Pregnancy and Reproductive Health
Publications and Materials
Below are selected publications and materials related to pregnancy, birth defects prevention, and reproductive health. Please note the year of publication may be later than the year(s) the data represent.
2010 Publications and Materials
Trends
and Characteristics of Home and Other Out-of-Hospital Births in the
United States, 1990–2006
(4/15/10)
Audio version
This report examines trends and characteristics of out-of-hospital and home births
in the United States. In 2006, there were 38,568 out-of-hospital births
in the United States, including 24,970 home births and 10,781 births occurring
in a freestanding birthing center.
Racial
and Ethnic Differences in Breastfeeding Initiation and Duration, by
State - National Immunization Survey, United States, 2004—2008 (4/15/10)
This report found that non-Hispanic blacks had a lower prevalence of
breastfeeding initiation than non-Hispanic whites in all but two states;
Hispanics generally had lower prevalence than non-Hispanic whites in
western states and higher in eastern states.
Recent Trends
in Cesarean Delivery in the United States (4/15/10)
The cesarean rate rose by 53% from 1996 to 2007, reaching 32%, the highest
rate ever reported in the United States. From 1996 to 2007, the cesarean
rate increased for mothers in all age and racial and Hispanic origin
groups.
2009 Publications and Materials
Born a Bit
Too Early: Recent Trends in Late Preterm Births (12/28/09)
On average, more than 900 late preterm babies are born every day in the
United States, or a total of one-third of 1 million infants (333,461). The
percentage of late preterm births for which labor was induced more than
doubled from 1990 to 2006; the percentage of late preterm births delivered
by cesarean also rose markedly.
Estimated
Pregnancy Rates for the United States, 1990–2005: An Update (11/12/09)
This report presents detailed pregnancy rates for 1990–2005, updating a
national series of rates extending since 1976. In 2005, an estimated 6,408,000
pregnancies resulted in 4.14 million live births, 1.21 million induced abortions,
and 1.06 million fetal losses.
Updated Interim Recommendations for Obstetric Health Care Providers
Related to Use of Antiviral Medications in the Treatment and Prevention
of Influenza for the 2009-2010 Season (10/13/09)
Pregnant women are at higher risk for severe complications and death
from influenza, including both 2009 H1N1 influenza and seasonal
influenza. Treatment with oseltamivir (Tamiflu®) or zanamivir (Relenza®)
is recommended for pregnant women with suspected or confirmed influenza
and can be taken during any trimester of pregnancy.
Receipt
of Influenza Vaccine during Pregnancy among Women With Live Births-
Georgia and Rhode Island, 2004-2007 (10/13/09)
This report showed that in Georgia, the prevalence of influenza
vaccination during the woman's most recent pregnancy increased from 10.4
percent in 2004 to 15.5 percent in 2006. In Rhode Island, vaccination
prevalence increased from 21.9 percent in 2004 to 33.4 percent in 2007.
Increased efforts are needed to assess vaccine coverage during pregnancy
and to educate providers and pregnant women.
Questions and Answers: Use of Antiviral Medicines for the Treatment and
Prevention of Flu among Pregnant Women for the 2009-2010 Season
(10/13/09)
Pregnant women who are healthy have had severe illness from the 2009 H1N1
flu (also called “swine flu”). Compared with people in general, pregnant
women with 2009 H1N1 flu have been more likely to be admitted to hospitals,
and some have died. CDC advises doctors to give antiviral medicines that
treat 2009 H1N1 flu to pregnant women who have symptoms of flu.
Delayed Childbearing: More Women Are Having Their First Child Later in
Life
(9/30/09)
The age of the mother, both younger and older, plays a strong role in a
wide range of birth outcomes (e.g., birthweight, multiple births, and
birth defects), so it is critical to track the average age at which
women have their first birth. The average age of first-time mothers
increased by 3.6 years, from 21.4 years in 1970 to 25.0 years in 2006.
