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Data set notes

European Health for All database

Indicators: 565

Updated: 18 October 2024

Contact: Data and Digital Health Unit (DDH)

The following abbreviations are used in the indicator titles:

• SDR: age-standardized death rates (see HFA-DB user manual/Technical notes, page 13, for details)

• FTE: full-time equivalent

• PP: physical persons

• PPP$: purchasing power parities expressed in US $, an internationally comparable scale reflecting the relative domestic purchasing powers of currencies.

More information: http://www.euro.who.int/en/data-and-evidence/databases/european-health-for-all-database-hfa-db

Indicator notes

Caesarean sections per 1000 live births
Indicator code: E080401.T This indicator shares the definition with the parent indicator \"Number of caesarean sections\".

Self-explanatory._

Country/Area notes

Albania

Ministry of Health.

Armenia

Source of data: National Health Information Analytic Center, Ministry of Health of the Republic of
Armenia http://moh.am/?section=static_pages/index&id=625&subID=824,29.
Data collected annually, reference period: 31 December.

Belgium

Source: Federal Public Service of Public Health, Food Chain Safety and Environment, Scientific
Institute of Public Health.

Croatia

November 2002: The data are available only from maternity wards. Source: Croatian National Institute
of Public Health.

Czechia

Source: Institute of Health Information and Statistics of CR (IHIS CR).

Denmark

Source: From 1997 is the Birth Register, published by The National Board of Health.

Estonia

Source: from 1992 Medical Birth Registry, National Institute for Health Development.

Finland

Source: Medical Birth Register, THL (National Institute for Health and Welfare).

Germany

Number of deliveries with caesarean section in acute care hospitals. Source: Federal Statistical
Office, Hospital statistics - basic data

Hungary

Source until 2003: Center for Health Care Information (GYOGYINFOK). Source from 2004: National
Institute for Strategic Health Research (ESKI).

Iceland

Source: The Icelandic Birth Registration.

Ireland

Source: National Perinatal Reporting System. Figures refer to total maternities.

Israel

Source for 1990: based on Diagnostic Statistics of Hospitalizations, Central Bureau of Statistics
and Ministry of Health. Source since 1993: data based on the National Hospital Discharges Database,
Department of Health Information, Ministry of Health.

Italy

Source: Ministry of Health, National Database of Hospital Discharges. Number of surgical procedures
with ICD9-CM code in (74.0-74.2, 74.4. 74.99). Data refer to all public and private hospitals.
Clinical data gathered in the hospital discharges database are coded with the following versions:
until 2005 with ICD9-CM version 1997, from 2006 to 2008 with ICD9-CM version 2002, since 2009 with
the ICD9-CM version 2007.

Kazakhstan

Data before 2003 show only number of caesarean sections performed in medical institutions of the
Ministry of Health. From 2003 data show number of caesarean sections performed in medical
institutions in both the private and public sector.

Kyrgyzstan

In 2013, the data shows a total, taking into account the private medical institutions and health
care organizations that provide obstetrics services (plus 927 operations by private medical
institutions, to avoid losing the total number of operations).

Latvia

Since 2002 the data source has been the Newborns State Register.

Lithuania

Source: HI HIC, annual report from maternal hospitals data.

Luxembourg

Source since 1998: Rapport general de l'IGSS. Annual report of the General Inspection of Social
Security.

Malta

Source: Department of Health Information and Research (National Obstetric Information System (NOIS))

Montenegro

Source: Institute of Public Health.
Note: Additional checkings are needed for the year 2013.

Netherlands

See 992982. ICD-9CM: 74.0-74.2, 74.4, 74.9.

North Macedonia

Source: Institute for Public Health (IPH).

Poland

Source: Ministry of Health

Portugal

Source of data: National Statistical Institute Coverage: National

Serbia

Source: Institute of Public Health of Serbia, Birth registration report. From 2006 onwards, data are
obtained by applying the new calculation methodology.

Slovenia

Institute of Public Health of the Republic of Slovenia, Ljubljana 1996 (Perinatologic information
system).

Spain

Source up to 1996: National Statistics Institute and Ministry of Health and Consumer Affairs. Data
from Statistics on Health Establishments Providing Inpatient Care. Source from 1996: Ministry of
Health and Consumer Affairs. (www.msc.es/)

Sweden

Source: The Medical Birth and Malformation Register, NBHW.

Switzerland

Based on hospital discharge data.
Source of data: FSO Federal Statistical Office, Neuchatel; Medical Statistics of Hospitals; yearly
census.
Coverage: Full coverage of hospitals; sufficient (nearly full) coverage of inpatient and day cases
since 2002. Due to a modification of the legislation, day cases are not collected in 2009 anymore.
Estimation method: Discharges without a valid ICD-code are not accounted for (negligible).
Break in time series: The gradual change of diagnosis classification since 2008 from ICD-10 WHO to
ICD-10 GM (German Modification) may lead to breaks for some categories.

Türkiye

Source: MCHFP (General Directorate of Mother and Child Health and Family Planning).

Turkmenistan

Source: Administrative medical statistics, forms: 14 ?Report on hospital activity?, 008/y ?Journal
for surgeries? records? and 066/Y ?Hospital discharge record?.

Ukraine

In establishments under Ministry of Health only.
Source: Centre of Health Statistics, Ministry of Health.

United Kingdom

Coverage: Includes UK NHS hospital activity only. Data is a count of procedures in inpatient care or
day surgery recorded under OPCS4 codes R17, R18 (caesarean section).
Deviation from the Definition: Data is for financial years i.e. data for 01-04-07 to 31-03-08 is
presented as 2007

Estimation Method: Data for Scotland is estimated from their 2009 data as 2010 figures were not
available.
Break in Time Series:
Scotland - Scotland - Calendar year from SMR02 maternity records, 2010 data are unavailable