National Vital Statistics Reports Volume Number April - PDF document

Statistics Reports Volume2011M.P.H. 80 68.670 62.1 61.0 60 50 40 30 0 61.8 Percent All races White1 Black1 52.8 47.7 42.1 Native Hispanic American NOTE: Singleton vaginal deliveries only.SOURCE: CDC/NCHS, National Vital Statistics System. U.S.Centers for Disease Control and Prevention National Center for Health Statistics National Vital Statistics System ��2 National VitalVol.2011Women‘‘therephysician’scare’’(‘‘natural’’)‘‘epidurallabor’’‘‘characteristicsdelivery’’‘‘Technical’’‘‘epidural/spinalanesthesia’’effectiveHowever,effectsdelivery.labor,fever,Kentucky,York,Ten­Texas,Vermont,Washington,Wyoming.differentFurther,differsTable‘‘Technical’’).TexasDifferencessmaller,Table‘‘Technical’’).‘‘Technical.’’)‘‘single-race,white,’’‘‘single-race,black,’’‘‘single-race,Asian,’’ ��3 National VitalVol.2011labor.TableTableTableWomenTableTableTableTabledifferenceWomenWomenmaster’sDifferencesmaster’sbachelor’sdifferencesKentucky.Vermont),TableWomenTable311birthOffice ��4 National VitalVol.2011TableGenerally,WomenTableWomenTableTabledifferentlabor,Women‘‘other’’ 0 80 70 68.1 66.6 60 57.6 Percent 48.247.750 43.8 40 30 Total Hispanic NOTE: Singleton vaginal deliveries only.SOURCE: CDC/NCHS, National Vital Statistics System. 0 40 50 40 and over35–3930–3425–2920–24Under 20 Percent NOTES: Singleton vaginal deliveries only. Based on Table 1. SOURCE: CDC/NCHS, National Vital Statistics System. Figure 3. Epidural/spinal anesthesia receipt, by age of mother and by race and Hispanic origin: 27-state reporting area, 2008 ��NationalVitalStatisticsReports,Vol.59,No.5,April6,2011---------------------------------------------------NewHampshireNewMexico---------NewYorkNewYorkCity---------NorthDakota------------------SouthCarolinaSouthDakota---TennesseeTexasVermont--- WashingtonWyoming..........................---Notsignificantlydifferentfrompreviousyear.---Datanotavailable.Stateused1989U.S.StandardCertificateofLiveBirthinspecifiedyear.ExcludesNewYorkCity.NOTE:The27-state2008reportingarearepresents65percentofU.S.singletonvaginalbirths. 0 40 50 Master’s degree Bachelor’s degree associate’s degree Percent NOTE: Singleton vaginal deliveries only. SOURCE: CDC/NCHS, National Vital Statistics System. Figure 4. Epidural/spinal anesthesia receipt, by educational attainment and Hispanic origin of mother: 27-state reporting area, 2008 ��6 National VitalVol.2011Table‘‘Other’’TableTableethnicity.TableTabledelivery, 0 40 50 None9 or 1087654321 White1 Asian1 All races Black1 Hispanic Percent NOTE: Singleton vaginal deliveries only. SOURCE: CDC/NCHS, National Vital Statistics System. Figure 5. Percentage of women receiving epidural/spinal anesthesia, by month prenatal care began and by race and Hispanic origin of mother: 27-state reporting area, 2008 100 90 80 68.6 67.770 Percent62.1 61.861.0 61.2 60.0 60.060 50 47.7 46.8 40 30 All races White 81.8 84.0 Total vaginal Vacuum NOTES: Singleton vaginal births only. Based on Table 2.SOURCE: CDC/NCHS, National Vital Statistics System. ��7 National VitalVol.2011Tablepregnancy.WomenTableeffectTableTablelabor,labor,Table‘‘pre­cipitous’’unexpectedly,difficultHowever,Further,(8,9,11).Thisdifferencesstate’sdifferencesdifferenceseffectdelivery.accordingly,Similarly,Womendiffer‘‘Methods’’Table‘‘Technical’’).delivery.TableHowever,delivery.pregnancy,labor,differences(8,9,11).differences(8,9,11) ��8 National VitalVol.2011differencesEffortsdifferencedifferenceslabor.Availablehttp://www.cdc.gov/nchs/data/dvs/birth11-03final-ACC.pdfdelivery.Availablehttp://www.acog.org/publications/patient_education/bp086.cfmFA.Twenty-yearlabour.AW.differenceslabor.F,P,delivery.11.AF.ethnicity,survey.F.WeberOfficeethnicity.Availablehttp://www.whitehouse.gov/omb/fedreg_1997standardsVenturasingle-andWashington,AvailableeffectiveAvailablehttp://www.cdc.gov/nchs/data/dvs/guidetocompletefacilitywks.pdfTablesorder,27-statereportingarea,2008.................mother:27-statereportingarea,2008..................delivery,2008.......11 ��9 National VitalVol.2011Table birthOffice ��10 National VitalVol.2011TableVacuum birthOffice ��National VitalVol.2011Tabledelivery,PrepregnancydiabetesGestationaldiabetesChronichypertensionNoneoftheaboveriskfactorsInducedlaborAugmentedlaborMeconiumstainingFetalintoleranceoflaborPrecipitouslaborProlongedlaborbirthOffice ��12 National VitalVol.2011TechnicalKentucky,York,TenTexas,Vermont,Washington,Wyoming.differentTableAccordingly,However,quality,‘‘Expanded2006’’OfficeIslander,single-or‘‘CharacteristicsSingle-andWomen:Washington,2003’’ however,effectmother’sinfant’s Table. Percentage of live births, by selected demographic and health characteristics: United States and total of 27 revised states, 2008 Characteristic of mother 27 states1 United States Race or Hispanic origin of mother Non-Hispanic white2 .................. **51.3 53.81 Non-Hispanic black2 .................. Hispanic3 ........................ **13.26 **28.93 14.78 24.70 Mexican ....................... **19.46 16.25 Puerto Rican .................... **1.60 1.64 Cuban ........................ **0.54 0.40 Central or South American ............. **3.61 3.69 Other and unknown Hispanic ........... American Indian or Alaska Native4 .......... **3.73 **0.88 2.73 1.17 Asian or Pacific Islander................ **6.09 5.96 Unmarried women ................... **41.07 40.65 Age of mother Under 20 years .................... **10.52 10.37 20–24 years ...................... **24.92 24.77 25–29 years ...................... **28.01 28.15 30–34 years ...................... **22.31 22.52 35–39 years ...................... 11.52 1 1.51 40–54 years ...................... **2.71 2.67 Characteristic of infant or delivery Very preterm5 ..................... **1.94 1.99 Preterm6 ........................ **12.16 12.33 Very low birthweight7 ................. **1.42 1.46 Low birthweight8 .................... **8.05 8.19 4,000 grams or more9 ................. 7.61 7.63 Singleton births .................... **96.68 96.59 ** Difference significant at p = 0.05. 1California, Colorado, Delaware, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Michigan, Montana, Nebraska, New Hampshire, New Mexico, New York, North Dakota, Ohio, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Vermont, Washington, and Wyoming. 2Race and Hispanic origin are reported separately on birth certificates. Race categories for this table are consistent with the 1977 Office of Management and Budget (OMB) standards. All states in the 27-state reporting area reported multiple-race data for 2007. The multiple-race data for these were bridged to the single-race categories of the 1977 OMB standards for comparability with other states; see ‘‘Technical Notes.’’ 3Includes persons of Hispanic origin of any race. 4Includes births to Aleut and Eskimo persons. 5Born prior to 32 completed weeks of gestation. 6Born prior to 37 completed weeks of gestation. 7Birthweight of less than 1,500 grams (3 pounds, 4 ounces). 8Birthweight of less than 2,500 grams (5 pounds, 8 ounces). 9Equivalent to 8 pounds, 14 ounces. NOTES: It was necessary to used bridged-race categories to compare the 27-state reporting area with the entire United States for which single-race data are not available. This table includes all births. The distributions are similar for singletons only. ��National VitalVol.2011(mother’sorder.mother’s‘‘Mother(Yesno).’’York.father’smother’sinfant’sTable‘‘UserFile’’Washington)Table‘‘UserFile’’However,‘‘UserFile’’‘‘GuideWorksheetsDeath’’ ��16 National VitalVol.2011MaternalcharacteristicsPregnancy-relatedcharacteristicsSelectedhealthitemsListofDetailedTablesTechnicalNotesVitalVentura,F.Yashodharareview.StaffThestaffofficesCDC/OSELS/NCHS/OD/OfficeStaff:however,2011.VitalDEPARTMENTHEALTHSERVICES3311ToledoPENALTYPRIVATE$300Toregularly,http://www.cdc.gov/nchs(04/2011)2011–1120POSTAGEPAID