New York State Community Health Indicator Reports - About Maternal and Infant Health

Contact the Public Health Information Group, at (518) 474-2543 for information about the indicators produced for this report.

Health Indicator Description and Definition Data Source and Program Contact Information
Percentage of births to women aged 25 years and older without a high school education The percentage of total births that were born to women aged 25 or older without a high school education. Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Percentage of births to out-of-wedlock mothers The percentage of total births that were born to women who were not married. Because New York State Public Health Law prohibits asking about marital status on NYS birth certificates, the number of out-of-wedlock births is derived from the number of births for which a mother reports that a paternity acknowledgement has been filed or births for which no father information is supplied by the mother. Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Percentage of births that were first births The percentage 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)
Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Percentage of births that were multiple births
The percentage of total births that were the result of a multiple gestation pregnancy. Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Percentage of births with early (1st trimester) prenatal care The percentage of births (excluding births without a known prenatal care start date) that began prenatal care within the first three months of pregnancy (1st trimester). Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Percentage of births with late (3rd trimester) or no prenatal care The percentage of births (excluding births without a known prenatal care start date) that began prenatal care during the last 3 months of pregnancy (3rd trimester) or not at all. Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Percentage of births with adequate prenatal care (Kotelchuck) 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 (analysis excludes births without a known prenatal care start date). Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Percentage of pregnant women in WIC with early (1st trimester) prenatal care The percentage of WIC program enrolled women giving birth who had their first prenatal care visit within the first 3 months of pregnancy. NYS Pregnancy Nutrition Surveillance System (PNSS) -
WIC Program c

Contact: Lynn Edmunds, at (518) 402-7109
Percentage of pregnant women in WIC who were pre-pregnancy underweight (BMI less than 18.5) The percentage of pregnant women in the WIC program with a pre-pregnancy body mass index (BMI) less than 18.5. BMI is defined as weight in kilograms divided by height in meters squared w/h2. NYS Pregnancy Nutrition Surveillance System (PNSS) -
WIC Program c

Contact: Lynn Edmunds, at (518) 402-7109
Percentage of pregnant women in WIC who were pre-pregnancy overweight but not obese (BMI 25 to less than 30) The percentage of pregnant women in the WIC program with a pre-pregnancy body mass index (BMI) between 25.0 and 29.9. BMI is defined as weight in kilograms divided by height in meters squared w/h2. NYS Pregnancy Nutrition Surveillance System (PNSS) -
WIC Program c

Contact: Lynn Edmunds, at (518) 402-7109
Percentage of pregnant women in WIC who were pre-pregnancy obese (BMI 30 or higher) The percentage of pregnant women in the WIC program with a pre-pregnancy body mass index (BMI) 30 or higher. BMI is defined as weight in kilograms divided by height in meters squared w/h2. NYS Pregnancy Nutrition Surveillance System (PNSS) -
WIC Program c

Contact: Lynn Edmunds, at (518) 402-7109
Percentage of pregnant women enrolled in WIC Program with anemia in the 3rd trimester The percentage of pregnant women in the WIC program who had prenatal hemoglobin or hematocrit values in the 3rd trimester that indicated anemia (based on 1990 MMWR, "Recommendations to Prevent and Control Iron Deficiency in the United States"; adjusted for altitude and smoking). NYS Pregnancy Nutrition Surveillance System (PNSS) -
WIC Program c

Contact: Lynn Edmunds, at (518) 402-7109
Percentage of pregnant women in WIC with gestational weight gain greater than ideal The percentage of pregnant women in the WIC program with a weight gain greater than ideal for their pre-pregnancy weight. ( based on 2009 IOM report, "Weight Gain During Pregnancy": underweight during pregnancy (ideal weight gain = 28 to 40 pounds), normal weight pre-pregnancy (ideal weight gain = 25 to 35 pounds), overweight pre-pregnancy (ideal weight gain = 15 to 25 pounds), obese pre-pregnancy (ideal weight gain = 11 to 20 pounds). NYS Pregnancy Nutrition Surveillance System (PNSS) -
WIC Program c

Contact: Lynn Edmunds, at (518) 402-7109
Percentage of pregnant women in WIC with gestational diabetes The percentage of WIC enrolled pregnant women who were diagnosed with gestational diabetes. NYS Pregnancy Nutrition Surveillance System (PNSS) -
WIC Program c

Contact: Lynn Edmunds, at (518) 402-7109
Percentage of pregnant women in WIC with hypertension during pregnancy The percentage of WIC enrolled pregnant women who were diagnosed with hypertension during their pregnancy. NYS Pregnancy Nutrition Surveillance System (PNSS) -
WIC Program c

Contact: Lynn Edmunds, at (518) 402-7109
Percentage of infants enrolled in WIC who were breastfeeding at 6 months The percentage 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. NYS Pediatric Nutrition Surveillance System (PedNSS)- WIC Program d

