Using Birth Certificate Data for Womens Health Research

Using Birth Certificate Data for Women’s Health Research Stephanie J. Ventura U. S. Department of Health and Human Services Centers for Disease Control and Prevention National Center for Health Statistics Division of Vital Statistics

The Birth and Infant Health Team Joyce A. Martin, Team Leader Brady E. Hamilton Sharon Kirmeyer Marian F. Mac. Dorman T. J. Mathews Fay Menacker Martha L. Munson Paul D. Sutton Stephanie J. Ventura, Branch Chief

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 Source: National Vital Statistics System, NCHS, CDC.

Number, rate, and percent of births to unmarried women, 1940 -2002 Source: National Vital Statistics System, NCHS, CDC 2002

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.

1 st 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 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 VBAC Total cesarean Primary cesarean 2002 Source: National Vital Statistics System, NCHS, CDC.

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 n Improved data quality Standardized worksheets (Tested prior to implementation) l Standardized electronic systems l n Changes to existing items n New items

New Birth Certificate: Modified and New Items Modified Items n n Cigarette smoking before and during pregnancy Method of delivery Pre-pregnancy weight, weight at delivery and height Congenital anomalies New Items n n n 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 MT ME ND MN OR ID VT NH WI SD NY WY MI PA IA NE NV OH IL UT IN CO WV KS CA MO VA KY OK NM NJ DE MD DC NC TN AZ MA CT RI AR SC MS AL GA TX LA FL AK HI Implemented New Certificate Expected to Implement in 2005 Implementing in 2006 or later

For further information: n Birth certificate data: http: //www. cdc. gov/nchs/births. htm n Revisions of birth certificate, fetal death report, and death certificate: http: //www. cdc. gov/nchs/vital_certs_rev. htm