Late or no prenatal care

Late or no prenatal care

Pregnant people who receive no prenatal care, or whose care begins only in the last trimester of pregnancy, are more likely to have infants with health problems. Pregnant people who do not receive prenatal care are three times more likely to give birth to a low-weight baby, and their baby is five times more likely to die. In addition to receiving care early, frequency and timing of prenatal care are also important, especially for effective responses to specific maternal risk factors.
Data for the State of Babies Yearbook: 2022 were calculated using data from the CDC Wonder database. The denominator is the total number of births for which timing of prenatal care is known. The numerator is the number of births with prenatal care that began during the third trimester of pregnancy or an absence of prenatal care.

This indicator can be disaggregated by race/ethnicity and urbanicity. Race/ethnicity: CDC Wonder contains very detailed information on the pregnant parent’s race/ethnicity. After examining sample sizes, we are presenting the following subgroups: non-Hispanic American Indian or Alaska Native, non-Hispanic Asian, non-Hispanic Black, non-Hispanic more than one race, non-Hispanic native Hawaiian or other Pacific islander, non-Hispanic White, and Hispanic of all races. The Division of Vital Statistics of the National Center for Health Statistics includes births with origin of the pregnant parent not stated with non-Hispanic births, according to the race of the pregnant parent in their reported statistics. We have excluded births with unknown Hispanic origins. Urbanicity: CDC Wonder classifies pregnant parents as living in a metro (urban) or non-metro (rural) area according to 2013 designations. The metro group includes counties in these categories: large central metro, large fringe metro, medium metro, and small metro. The non-metro group includes counties in these categories: micropolitan (non-metro) and noncore (non-metro). For the subgroups, the total/national average is out of states whose data is presented for that subgroup, rather than all states.

Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services. (2019). Prenatal care. Alexander, G.R., & Kotelchuck, M. (2001). Assessing the role and effectiveness of prenatal care: History, challenges, and directions for future research. Public Health Reports, 116(4), 306.

United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics. (2020). Natality public-use data 2019, on CDC WONDER Online Database, October 2020.

Not Ranked
This indicator does not factor into the category's GROW ranking.