While the average age for first births increased from 1970 to 2006, the
increases were more dramatic during the first two decades (1970 to
1990).
Contraceptive Use Among Postpartum Women- 12 States and New York City,
2004-2006 (9/30/09)
This report summarizes results, which indicated that 88.0 percent of postpartum
women reported current use of at least one contraceptive method; 61.7
percent
reported using a method defined as highly effective, 20.0 percent used a method
defined as moderately effective, and 6.4 percent used less effective methods.
Reproductive
Health and Novel H1N1 Flu (9/30/09)
CDC is concerned about women and their families when there are threats
from disease or disasters. This includes women who may be pregnant, who
have recently been pregnant, may be trying to conceive, or who are
considering reproductive health treatments. Special health information
on novel H1N1 flu is updated continually and provided for a variety of
groups and audiences.
H1N1 2009 Influenza Virus Infection during Pregnancy in the USA
(Lancet) (8/10/09)
The article describes the cases of 34 pregnant women who contracted
novel H1N1 influenza virus infection in the United States during the
first month of the outbreak (mid-April–mid-May 2009). Thirty-one had
confirmed infections, and three were probable infections. This report
was published in Lancet online ahead of print publication for July 29,
2009.
Sexual
and Reproductive Health of Persons Aged 10-24 Years, 2002-2007
(8/10/09)
Data were compiled from the National Vital Statistics System and
multiple surveys and surveillance systems that monitor sexual and
reproductive health outcomes into a single reference report that makes
this information more easily accessible. This report addresses three
primary topics: 1) current levels of risk behavior and health outcomes;
2) disparities by sex, age, race/ethnicity, and geographic residence;
and 3) trends over time.
Breastfeeding Report
Card, 2009
The 2009 Breastfeeding Report Card shows how breastfeeding is being
protected, promoted, and supported in each state. It allows comparisons
across states, making it an important tool for increasing breastfeeding
nationwide.
Assisted
Reproductive Technology Surveillance- United States, 2006 (7/7/09)
This report presents the most recent national data and state-specific results on
assisted reproductive technology. In 2006, a total of 138,198 ART procedures
were reported to CDC. These procedures resulted in 41,343 live-birth deliveries,
and 54,656 infants. Approximately 1 percent of U.S. infants born in 2006 were
conceived through ART. Those infants accounted for 18 percent of multiple births
nationwide.
Assisted
Reproductive Technology Podcast (7/7/09)
Transcript
This podcast talks about ART and answers questions about how many children have
been born using ART; how pregnancy is achieved through ART; whether the numbers
are increasing; whether there are potential risks with the procedure; chances of
miscarriage; steps to take if considering ART; and where to go to get additional
information.
Prevent Infections
during Pregnancy (7/7/09)
These 10 tips can help you prevent infections that could harm your unborn baby.
You won't always know if you have an infection- sometimes you won't even feel
sick. If you think you might have an infection or think you are at risk, see
your doctor.
Gestational Diabetes
and Women Podcast (5/15/09)
This women's health podcast focuses on gestational diabetes (GDM) to help
educate women who may have been diagnosed w
Teen Pregnancy in the
United States Podcast (5/15/09)
This women's health podcast focuses on the trend of teen pregnancy in the
United States. In 2007, the teen birth rate in the U.S. increased for the
second consecutive year.
New CDC Materials Regarding
Fetal Alcohol Spectrum Disorders (FASDs) (5/15/09)
CDC has developed new materials that can guide in the identification,
prevention, and management of FASDs. These products include a curriculum
development guide for use with healthcare students and practitioners and
recommendations from the National Task Force on Fetal Alcohol Syndrome and Fetal
Alcohol Effect on promoting and improving strategies to 1) reduce alcohol use
and alcohol-exposed pregnancies and 2) improve early identification, diagnostic
services, and research on interventions for children with FASDs and their
families.
