Massachusetts

NTSV Cesarean Birth Rate Dashboard: Massachusetts

The Healthy People 2020 target of 23.9% was not met in 2019.

Massachusetts' NTSV cesarean rate does not meet the Healthy People 2020 target of 23.9 percent.

What does NTSV mean?

How does this state compare to the United States?

How does this state 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.

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

Maternal Morbidity, Mass., 2016

All births: 71317

Maternal transfusion: 3

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

Ruptured uterus: Too few to report

Unplanned hysterectomy: Too few to report

Admission to intensive care unit: Too few to report

Unknown: Too few to report

[Note: The numbers provided by CDC for Massachusetts are unusually low.]

Maternal Morbidity, United States, 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, Mass.

Overall cesarean rate in 2016: 31.3 percent

Final Route of Delivery, United States

Overall cesarean rate in 2016: 31.9 percent

Birth Attendant, Mass.

Birth Attendant, U.S.

SOURCE: CDC WONDER

VBAC v. Repeat Cesarean, Mass.

14.7 percent Vaginal Birth After Cesarean rate (excludes unknown)

VBAC v. Repeat Cesarean, U.S.

12.4 percent Vaginal Birth After Cesarean rate (excludes unknown)

VBAC Rates by State

Compare to other states:

Epidural/Spinal Utilization, Mass.

75.5 percent

Epidural/Spinal Utilization, U.S.

73.5 percent

Cesarean with Trial of Labor, Mass.

30.1 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, Mass.

19.4 percent

Induction of Labor, U.S.

24.5 percent

Labor Augmentation, Mass.

23.4 percent

Labor Augmentation, U.S.

21.0 percent

Maternal Health Characteristics

History of a Prior C-section, Mass.

15.0 percent

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

15.3 percent

Chronic Hypertension, Mass.

Chronic Hypertension, U.S.

Source: CDC WONDER

Pregnancy-Associated Hypertension, Mass.

Pregnancy-Associated Hypertension, U.S.

Source: CDC WONDER

Tobacco Use, Mass.

Tobacco Use, U.S.

Source: CDC WONDER

Diabetes, Mass.

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:

State Perinatal Quality Collaboratives

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