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

Indicator/Contact for information Data Source Definition
Percentage of births to women ages 25 years or older without a high school education

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 that were born to women aged 25 or older without a high school education.
Percentage 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 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.
Percentage 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 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)
Percentage 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 percentage of total births that were the result of a multiple gestation pregnancy.
Percentage of births to women with 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 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).
Percentage of births to women with 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 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.
Percentage of births to women with 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 (analysis excludes births without a known prenatal care start date).
Percentage of WIC enrolled women giving birth who had early prenatal care

Contact: Lynn Edmunds, at (518) 402-7109
NYS Pregnancy Nutrition Surveillance System (PNSS) -
WIC Program c
The percentage of WIC program enrolled women giving birth who had their first prenatal care visit within the first 3 months of pregnancy.
Percentage of pregnant women in WIC who were pre-pregnancy under weight (BMI < 18.5)

Contact: Lynn Edmunds, at (518) 402-7109
NYS Pregnancy Nutrition Surveillance System (PNSS) -
WIC Program c
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.
Percentage of pregnant women enrolled in WIC Program who were pre-pregnancy overweight (BMI 25 -29.9)

Contact: Lynn Edmunds, at (518) 402-7109
NYS Pregnancy Nutrition Surveillance System (PNSS) -
WIC Program c
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.
Percentage of pregnant women enrolled in WIC Program who were pre-pregnancy obese (BMI over 30 or higher)

Contact: Lynn Edmunds, at (518) 402-7109
NYS Pregnancy Nutrition Surveillance System (PNSS) -
WIC Program c
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.
Percentage of pregnant women enrolled in WIC Program with anemia in the 3rd trimester

Contact: Lynn Edmunds, at (518) 402-7109
NYS Pregnancy Nutrition Surveillance System (PNSS) -
WIC Program c
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).
Percentage of pregnant women in WIC with gestational weight gain greater than ideal

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

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

Contact: Lynn Edmunds, at (518) 402-7109
NYS Pregnancy Nutrition Surveillance System (PNSS) -
WIC Program c
The percentage of WIC enrolled pregnant women who were diagnosed with hypertension during their pregnancy.
Percentage 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 d
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.
Percentage of infants fed any breast milk in delivery hospital Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics
The percentage of births 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).
Percentage of infants fed exclusively breast milk in delivery hospital Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics
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).
Percentage of births delivered 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 percentage 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 among infants 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 among infants less than 28 days old per 1,000 live births.
Post-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 among infants 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 gestation - 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 gestation - 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).
Percentage of very low birthwieght births

Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189
Vital Recordsa
NYSDOH Bureau of Biometrics and Health Statistics
The percentage of births born weighting less than 1500 grams. (excludes births with unknown birthweight)
Percentage 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 born weighing less than 1500 grams. (excludes births with unknown birthweight)
Percentage 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 born weighting less than 2500 grams. (excludes births with unknown birthweight)
Percentage 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 born weighing less than 2500 grams. (excludes births with unknown birthweight)
Percentages 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.
Percentage of births with APGAR score 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 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.

* 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:
Information is collected from birth, death and fetal death certificates. Records with missing information for the indicator of interest are excluded when calculating rates and percentages for that indicator. Population based rates use population estimates provided by the U.S. Census Bureau. ICD-10 codes are used for cause of death.
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.
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: http://www.cdc.gov/pednss/pnss_tables/index.htm
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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