Contact: Lynn Edmunds, at (518) 402-7109
Percentage of infants fed any breast milk in delivery hospital The percentage of infants that were fed any breast milk in the delivery hospital (excludes infants admitted to the NICU or transferred in or out of the hospital and infants with unknown method of feeding). Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Percentage of infants fed exclusively breast milk in delivery hospital The percentage of births that were fed exclusively breast milk in the delivery hospital (excludes infants admitted to the NICU or transferred in or out of the hospital and infants with unknown method of feeding). Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Percentage of births delivered by cesarean section The percentage of total births that were delivered by cesarean section. Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Mortality rate per 1,000 live births - Infant (<1 year) The number of deaths among infants less than 1 year of age per 1,000 live births Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Mortality rate per 1,000 live births - Neonatal (<28 days) The number of deaths among infants less than 28 days old per 1,000 live births. Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Mortality rate per 1,000 live births - Post-neonatal (1 month to 1 year) The number of deaths among infants between 28 days and less than 1 year of age per 1,000 live births. Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Mortality rate per 1,000 live births - Fetal death (20 weeks gestation or more) 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. Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Mortality rate per 1,000 live births - Perinatal (20 weeks gestation - <28 days of life) 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. Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Mortality rate per 1,000 live births - Perinatal (28 weeks gestation - <7 days of life) 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. Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Maternal mortality rate per 100,000 live births 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).
Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Percentage very low birthweight (<1.5 kg) births The percentage of births born weighing less than 1500 grams. (Excludes births with unknown birthweight) Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Percentage very low birthweight (<1.5kg) singleton births The percentage of single births born weighing less than 1500 grams. (Excludes births with unknown birthweight) Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Percentage low birthweight (<2.5 kg) births The percentage of births born weighing less than 2500 grams. (Excludes births with unknown birthweight) Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Percentage low birthweight (<2.5kg) singleton births The percentage of single births born weighing less than 2500 grams. (Excludes births with unknown birthweight) Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Percentages of premature births (less than 32 weeks); (32-36 weeks); (less than 37 weeks) The percentage of infants with known gestation born before 32 weeks, 32-36 weeks, and less than 37 weeks gestation. Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Percentage of births with a 5 minute APGAR <6 The percentage of total births with an APGAR score of less than 6 after the first 5 minutes of life Vital Statistics Unit a
Bureau of Outcomes Research,
Office of Quality and Patient Safety

Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Newborn drug-related hospitalization rate per 10,000 newborn discharges The number of infants less than 28 days of age who 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. Statewide Planning and Research Cooperative System (SPARCS) b
Bureau of Health Informatics,
Office of Quality and Patient Safety

Contact: SPARCS@health.ny.gov
Phone: (518) 473-8144

* 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). ** The standard population used for age adjustment was the 2000 US population.

Data Notes:

a Vital Records (Vital Statistics):
Vital Event Registration:
New York State consists of two registration areas, New York City and New York State Exclusive of New York City (also referred as Rest of State). New York City (NYC) includes the five counties of Bronx, Kings (Brooklyn), New York (Manhattan), Queens and Richmond (Staten Island); the remaining 57 counties comprise New York State Exclusive of New York City. The Bureau of Vital Records, New York State Department of Health, processes data from live birth, death, fetal death and marriage certificates recorded in New York State Exclusive of New York City. Through a cooperative agreement, the New York State Department of Health receives data on live births, deaths, and fetal deaths recorded in New York City from the New York City Department of Health and on live births and deaths recorded outside of New York State to residents of New York State from other states and Canada.
b Statewide Planning and Research Cooperative System (SPARCS):
Information about hospitalizations is collected through the hospital inpatient discharge data system. Each hospitalization receives an ICD-9 code at discharge that indicates the primary reason for the hospitalization. There are also up to 14 other diagnosis codes recorded to further describe the hospitalization. Statistics presented in these tables are based on the primary diagnosis unless otherwise noted. This data system does not include information about events that did not result in a hospitalization, such as cases that were only treated in a hospital emergency room. Numbers and rates are based on the number of hospitalizations that occurred and not the number of individuals who were hospitalized.
c Pregnancy Nutrition Surveillance System (PNSS) - WIC Program:
This data system maintained by the Division of Nutrition provides nutrition related information on low-income pregnant women enrolled in the WIC Program. For additional indicators and comparable U.S. statistics go to: Pregnancy Nutrition Surveillance System
d Pediatric Nutrition Surveillance System (PedNSS) - WIC Program:
This data system maintained by the Division of Nutrition provides nutrition related information on low-income infants and children enrolled in the WIC Program. For more WIC data on birth weight, short stature, underweight, overweight, anemia, breastfeeding, smoking in household, and TV viewing, go to: NYS PedNSS reports. For comparable U.S. statistics go to: Pediatric Nutrition Surveillance System (PedNSS).

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