Government Agency Navigation

Prenatal Care

Narrative

Prenatal care — especially care beginning in the first trimester—allows health care providers to identify and manage a woman’s risk factors and health conditions and to provide expectant parents with relevant health care advice. The reported rate of first trimester prenatal care utilization has been increasing fairly steadily since the early 1990s; however, changes made to the standard birth certificate in 2003, which are gradually being adopted by the states, make comparisons over time impossible. As of January 1, 2008, 27 states had implemented the revised birth certificate representing 65 percent of all U.S. births.1

In 2008, in the 27 reporting areas that used the revised birth certificate, 71.0 percent of women giving birth were determined to have received prenatal care in the first trimester, while 7.0 percent of women began prenatal care in the third trimester or did not receive any prenatal care. Early prenatal care utilization differs by race/ethnicity. Non-Hispanic Asian and non-Hispanic White women were most likely to receive prenatal care beginning in the first trimester (77.9 and 76.7 percent, respectively), followed by non-Hispanic White women (76.6 percent). Non-Hispanic American Indian/Alaska Native women and non-Hispanic Native Hawaiian and Other Pacific Islander women were least likely to receive first trimester care (53.3 and 54.8 percent, respectively).

Timing of prenatal care initiation also varied by maternal age. Teen-aged mothers were least likely to receive timely prenatal care, with less than one-third of those under the age of 15 and about half of those aged 15-19 years initiating prenatal care in the first trimester (32.9 percent and 54.3 percent, respectively). In comparison, over 70 percent of mothers-to-be aged 25 years and older received early prenatal care.

1 Martin JA, Hamilton BE, Sutton PD, et al. Births: Final data for 2008. National vital statistics reports; vol 59 no 1. Hyattsville, MD: National Center for Health Statistics. 2010.

Graphs

This image is described in the Data section.

prenatal care by maternal race graph

This image is described in the Data section.

first trimester prenatal care by maternal age graph

Data

Receipt of First Trimester Prenatal Care,* by Maternal Race/Ethnicity, 2008

Percent of Mothers:

  • Total: 71.0
  • Non-Hispanic White: 76.6
  • Non-Hispanic Black: 60.3
  • Hispanic: 64.7
  • Non-Hispanic Asian/Pacific Islander**: 77.9
  • Non-Hispanic American Indian/Alaska Native: 54.9

*In the 27 reporting areas (States and territories) that used the revised birth certificate.
**Separate estimates were not available for Asians and Native Hawaiians and Other Pacific Islanders.

Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System. VitalStats Birth Tables. Accessed July 2011.  

Receipt of First Trimester Prenatal Care,* by Maternal Age, 2008

Percent of Mothers:

  • Total: 71.0
  • Under 15 Years: 32.9
  • 15-19 Years: 54.3
  • 20-24 Years: 63.2
  • 25-29 Years: 73.9
  • 30-34 Years: 79.1
  • 35-39 Years: 79.2
  • 40-44 Years: 76.3
  • 45+ Years: 74.7

*In the 27 reporting areas (States and territories) that used the revised birth certificate.

Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System. VitalStats Birth Tables. Accessed July 2011.  


Share this!

Downloads