Expanded health data from birth certificates
This report from the CDC presents data for 2005 on selected items from the revised U.S. Standard Birth Certificate of Live Birth in 12 states (Fla., Idaho, Kan., Ky., Neb., N.H., N.Y. (excluding New York City), Penn., S.C., Tenn., Texas and Wash.). Information is shown in the following categories: risk factors in pregnancy, obstetric procedures, characteristics of labor and delivery, method of delivery, abnormal condition of the newborn and congenital anomalies of the newborn. (Feb. 29, 2008)
There were 1,268,502 births to residents of the 12-state area in 2005 (31 percent of all U.S. births). Gestational and prepregnancy diabetes were reported at rates of 39.3 and 6.9 per 1,000. Infants of women with diabetes, especially prepregnancy diabetes, were more likely to be high birth weight and to be admitted to a neonatal intensive care unit (NICU) than infants of women without diabetes. The rate of cervical cerclage was 3.7 per 1,000; this procedure was used more frequently in twin and higher order births than in singleton births. Almost all attempts at forceps or vacuum delivery (almost 99 percent) were successful. Almost one-third of all women who had a cesarean delivery had attempted a trial of labor. Antibiotics were given to 17 percent of women during labor. Steroids (glucocorticoids) for fetal lung maturation were received prior to delivery by 1 percent of all mothers. Surfactant replacement therapy was received by newborns at a rate of 3.7 per 1,000; rates were higher for infants delivered very preterm (less than 32 weeks of gestation). Large differences by race and Hispanic origin were seen for the receipt of steroids and for surfactant replacement therapy. More than 6 percent of all infants were admitted to a NICU. Nearly one-half of all singleton infants admitted to a NICU were delivered at term. Cyanotic congenital heart disease (56.9 per 100,000 infants) and hypospadias (126.2 per 100,000 male births only) were among the most frequently reported congenital anomalies.