Glossary

Term · Getting Ready for Birth

NTSV cesarean rate

Also: NTSV, nulliparous term singleton vertex, low-risk cesarean rate

The share of first-time mothers with one baby, head down, at term who have a cesarean. It is a common measure for comparing birth outcomes between hospitals and countries.

In plain words

NTSV stands for , term, singleton, vertex. It describes a first birth, at 37 weeks or later, with one baby in a head-down position. Birth workers and researchers use the NTSV rate to compare hospitals and countries. Because these births are usually lower risk, the rate is seen as a useful measure of care. Hospitals and regions can vary widely on it. The rate does not capture every reason for a cesarean. It also does not describe how each birth went. Mothers may see this number in a hospital report or in a birth-center comparison. It is a population measure, not a prediction for any one birth.

The deeper version

The NTSV cesarean rate is the proportion of cesarean births among nulliparous women with a singleton, cephalic presentation at 37 or more weeks, and is the numerator and denominator used in Robson Classification Group 1 and in many national quality indicators. The Robson system (2001) was proposed to allow comparison across units. The World Health Organization (2015) stated that, at population level, cesarean rates above about 10 percent are not associated with lower maternal and newborn mortality, while noting that the rate alone does not capture maternal or neonatal outcomes. Variation in Group 1 rates is large across hospitals in the United States and reflects differences in practice, labor management, and clinician preference as well as case mix.

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Sources

  • World Health Organization — WHO statement on caesarean section rates. 2015
  • Robson MS — Classification of caesarean sections. Fetal and Maternal Medicine Review 2001

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