Births: Preliminary Data for 2007
(3/30/09)
The preliminary estimate of births in 2007 rose 1 percent to 4,317,119, the
highest number of births ever registered for the United States. Increases
occurred within all race and Hispanic origin groups and for nearly all age
groups.
Protect
Your Unborn Baby or Newborn from Infections (3/30/09)
If you're pregnant or planning a pregnancy, there are simple steps you can take
to protect your unborn baby or newborn from infections that cause serious health
problems.
ART Associated with
an Increased Risk of Certain Birth Defects (1/27/09)
Infants conceived with Assisted Reproductive Technology (ART) are two to four
times more likely to have certain types of birth defects than children conceived
naturally, according to a study by the CDC.
Abortion
Surveillance- United States, 2005 (1/27/09)
This report summarizes and describes data voluntarily reported to CDC regarding
legal induced abortions obtained in the United States in 2005. A total of
820,151 legal induced abortions were reported to CDC for 2005 from 49 reporting
areas.
One Test. Two Lives. HIV
Screening for Prenatal Care (1/27/09)
Since CDC began recommending routine HIV screening for all pregnant women in
1995, the estimated incidence of mother-to-child transmission has dropped by
approximately 85 percent. However, mother-to-child HIV transmission continues in
the United States in part because many pregnant women are still not being
tested.
2008 Publications and Materials
Emergency
Planning Tips if You're Pregnant or Have Young Children (9/5/08)
If you are pregnant or have infants or young children, find out how to plan for
an emergency or disaster.
Increasing
Prevalence of Gestational Diabetes and Pregnancy-Related Hypertension
in Los Angeles County, California, 1991-2003 (9/5/08)
The rates of gestational diabetes and pregnancy-related hypertension are increasing
in Los Angeles County. Further research is needed to determine the causes of
the observed increases and the growing racial/ethnic disparities in those rates.
National
Birth Defects Prevention Study Finds Pre-Pregnancy Diabetes Increases
Risk for Multiple Types of Birth Defects (8/7/08)
Women who receive a diagnosis of diabetes before they become pregnant are
three to four times more likely to have a child with one or even multiple
birth defects than a mother who is not diabetic, according to a study by
CDC, released in the American Journal of Obstetrics and Gynecology.
Assisted
Reproductive Technology (ART) Surveillance- United States, 2005 (8/7/08)
In 2005, a total of 134,260 ART procedures were reported to CDC. These
procedures resulted in 38,910 live-birth deliveries and 52,041 infants.
Approximately 1% of U.S. infants born in 2005 were conceived through ART.
Those infants accounted for 17% of multiple births nationwide.
The HPV Vaccine
and Its Safety (8/7/08)
Based on ongoing assessments of vaccine safety information, FDA and CDC
continue to find that Gardasil is a safe and effective vaccine. FDA and
CDC continue to monitor the safety of this vaccine, with the public's health
and safety the top priority.
Making Sense of Your HPV and Pap
Test Results (8/7/08)
This brochure explains the meaning of Pap and HPV test results and answers
common patient questions about HPV, such as how to talk to your partner
about HPV. It includes ‘questions to ask your doctor' to help prepare women
for next steps and a glossary of terms.
Protect
Your Baby from Group B Strep (8/7/08)
If you or someone you know is pregnant, you need to know about “group B
strep." Group B streptococcal bacteria (also called GBS, group B strep,
or baby strep) is very common in all types of women and can be passed on
to a baby during childbirth. Protect babies from group B strep. If you
are 35-37 weeks pregnant, ask your doctor or nurse about a group B strep
test.
Wildfires:
Information for Pregnant Women and Parents of Young Infants (8/7/08)
Learn what pregnant women and parents of young children can do if they
are, or may be, evacuated from their home.
