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IPODR - California County Profile Report

Placer County, 2011

Prenatal
Prenatal
Contents of This Page
 1. Introduction
 2. Definitions
 3. Births to Mothers With 5 or More Prior Births
 4. Women Giving Birth Less than 24 Months After Previous Birth
 5. Births with Late Entry into Prenatal Care
 6. Births with Inadequate Prenatal Care
Introduction
Conditions prior to conception and during pregnancy impact the birth outcome. The California County Profile Reports include several prenatal risk factors. The risk of having suboptimal pregnancy outcomes increases in women who are experiencing their sixth or higher birth (grand multiparous). Similarly, there is increased risk for women who give birth less than 24 months after a previous birth (short birth interval).
The Healthy People 2020 Objectives establish guidelines for the remaining two factors in this section of the California County Profile Reports, namely:
2.Increasing the percent of births to women who enter prenatal care in the first trimester to 77.9 percent.
3.Increasing the percent of births to women experiencing early and adequate prenatal care to 77.6 percent.
More information on Healthy People 2020 Prenatal Care Objectives can be found at http://healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=26#.
The following table shows the Healthy People 2020 Objective for the prenatal outcomes:
Prenatal Outcome2020 Objective
Births With Late Entry into Prenatal Care22.1%
Births With Inadequate Prenatal Care22.4%
Source:
http://healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=26
The California County Profile Reports include information on timing of entry into prenatal care and on the the adequacy of prenatal care received.
Definitions
Grand multiparous mothers are women who have had six or more births (including the current birth). Note that fetal deaths are included in the count of previous births.
The birth certificate collects information on the months between the current and the previous birth. The previous birth can be a live birth or fetal death. A birth interval is considered short if the number of months between the current and last birth is less than 24.
A woman is considered to enter prenatal care late if she never receives prenatal care or if her first prenatal visit occurs after the first trimester of pregnancy.
The Adequacy of Prenatal Care Index (APNCU or Kotelchuck index) is based on two independent components: the initiation (timing) of prenatal care and the number of prenatal visits adjusted for the length of gestation. A woman is considered to have experienced inadequate prenatal care if the APNCU index (Kotelchuck index) indicates late or intermediate and/or too few prenatal care visits for the length of gestation. For a detailed description of and additional information on the APNCU index, click here.
Tables and Figures
Number and Percent of Births to Mothers with 5 or More Prior Births by Race/Ethnicity, California and Placer County, 2011
Race/Ethnicity Placer CountyCalifornia
NAll
Births
%NAll
Births
%
Hispanic 10     706     1.4     6,074     249,630     2.4    
Non-Hispanic White 32     2,581     1.2     1,673     139,225     1.2    
Non-Hispanic Black 0     38     0.0     1,010     27,067     3.7    
Non-Hispanic Asian/Pacific Islander 1     309     0.3     622     64,048     1.0    
Non-Hispanic Other Race 1     197     0.5     484     21,812     2.2    
Overall 44     3,831     1.1     9,863     501,782     2.0    
Births with unknown number of previous births are not included
Categories with less than 10 live births are grayed
Source: California Department of Public Health, 2011 Birth Statistical Master File (BSMF)
Percent of Births to Mothers with 5 or More Prior Births, Placer County, 2009-2011
 map GRANDMULTI
Source: California Department of Public Health, 2011 BSMF, 2010 and 2009 Birth Cohort Files
Download as PDF
Percent of Births to Mothers with 5 or More Prior Births, California and Placer County, 1991-2011
 trend GRANDMULTI
Source: California Department of Public Health, 2011 BSMF, 1991 through 2010 Birth Cohort Files
Download as PDF
Number and Percent of Women Giving Birth Less than 24 Months After Previous Birth by Race/Ethnicity, California and Placer County, 2011
Race/Ethnicity Placer CountyCalifornia
NAll
Births
%NAll
Births
%
Hispanic 71     695     10.2     30,328     246,791     12.3    
Non-Hispanic White 310     2,525     12.3     16,634     136,194     12.2    
Non-Hispanic Black 3     38     7.9     3,622     26,502     13.7    
Non-Hispanic Asian/Pacific Islander 26     302     8.6     6,536     63,035     10.4    
Non-Hispanic Other Race 25     192     13.0     2,570     21,354     12.0    
Overall 435     3,752     11.6     59,690     493,876     12.1    
Women with unknown birth interval or birth interval < 5 months are not included
Categories with less than 10 live births are grayed
Source: California Department of Public Health, 2011 Birth Statistical Master File (BSMF)
Percent of Women Giving Birth Less than 24 Months After Previous Birth, Placer County, 2009-2011
 map BTHINT
Source: California Department of Public Health, 2011 BSMF, 2010 and 2009 Birth Cohort Files
Download as PDF
Percent of Women Giving Birth Less than 24 Months After Previous Birth, California and Placer County, 1991-2011
 trend BTHINT
Source: California Department of Public Health, 2011 BSMF, 1991 through 2010 Birth Cohort Files
Download as PDF
Number and Percent of Births with Late Entry into Prenatal Care by Race/Ethnicity, California and Placer County, 2011
Race/Ethnicity Placer CountyCalifornia
NAll
Births
%NAll
Births
%
Hispanic 139     702     19.8     46,143     244,053     18.9    
Non-Hispanic White 290     2,579     11.2     17,102     136,892     12.5    
Non-Hispanic Black 2     37     5.4     5,719     26,130     21.9    
Non-Hispanic Asian/Pacific Islander 28     309     9.1     8,284     62,635     13.2    
Non-Hispanic Other Race 25     197     12.7     3,573     21,324     16.8    
Overall 484     3,824     12.7     80,821     491,034     16.5    
Births with unknown prenatal care are not included
Categories with less than 10 live births are grayed
Source: California Department of Public Health, 2011 Birth Statistical Master File (BSMF)
Percent of Births with Late Entry into Prenatal Care, Placer County, 2009-2011
 map INADEQUATEPC
Source: California Department of Public Health, 2011 BSMF, 2010 and 2009 Birth Cohort Files
Download as PDF
Percent of Births with Late Entry into Prenatal Care, California and Placer County, 1991-2011
 trend INADEQUATEPC
Source: California Department of Public Health, 2011 BSMF, 1991 through 2010 Birth Cohort Files
Download as PDF
Number and Percent of Births with Inadequate Prenatal Care by Race/Ethnicity, California and Placer County, 2011
Race/Ethnicity Placer CountyCalifornia
NAll
Births
%NAll
Births
%
Hispanic 105     701     15.0     52,391     241,660     21.7    
Non-Hispanic White 337     2,579     13.1     23,603     135,611     17.4    
Non-Hispanic Black 3     37     8.1     6,704     25,719     26.1    
Non-Hispanic Asian/Pacific Islander 40     307     13.0     11,206     62,256     18.0    
Non-Hispanic Other Race 37     197     18.8     4,290     21,135     20.3    
Overall 522     3,821     13.7     98,194     486,381     20.2    
Births with unknown prenatal care are not included
Categories with less than 10 live births are grayed
Source: California Department of Public Health, 2011 Birth Statistical Master File (BSMF)
Percent of Births with Inadequate Prenatal Care, Placer County, 2009-2011
 map INADEQUATEAPNCU
Source: California Department of Public Health, 2011 BSMF, 2010 and 2009 Birth Cohort Files
Download as PDF
Percent of Births with Inadequate Prenatal Care, California and Placer County, 1991-2011
 trend INADEQUATEAPNCU
Source: California Department of Public Health, 2011 BSMF, 1991 through 2010 Birth Cohort Files
Download as PDF

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