First Trimester Prenatal Care

Women who have prenatal care beginning in their first trimester of pregnancy (i.e., within the first 12 weeks) tend to stay healthier and have healthier babies. (1)  It is particularly important to reach out to certain groups that are less likely to receive adequate prenatal care, including young women (particularly those age 15 and younger), poor women, women living in rural areas, women with lower education levels, and women in certain racial and ethnic groups. (2)

What percentage of pregnant women receive prenatal care in the first trimester?

The Report Card benchmark is the Healthy People 2010 goal that at least 90 percent of all pregnant women receive prenatal care in the first trimester of pregnancy [Healthy People 2010, Objective 16-6a].

Data Source: First Trimester Prenatal Care (%), 2003

EXPLANATION:

This measure is the percentage of mothers who reported on their child’s birth certificate that they received prenatal care in the first trimester of pregnancy.

SOURCE:

Joyce A. Martin and others, "Births: Final Data for 2003," National Vital Statistics Report 54 (September 8, 2005), Table 34. Prenatal care data for Pennsylvania and Washington are based on the 2003 Revision of the U.S. Certificate of Live Birth. Prenatal care data for the remaining 48 states and the District of Columbia are based on the 1989 Revision of the U.S. Certificate of Live Birth. Data based on the two different Revisions of the U.S. Certificate of Live Birth are not comparable. The national number includes the 48 states and the District of Columbia which use the 1989 Revision of the U.S. Certificate of Live Birth. Pennsylvania and Washington are not graded or ranked as their data are not comparable to that of the other 48 states and the District of Columbia. Data for American Indian/Alaskan Native (all) and Asian/Pacific Islander (all) come from U.S. Department of Health and Human Services, The Office on Women’s Health Quick Health Data Online, available at http://www.womenshealth.gov/quickhealthdata.

  State Overall Data State Grade State Rank
ALABAMA 83.8% U 28
ALASKA 79.8% F 41
ARIZONA 76.6% F 46
ARKANSAS 81.3% U 36
CALIFORNIA 87.3% S- 11
COLORADO 79.3% F 42
CONNECTICUT 88.7% S- 6
DELAWARE 84.4% U 24
DISTRICT OF COLUMBIA 76.1% F 47
FLORIDA 85.8% S- 17
GEORGIA 84.0% U 27
HAWAII 82.4% U 32
IDAHO 81.4% U 35
ILLINOIS 85.4% S- 19
INDIANA 81.5% U 34
IOWA 88.9% S- 5
KANSAS 87.8% S- 8
KENTUCKY 87.0% S- 13
LOUISIANA 84.1% U 26
MAINE 87.5% S- 10
MARYLAND 83.7% U 29
MASSACHUSETTS 90.0% S 4
MICHIGAN 86.1% S- 16
MINNESOTA 86.5% S- 14
MISSISSIPPI 84.9% S- 21
MISSOURI 88.4% S- 7
MONTANA 84.4% U 24
NEBRASKA 83.4% U 30
NEVADA 75.8% F 48
NEW HAMPSHIRE 92.8% S 1
NEW JERSEY 80.2% F 40
NEW MEXICO 68.9% F 49
NEW YORK 82.4% U 32
NORTH CAROLINA 84.5% U 23
NORTH DAKOTA 87.3% S- 11
OHIO 87.7% S- 9
OKLAHOMA 77.8% F 44
OREGON 81.2% U 37
PENNSYLVANIA (1) 76.0%    
RHODE ISLAND 90.9% S 2
SOUTH CAROLINA 77.5% F 45
SOUTH DAKOTA 78.4% F 43
TENNESSEE 83.4% U 30
TEXAS 80.9% U 38
UTAH 80.3% F 39
VERMONT 90.6% S 3
VIRGINIA 85.3% S- 20
WASHINGTON (2) 74.0%    
WEST VIRGINIA 85.8% S- 17
WISCONSIN 84.9% S- 21
WYOMING 86.4% S- 15
 
S (Satisfactory): 4  
S- (Satisfactory Minus): 18  
U (Unsatisfactory): 16  
F (Fail): 11  
  • 1. Prenatal care data for Pennsylvania are based on a different set of data than for the rest of the states. These data are not comparable, therefore Pennsylvania is not graded or ranked on this indicator. Pennsylvania's overall grade and rank are calculated without the prenatal care indicator.
  • 2. Prenatal care data for Washington are based on a different set of data than for the rest of the states. These data are not comparable, therefore Washington is not graded or ranked on this indicator. Washington's overall grade and rank are calculated without the prenatal care indicator.

1 U.S. Department of Health and Human Services, Healthy People 2010, 2nd ed. (Washington: U.S. Department of Health and Human Services, 2000), at 16-28, available at: http://www.healthypeople.gov/Publications/.

2 Ibid.; National Institutes of Health, Women of Color Health Data Book (Bethesda: National Institutes of Health, Office of the Director, undated), 64, available at http://www.4woman.gov/owh/pub/woc/figure23.htm.