County Health Assessment Indicator Technical Notes About Maternal and Infant Health Indicators
| Indicator/Contact for information | Data Source | Definition |
|---|---|---|
| Percent of Births to women 25+ years of age without H.S. Education Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The percent of total births that were to women aged 25 or older who did not finish high school. |
| Percent of Out of Wedlock Births Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The percent of total births that were born out of wedlock. The number of out of wedlock births is imputed by examining statistical information on the certificate of live birth. Also included in the calculatation of out of wedlock births is any birth with a paternity affidavit filed. |
| Percent of Births that were First Births Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The percent of total births that were to women giving birth for the first time. (Only the first of multiple births is considered a first time birth) |
| Percent of Births that were Multiple Births Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The percent of total births that were the result of a multiple gestation. |
| Percent of Births to women who had Early Prenatal Care Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The percent of births to women with known prenatal care who began prenatal care within the first three months of pregnancy (first trimester). |
| Percent of Births to women with known prenatal care who had Late or No Prenatal Care Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The percent of total births to women who began prenatal care within the last 3 months of pregnancy (3rd trimester) or not at all. |
| Percent of Births to women who had Early and Adequate Prenatal Care Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The percentage is based on the Kotelchuk Index. Births to women who began care in the first trimester and have completed at least 80% of the expected prenatal visits are considered to have had early and adequate care. * |
| Percent Pregnant Women Enrolled in WIC Program with Early Prenatal Care Contact: Lynn Edmunds , at (518) 402-7109 |
NYS Pregnancy Nutrition Surveillance System (PNSS) - WIC Program a | The percent of pregnant women in the WIC program who had their first prenatal care visit within the first 3 months of pregnancy. |
| % of infants enrolled in WIC who were breastfeeding at 6 months Contact: Lynn Edmunds , at (518) 402-7109 |
NYS Pediatric Nutrition Surveillance System (PedNSS) - WIC Program b | Percent of infants enrolled in WIC who were breastfed at 6 months. Only infants who turned 6 months of age during the reporting period by/on the date of their WIC visit were included in the Breastfed At Least 6 Months analysis. |
| Percent Births by Cesarean Section Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The percent of total births that were delivered by cesarean section. |
| Infant Mortality rate Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The number of deaths less than 1 year of age per 1,000 live births |
| Neonatal Mortality rate Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The number of deaths less than 28 days old per 1,000 live births. |
| Postneonatal Mortality rate Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The number of deaths between 28 days and less than 1 year of age per 1,000 live births. |
| Spontaneous Fetal Death Rate: (20+ weeks gestation) Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The number of spontaneous fetal deaths (gestation 20 weeks or more) per 1,000 spontaneous fetal deaths (gestation 20 weeks or more) plus live births. NOTE: Fetal death data for Essex and Hamilton counties were combined for confidentiality purposes. |
| Perinatal Death rate: (20 weeks gest. - 28 days of life) Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The number of neonatal deaths and spontaneous fetal deaths of gestation 20 weeks or more, per 1,000 spontaneous fetal deaths 20 weeks or more plus live births. NOTE: Perinatal death data for Essex and Hamilton counties were combined for confidentiality purposes. |
| Perinatal Death rate: (28 weeks gest. - 7 days of life) Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The number of deaths in first 7 days of life and spontaneous fetal deaths of gestation 28 weeks or more, per 1,000 spontaneous fetal deaths 28 weeks of more plus live births. NOTE: Perinatal death data for Essex and Hamilton counties were combined for confidentiality purposes. |
| Maternal Mortality Rate Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The number of deaths to women from any causes related to or aggravated by pregnancy or its management that occurred while pregnant or within 42 days of termination of pregnancy (ICD-10 codes O00-95, O98-O99, and A34 (obstetrical tetanus)) per 100,000 live births.
Note: The maternal mortality definition has been revised to be consistent with the definition used by the World Health Organization. The previous definition used by NYSDOH (ICD 10 codes: O00-O99) to report maternal mortality included deaths that occurred outside this time period (ICD 10 codes: O96 and O97). |
| Percent Very Low Birthweight Births Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The percentage of births with known birthweight that resulted in infants weighing less than 1500 grams. |
| Percent of Very Low Birthweight Births (singletons) Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The percentage of single births with known birthweight that resulted in infants weighing less than 1500 grams. |
| Percent of Low Birthweight Births Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The percentage of births with known birthweight that resulted in infants weighing less than 2500 grams. |
| Percent of Low Birthweight Births (singletons) Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The percentage of single births with known birthweight that resulted in infants weighing less than 2500 grams. |
| Percent of Premature births (less than 32 weeks); (32-36 weeks); (less than 37 weeks) Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The percentage of infants with known gestation born before 32 weeks, 32-36 weeks, and less than 37 weeks gestation. |
| Percent of births with Complications During, Labor or Delivery Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The percentage of births with a complication during labor or delivery. |
| Percent of Births with APGAR less than 6 Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Vital Records a NYSDOH Bureau of Biometrics and Health Statistics |
The percentage of total births with an APGAR score of less than 6 after the first 5 minutes of life |
| Neonatal Drug Related Discharge rate Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189 |
Statewide Planning and Research Cooperative System - SPARCS b NYSDOH Bureau of Biometrics and Health Statistics |
The number of infants less than 28 days of age that were discharged with a drug related ICD-9 code per 10,000 live births. The ICD-9 codes included in the neonatal drug-related hospitalizations category are: 292, 304, 305.1-305.9,648.3, 655.5, 763.5, 779.4, 779.5, 965.0, 967.0, 968.5, 969.6, 969.7, 760.70, 760.72, 760.73, 760.75, 760.79, E850-E858, E950.0-E950.2, E962.0, E980.0-E980.2. |
Data notes:
- aVital Records:
- Information is extracted from birth, death and fetal death certificates. When percentages are calculated, records with missing information for the indicator of interest are excluded from the calculation. Population-based rates use population estimates provided by the US Census Bureau. ICD-10 codes are used for cause of death.
- bStatewide Planning and Research Cooperative System-SPARCS:
- Data on hospitalization are collected through the hospital inpatient discharge data system. Each hospitalization receives an ICD-9 code at discharge which indicates the primary reason for the hospitalization. Data are not available on events that did not result in a hospitalization, such as cases that were only treated in a hospital emergency room.
- * Kotelchuk Index:
- The Kotelchuk Index is an adequacy of prenatal care index that takes into account the number of prenatal care visits received and number of expected by age of gestation at delivery, and incorporates a category that distinguishes women who have had more prenatal visits than would be expected (Adequacy Plus Category).
Note:
In 2008, New York City Vital Records adopted the National Center for Health Statistics standard birth certificate. This certificate has been used for births occurring in New York State outside of New York City since 2004. According to the New York City Health Department publication, Summary of Vital Statistics 2008 1, the use of the new certificate has resulted in some data quality concerns. A combination of poor data quality and hospital staff adaptation to the new data entry system and worksheets affected data quality. There is a potential for variables such as prenatal care and race/ethnicity to be impacted by a larger than normal number of unknowns and miscoding. Caution should be used when comparing the 2008 data to previous years.
1New York City Department of Health and Human Hygiene. Summary of Vital Statistics 2008, The City of New York.[Accessed November 2010]
