EUROPEAN HEALTH INFORMATION GATEWAY

  • Caesarean sections per 1000 live births (Line chart)
  • Caesarean sections per 1000 live births (Bar chart)
  • Caesarean sections per 1000 live births (Map)
Data set notes
European Health for All database (WHO)

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.

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 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.
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.
The former Yugoslav Republic of Macedonia
Source: Institute for Public Health (IPH).
Turkey
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