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Using Birth Certificate Data for Women’s Health Research. Stephanie J. Ventura. The Birth and Infant Health Team. Joyce A. Martin, Team Leader Brady E. Hamilton Sharon Kirmeyer Marian F. MacDorman T. J. Mathews Fay Menacker Martha L. Munson Paul D. Sutton

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the birth and infant health team
The Birth and Infant Health Team

Joyce A. Martin, Team Leader

Brady E. Hamilton

Sharon Kirmeyer

Marian F. MacDorman

T. J. Mathews

Fay Menacker

Martha L. Munson

Paul D. Sutton

Stephanie J. Ventura, Branch Chief

slide3

First birth rates for childless women

Source: National Vital Statistics System, NCHS, CDC

mean age of mother at first birth by race and hispanic origin united states 2002
Mean age of mother at first birth by race and Hispanic origin : United States, 2002

Source: National Vital Statistics System, NCHS, CDC.

slide5

Number, rate, and percent of births

to unmarried women, 1940-2002

2002

Source: National Vital Statistics System, NCHS, CDC

slide6

Pregnancy, birth, and abortion rates

for teenagers 15-17, United States

Source: Ventura SJ, Abma JC, Mosher WD, Henshaw S. Estimated Pregnancy Rates for the United States, 1990-2000: An Update. 2004.

1st trimester prenatal care by race hispanic origin u s 1990 2002
1st trimester prenatal care by race/ Hispanic origin: U.S., 1990-2002

Non-Hispanic white

All races

Hispanic

Non-Hispanic black

American Indian

0

2002

Source: National Vital Statistics System, NCHS, CDC.

smoking during pregnancy by education 2002
Smoking during pregnancy by education, 2002

NOTE: Based on births to women aged 20 and older.

Source: National Vital Statistics System, NCHS, CDC.

total and primary cesarean rate and vbac rate u s 1989 2002
Total and primary cesarean rate and VBAC rate: U.S., 1989-2002

VBAC

Total cesarean

Primary cesarean

2002

Source: National Vital Statistics System, NCHS, CDC.

number of multiple births u s 1980 2002
Number of multiple births:U.S., 1980-2002

0

Source: National Vital Statistics System, NCHS, CDC.

the 2003 u s standard certificate of live birth
The 2003 U.S. Standard Certificate of Live Birth
  • Improved data quality
    • Standardized worksheets (Tested prior to implementation)
    • Standardized electronic systems
  • Changes to existing items
  • New items
new birth certificate modified and new items
New Birth Certificate:Modified and New Items
  • Cigarette smoking before and during pregnancy
  • Method of delivery
  • Pre-pregnancy weight, weight at delivery and height
  • Congenital anomalies

Modified Items

New Items

  • Fertility therapy
  • WIC
  • Infections during pregnancy
  • Maternal morbidity
  • Breast feeding
  • Principal source of payment for the delivery
transition to the new birth certificate continues

WA

ME

MT

ND

MN

VT

OR

NH

MA

ID

WI

NY

SD

CT

WY

MI

RI

PA

IA

NJ

NE

NV

OH

DE

IN

IL

UT

MD

CO

WV

VA

KS

MO

CA

KY

NC

TN

OK

AZ

AR

SC

NM

GA

AL

MS

TX

LA

FL

AK

HI

Transition to the New Birth Certificate Continues…

DC

Implemented New Certificate

Expected to Implement in 2005

Implementing in 2006 or later

for further information
For further information:
  • Birth certificate data:

http://www.cdc.gov/nchs/births.htm

  • Revisions of birth certificate, fetal death report, and death certificate:

http://www.cdc.gov/nchs/vital_certs_rev.htm