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Field Definitions Add to compare
 
INDICATOR NAME
Name
Caesarean section deliveries
Alternate Name
Percentage of deliveries by delivery type
 
INDICATOR DESCRIPTION
Description

This indicator measures the proportion of deliveries among women who gave birth in Ontario hospitals by delivery type:

  • Caesarean section
  • Vaginal delivery
Indicator Status
Active
HQO Reporting tool/product
Public reporting
Dimension
Effective, Safe
Type
Process
 
DEFINITION AND SOURCE INFORMATION
Unit of Measurement
Percentage
Calculation Methods
The percentage is calculated as: numerator divided by the denominator times 100
Numerator including inclusion/exclusion

Number of cases within denominator resulting in:

  • caesarean section
  • vaginal delivery
Denominator including inclusion/exclusion

Total number of women who delivered in Ontario hospitals

Inclusions:

Live and stillbirth

Exclusions:

Deliveries occurring outside of Ontario hospital

Adjustment (risk, age/sex standardization)- detailed
None
Data Source
BORN Information System (BIS)
Data provided to HQO by
Ontario Better Outcomes Registry & Network (BORN)
Reported Levels of comparability /stratifications (defined)
Region, Time
 
OTHER RELEVANT INFORMATION
Caveats and Limitations
Data can only be reported for hospitals who submit and acknowledge their own data. Data from FY2012/13 onwards extracted from the BORN Information System (BIS)
Comments Detailed
Maternal neighbourhood income quintile was assigned using the Postal Code Conversion File Plus (PCCF+) based on a mother's postal code. The national neighbourhood income quintile was included in the applicable tables. Missing data on this variable represents records where either a valid postal code was not enterred or the PCCF+ program was unable to assign a neighbourhood income quintile. For this indicator, values for type of birth are derived from the Birth Mother encounter, unless a different value was entered in the Birth Child encounter, in which case the value from the Birth Child encounter is used. The BORN Information System (BIS) collects data on every birth and young child in the province. Data is collected from a number of sources including: • Prenatal screening laboratories • Hospitals (labour, birth, and early newborn care information including NICU admissions) • Midwifery Groups (labour, birth, and early newborn care information) • Specialized antenatal clinics (information about congenital anomalies) • Newborn screening laboratory • Prenatal screening and newborn screening follow-up clinics • Fertility clinics Data are collected and reported through a variety of mechanisms including HL7, batch upload, and manual data entry along with standard and analytical reports. Reporting hospital data are shown only if data have been acknowledged for submission.
Footnotes
i Degani, N. & Sikich, N. (2015). Caesarean Delivery Rate Review: An Evidence-Based Analysis. Accessed at: http://www.hqontario.ca/Portals/0/documents/eds/ohtas/eba-caesarean-delivery-rate-review-1503-en.pdf ii Canadian Institute for Health Information. Health Indicators Interactive Tool 199602914. Available http://www.cihi.ca/hirpt/SearchServlet, Accessed May 22, 2015 iii CIHI. (2015). Inpatient Hospitalizations, Surgeries and Childbirth Indicators in 2013–2014. Accessed at: https://secure.cihi.ca/free_products/CAD_Hospitalization%20and%20Childbirth_Infosheet_ENrev-web.pdf
 
TAGS
Sector
Acute Care/Hospital
Type
Process
Topic
Maternal and Child Health
Dimension
Effective, Safe
Source
BORN Information System (BIS)
 
PUBLISH
Publish Datetime
20/11/2018 15:42:00