Breastfeeding-Related
Maternity Practices at Hospitals and Birth Centers- United States, 2007 (6/23/08)
This report indicates that 1) a substantial proportion of facilities used
maternity practices that are not evidence-based and are known to interfere
with breastfeeding and 2) states in the southern United States generally
had lower scores, including certain states previously determined to have
the lowest 6-month breastfeeding rates.
Prevention
of Pertussis, Tetanus, and Diphtheria among Pregnant and Postpartum Women
and Their Infants (6/23/08)
This report describes the clinical features of pertussis, tetanus, and
diphtheria among pregnant and postpartum women and their infants; reviews
available evidence of pertussis vaccination; summarizes Tdap vaccination
policy; and presents recommendations for use of Td and Tdap vaccines among
pregnant and postpartum women. See also: Appendix
A and Appendix
B.
Guiding
Principles for Development of ACIP Recommendations for Vaccination during
Pregnancy and Breastfeeding (6/23/08)
This document provides guidance to help standardize procedures for policy
formulation and presentation of the rationale and recommendations for vaccination
of pregnant and breastfeeding women. These principles will be applied to
future Advisory Committee on Immunization Practices vaccine statements
and routine updates of existing statements in which vaccination of pregnant
and breastfeeding women is considered.
Prevalence
of Self-Reported Postpartum Depressive Symptoms- 17 States, 2004-2005 (4/30/08)
Podcast
Postpartum depression (PPD) affects 10-15% of mothers within the first
year after giving birth. Younger mothers and those experiencing partner-related
stress or physical abuse might be more likely to develop PPD. This report
indicates that, during 2004-2005, the prevalence of self-reported postpartum
depressive symptoms in 17 U.S. states ranged from 11.7% (Maine) to 20.4%
(New Mexico).
Pregnancy
Rate Drops for U.S. Women under Age 25
Pregnancy rates for females under age 25, including teenagers, in the United
States declined in 2004 compared to 1990, according to a new report, Estimated
Pregnancy Rates by Outcome for the United States, 1990-2004. The report
says nearly 38 percent of pregnancies in 2004 were to women under age 25,
down from nearly 43 percent in 1990. The proportion of pregnancies among
teens under age 20 dropped from 15 percent in 1990 to 12 percent in 2004.
Smoking
Early In Pregnancy Raises Risks of Heart Defects In Newborns (4/30/08)
Mothers who smoke early in pregnancy are more likely to give birth to infants
with heart defects, according to a study funded by CDC. The study shows
that women who smoked anytime during the month before pregnancy to the
end of the first trimester were more likely to give birth to infants with
certain congenital heart defects compared to women who did not smoke during
this time period.
Pregnant
Women Who are Obese Linked with Greater Health Care Services Use (4/30/08)
Obesity during pregnancy is associated with greater use of health care
services and longer hospital stays, according to a study from CDC and Kaiser
Permanente Northwest Center for Health Research. The study, is the first
to document the effect of obesity during pregnancy on the use of health
care services.
Expanded
Health Data from the New Birth Certificate, 2005
(4/30/08)
This report presents data for 2005 on checkbox items exclusive to the 2003
U.S. Standard Certificate of Live Birth. Information is shown for check
boxes in the following categories: risk factors in this pregnancy, obstetric
procedures, characteristics of labor and delivery, method of delivery,
abnormal conditions of the newborn, and congenital anomalies of the newborn.
Diabetes
and Pregnancy (5/11/08)
Controlling diabetes before and during pregnancy will help prevent birth
defects and other poor outcomes, such as miscarriage or stillbirth.
Breastfeeding
in the United States: Findings from the National Health and Nutrition
Examination Survey, 1999-2006 (5/11/08)
This report summarizes information on breastfeeding rates in the United
States based on data from the 1999-2006 National Health and Nutrition Examination
Surveys (NHANES). Breastfeeding rates in the United States increased significantly
between 1993 and 2006. Breastfeeding rates increased significantly with
increasing maternal age overall and for all race-ethnicity groups.
