Organization Maternal Morbidity Working Group (MMWG), 2013. 

 
 
 

Maternal Morbidity, FL, 2016

All births: 225,022

Maternal transfusion: 300

3rd- or 4th-degree perineal laceration: 780

Ruptured uterus: 26

Unplanned hysterectomy: 61

Admission to intensive care unit: 284

Unknown: 260

Maternal Morbidity, U.S., 2016

All births: 3,945,875

Maternal transfusion: 11,494

3rd- or 4th-degree perineal laceration: 25,463

Ruptured uterus: 976

Unplanned hysterectomy: 1,342

Admission to intensive care unit: 5,003

Unknown: 5,362

 

MORE AVAILABLE ON CDC WONDER, INCLUDING DATA ON AGE, RACE AND OTHER CHARACTERISTICS.

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Characteristics of Labor and Delivery

 

Final Route of Delivery, FL

Overall cesarean rate in 2016: 37.4 percent

Final Route of Delivery, U.S.

Overall cesarean rate in 2016: 31.9 percent
 

VBAC v. Repeat Cesarean, FL

7.7 percent Vaginal Birth After Cesarean rate (excludes unknown)

VBAC v. Repeat Cesarean, U.S.

12.4 percent Vaginal Birth After Cesarean rate (excludes unknown)

Compare Florida to other states:

 

Epidural/Spinal Utilization, FL

74.7 percent of women labored with epidural or spinal anesthesia

Epidural/Spinal Utilization, U.S.

73.5 percent of women labored with epidural or spinal anesthesia
 

Cesarean with Trial of Labor, FL

19.9 percent attempted a trial of labor before a cesarean birth (excludes unknown).

Cesarean with Trial of Labor, U.S.

25.3 percent attempted a trial of labor before a cesarean birth (excludes unknown).
 

Induction of Labor, FL

20 percent

Induction of Labor, U.S.

24.5 percent
 

Labor Augmentation, FL

16.5 percent

Labor Augmentation, U.S.

21.0 percent

MATERNAL HEALTH CHARACTERISTICS

History of a Prior C-section, FL

15.2 percent

History of a Prior C-section, U.S.

15.3 percent
 

Chronic Hypertension, FL

Chronic Hypertension, U.S.

Source: CDC WONDER
 

Pregnancy-Associated Hypertension, FL

Pregnancy-Associated Hypertension, U.S.

Source: CDC WONDER
 

Tobacco Use, FL

Tobacco Use, U.S.

Source: CDC WONDER
 

Diabetes, FL

Diabetes, U.S.

Source: CDC WONDER
 

 

Tools for Promoting Maternal Safety

Several organizations offer free quality improvement solutions online, including condition-specific toolkits and larger scale data collection and analysis protocols.

 

Hospital level:

Patient Safety Movement Foundation: Optimizing Obstetric Safety Actionable Patient Safety Solutions (APSS)

Council on Patient Safety in Women's Health Care: Maternal Safety Bundles

California Maternal Quality Care Collaborative: Toolkits and Maternal Data Center

State or regional level:

PROVIDE Initiative (Florida Perinatal Quality Collaborative)

State Perinatal Quality Collaboratives

Maternal Mortality Review Committees: General information and standardization of data collection

Florida Total Cesarean Rate and VBAC Rate, 2000-2016, Hospitals Only

Data Source: Florida Agency for Health Care Administration
 

Florida HOSPITAL C-SECTION AND VBAC RATES

Updating and publishing hospital-level maternity care data is Phase 2 of this project. Volunteers and donations needed.

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