Women
and Alcohol (4/30/08)
Drinking alcohol during pregnancy is one of the top preventable causes
of birth defects and developmental disabilities. There is no known amount
of alcohol that is safe to drink while pregnant. There is no safe time
to drink during pregnancy. Alcohol can harm a baby at any time during pregnancy.
Gynecologic
Cancer Awareness: Inside Knowledge Campaign (3/26/08)
This campaign will raise awareness of the five main types of gynecologic
cancer: cervical, ovarian, uterine, vaginal, and vulvar. When gynecologic
cancers are found early, treatment is most effective. It is important for
women to pay attention to their bodies and know what is normal for them
so that they can recognize the warning signs of gynecologic cancers.
Put
Down That Drink If You Are Pregnant (or Trying to Be)! (3/26/08)
This podcast discusses the danger of drinking alcohol during pregnancy.
Pap
Tests and Foreign-Born Women Podcast (2/14/08)
Find out why foreign-born women living in the U.S. are less likely to have
Pap tests to detect cervical cancer than women born in this country, who
these women are, why they are less likely to get a Pap test, and what CDC
is doing about it.
Knowledge
and Practices of Obstetricians and Gynecologists Regarding Cytomegalovirus
(CMV) Infection during Pregnancy- United States, 2007 (2/14/08)
Fewer than half of OB/GYNs surveyed reported counseling their patients
about preventing CMV infection. These results emphasize the need for additional
training and for a better understanding of the reasons that physician knowledge
might not result in patient counseling.
Folic
Acid Awareness (2/14/08)
The B vitamin folic acid helps prevent birth defects. If a woman has enough
folic acid in her body before and while she is pregnant, her baby is less
likely to have a major birth defect of the brain or spine.
Use of
Supplements Containing Folic Acid among Women of Childbearing Age- United
States, 2007 (2/14/08)
Among all women of childbearing age, those aged 18-24 years had the least
awareness regarding folic acid consumption, the least knowledge regarding
when folic acid should be taken, and the lowest reported daily use of supplements
containing folic acid.
2007 Publications and Materials
Abortion
Surveillance- United States, 2004 (12/20/07)
A total of 839,226 legal induced abortions were reported to CDC for 2004
from 49 reporting areas, representing a 1.1% decline from the 848,163
legal induced abortions reported by 49 reporting areas for 2003.
Fetal
and Perinatal Mortality- United States, 2004
(12/20/07)
The fetal mortality rate for non-Hispanic black women (11.25) was 2.3
times the rate for non-Hispanic white women (4.98), whereas the rate
for Hispanic women (5.43) was 9 percent higher than the rate for non-Hispanic
white women.
Diabetes
and Pregnancy: Gestational Diabetes Podcast (12/20/07)
Gestational diabetes happens in a woman who develops diabetes during
pregnancy. This podcast discusses its potential effects and action steps
to avoid complications.
Pap Tests
and Foreign-Born Women Podcast (12/20/07)
Foreign-born women living in the U.S. are less likely to have Pap tests
to detect cervical cancer than women born in this country. The problem
is worse for women from certain countries or regions. Find out why this
is a disturbing trend, who these women are, why they are less likely
to get a Pap test, and what CDC is doing about it.
Pregnant
or Thinking about Getting Pregnant? (11/19/07)
These tips can help you prevent infections that could harm your unborn
baby. You won't always know if you have an infection; sometimes you won't
even feel sick. If you think you might have an infection or think you
are at risk, see your doctor.
You
CAN Help Prevent Birth Defects Podcast (One-Minute Version) (11/19/07)
Six-Minute
Version
To reduce the risk for neural tube defects such as spina bifida or anencephaly,
women of reproductive age should consume at least 400 mcg of synthetic
folic acid daily by eating one serving of fortified breakfast cereal
or taking a supplement.
Trends
in Folic Acid Supplement Intake among Women of Reproductive Age- California,
2002-2006 (11/19/07)
This report indicates that although the overall prevalence of intake
of folic acid-containing supplements remained stable from 2002 (40%)
to 2006 (41%) in California, use of such supplements decreased among
Hispanic women and women with less education.
Mother-to-Child
(Perinatal) HIV Transmission and Prevention (Updated) (11/19/07)
Perinatal HIV transmission is the most common route of HIV infection
in children and is now the source of almost all AIDS cases in children
in the United States. Most of the children with AIDS are members of minority
races/ethnicities.
Pregnant
or Thinking about Getting Pregnant? Ten Tips to Prevent Infections
during Pregnancy (10/23/07)
Learn how to prevent infection and help keep your unborn baby safe.
Cytomegalovirus (CMV) (10/23/07)
CMV is the most common congenital (present at birth) infection in the
United States. Find out what you should know about CMV if you are pregnant.
Does
Breastfeeding Reduce the Risk of Pediatric Overweight?
(10/9/07)
This Research to Practice brief explores the relationship between breastfeeding
and pediatric overweight, and it specifically examines: how this relationship
may be influenced by factors such as duration, exclusivity, and age at
follow-up; recent surveillance data on initiation, duration, and exclusivity
of breastfeeding; and research to practice: evidence-based interventions
to promote breastfeeding.
Statistics
on Breastfeeding Practices in the U.S.: Results of the National Immunization
Survey (10/9/07)
This site presents national trends in breastfeeding practices for children
born 1999-2004. Data for trends on exclusive breastfeeding are shown separately
for children whose caregivers were interviewed before and after January
2006 because question changes on the 2006 survey instrument had a large
effect on rates of exclusive breastfeeding.
Immunization
and Pregnancy Flyers (10/9/07)
These flyers focus on the immunizations a woman needs before, during, and
after pregnancy.
Breastfeeding
Trends and Updated National Health Objectives for Exclusive Breastfeeding-
United States, Birth Years 2000-2004 (8/31/07)
The findings in this report indicate that although progress is being made
toward achieving the HP2010 objectives for breastfeeding initiation and
duration, rates of exclusive breastfeeding are below desired levels, especially
among black infants and those born to women who are young, unmarried, have
lower incomes, are less educated, or who live in rural areas.
Medications: Information
for Pregnant and Breastfeeding Women (8/31/07)
It is increasingly important that women talk with their doctor about the
risks and benefits of taking prescription and over-the-counter drugs, vitamins,
and dietary or herbal supplements before getting pregnant, during pregnancy,
and while breastfeeding.
Here's
to an Alcohol-Free Pregnancy (8/31/07)
When a pregnant woman drinks alcohol, so does her unborn baby. Remember,
if a pregnant woman does not drink alcohol, she will prevent serious disabilities
caused by alcohol in her unborn baby.
Assisted
Reproductive Technology Surveillance- United States, 2004 (7/27/07)
In 2004, a total of 127,977 ART procedures were reported to CDC. These
procedures resulted in 36,760 live-birth deliveries and 49,458 infants.
The highest numbers of ART procedures were performed among residents of
California (17,303), New York (11,123), Illinois (9,306), Massachusetts
(8,906), and New Jersey (8,513).
One
Test. Two Lives (7/27/07)
The One Test. Two Lives. campaign focuses on ensuring that all
women are tested for HIV early in their pregnancy. One Test. Two Lives.
provides quick access to a variety of resources for providers, and materials
for their patients, to help encourage universal voluntary prenatal testing
for HIV.
Assisted Reproductive
Technology (ART) Report: 2005 Preliminary Clinic Data by State and National
Summary (6/12/07)
The findings represent data from 422 fertility clinics in operation in
2005. The 134,242 ART cycles performed at these reporting clinics resulted
in 38,910 live births (deliveries of one or more living infants) and 52,041
infants. This information is preliminary.
Characteristics
of Births to Single Race and Multiple Race Women- California, Hawaii,
Pennsylvania, Utah, and Washington, 2003
(6/12/07)
In 2003, 2.5 percent of births in California, Hawaii, Pennsylvania, Utah,
and Washington were to women who reported two or more races, with levels
varying from 1 percent (Utah) to 33 percent (Hawaii).
Trends
in Preterm-Related Infant Mortality by Race and Ethnicity- United States,
1999-2004 (6/12/07)
In 2004, 36.5% of all infant deaths in the United States were preterm-related,
up from 35.4% in 1999. The preterm-related infant mortality rate for non-Hispanic
black mothers was 3.5 times higher and the rate for Puerto Rican mothers
was 75% higher than for non-Hispanic white mothers.
CDC's
Pregnancy Information Center (6/12/07)
If you're pregnant or planning to get pregnant, you probably have a lot
of questions. This website will help you learn how to be healthy (before,
during, and after pregnancy) and give your baby a healthy start to life.
Reproductive
Health Assessment Toolkit for Conflict-Affected Women (6/12/07)
Using the Toolkit, workers collect information about safe motherhood, family
planning, sexual history, sexually transmitted infections, HIV/AIDS, gender-based
violence, female genital cutting, and emotional health. With this, organizations
can determine how to improve the reproductive health of refugee women and
their families.
Expanded
Health Data from the New Birth Certificate, 2004
(6/12/07)
This is the first report to present maternal and infant health information
exclusive to the 2003 revision of the U.S. Standard Certificate of Live
Birth.
Drinking and
Reproductive Health: A Fetal Alcohol Spectrum Disorders (FASD) Prevention
Tool Kit (6/12/07)
This tool kit aims to teach women's health care providers how to screen
and advise all of their patients of reproductive age about risky drinking
and encourage the use of effective contraception among patients who continue
to engage in risky drinking. It also addresses drinking during pregnancy.
DES
Daughters (4/17/07)
DES Daughters are women born between 1938 and 1971 who were exposed to
diethylstilbestrol (DES) before birth (in the womb). Research has confirmed
that DES Daughters are at an increased risk for several diseases and conditions.
Learn what you can do to protect your health.
Maternal
Mortality and Related Concepts
(3/5/07)
This report presents data on U.S. deaths to pregnant or recently pregnant
women, summarizes long-term processing issues, and examines recent changes
affecting the data and the impact of the changes on the statistics for
these women. Maternal deaths increased with the introduction of the ICD-10
and with changes associated with the addition of a separate pregnancy status
question on the U.S. Standard Certificate of Death. These changes may result
in better identification of maternal deaths.
Fetal
and Perinatal Mortality- United States, 2003
(3/5/07)
This report presents 2003 fetal and perinatal mortality data by a variety
of characteristics, including maternal age, marital status, race, Hispanic
origin, and state of residence; and by infant birthweight, gestational
age, plurality, and sex. Trends in fetal and perinatal mortality are also
examined. The rate of fetal deaths occurring at 20 weeks of gestation or
more (also known as stillbirths) declined substantially between 1990 and
2003. Although fetal mortality rates declined among all racial and ethnic
groups from 1990-2003, the rate for non-Hispanic black women was more than
double that of non-Hispanic white women (11.56 per 1,000 vs. 4.94 per 1,000).
QuickStats:
Percentage of Total Births that were Preterm, by Gestational Age- United
States, 1990 and 2005 (3/5/07)
The proportion of total births that were preterm increased from 9.7 percent
in 1990 to 11.0 percent in 2005. Most of the increase was among births
occurring at 34-36 weeks (i.e., late preterm), which increased from 6.8
percent to 8.1 percent.
QuickStats:
Birth Rates among Females Aged 15-19 Years, by State- United States,
2004 (3/5/07)
Age of mother is a predictor of maternal and infant health risk. Pregnant
teens aged 15-19 years are less likely to receive timely prenatal care
and gain appropriate weight and more likely to smoke during pregnancy than
pregnant women aged 20 years and older.
Folate
Status in Women of Childbearing Age, by Race/Ethnicity- United States,
1999-2000, 2001-2002, and 2003-2004 (2/1/07)
PDF ![]()
This report uses National Health and Nutrition Examination Survey data
to update findings and assess trends in serum folate and red blood cell
folate levels by race/ethnicity from the 1999-2000 survey through the 2003-2004
survey. The results of these comparisons indicated that median serum folate
concentrations among nonpregnant women of childbearing age decreased 16%
from 1999-2000 through 2003-2004, and RBC folate concentrations decreased
8%. All women of childbearing age who are capable of becoming pregnant
should consume 400 µg of folic acid daily to reduce the occurrence
of NTD-affected pregnancies.
Assisted
Reproductive Technology (ART) Success Rates: National Summary and Fertility
Clinic Reports, 2004
(2/1/07)
The 2004 report of pregnancy success rates is the tenth to be issued under
the law. This report is based on the latest available data on the type,
number, and outcome of ART cycles performed in U.S. clinics. The full on-line
version and hardcopies of the report will be available February
20, 2007.
Recent
Trends in Teenage Pregnancy in the United States, 1990-2002 (1/8/07)
In 2002, an estimated 757,000 pregnancies among teenagers 15-19 years resulted
in 425,000 live births, 215,000 induced abortions, and 117,000 fetal losses.
The overall teenage pregnancy rate was estimated at 76.4 pregnancies per
1,000 females aged 15-19 years.
The Costs
of an Outreach Intervention for Low-Income Women with Abnormal Pap Smears (1/8/07)
PDF ![]()
In a health care system in which many women fail to get follow-up care
for an abnormal Pap smear, outreach workers were more effective than usual
care (mail or telephone reminders) at increasing follow-up rates. The results
suggest that outreach workers should manage their effort based on the degree
of abnormality; most effort should be placed on women with the most severe
abnormality (high-grade squamous intraepithelial lesion).
Related Links
Pregnancy and Reproductive Health: Women's
Health Topics A-Z
View women's health resources related to pregnancy and reproductive health.
ABC's...Pregnancy
Tips (A-Z): Having a Healthy Pregnancy
Learn tips A-Z to help you have a healthy pregnancy.
Are
you Pregnant? Protect Your Baby from Group B Strep![]()
Learn how pregnancy women can protect their baby from group b strep.
Birth Defects and Developmental Disabilities
Learn more about birth defects and developmental disabilities.
Breastfeeding
Learn more about breastfeeding.
Diabetes
- Take Charge of Your Pregnancy
Learn information about becoming pregnant when you have diabetes, protecting
your baby and yourself, having diabetes during pregnancy, and controlling
diabetes for women's health.
Diethylstilbestrol (DES) Update
Diethylstilbestrol (DES) is a drug once prescribed during pregnancy to
prevent miscarriages or premature deliveries. In the U.S. an estimated
5 to 10 million persons were exposed to DES from 1938 to 1971, including
pregnant women prescribed DES and their children. In 1971, the Food and
Drug Administration (FDA) advised physicians to stop prescribing DES because
it was linked to a rare vaginal cancer. After more than 30 years of research,
there are more confirmed health risks associated with DES exposure. However,
not all exposed individuals will experience DES-related health problems.
Whether you know for sure or suspect you were exposed to DES, you can use
CDC's DES Update to learn more about DES exposure and what you can do about
it.
Fact Sheets: Birth
Defects and Developmental Disabilities
Learn more about a variety of issues related to birth defects and developmental
disabilities.
Fact
Sheet: Tobacco Use and Reproductive Outcomes
Learn more about how tobacco use affects reproductive health.
Fast Stats A-Z: Births/Natality
View data and statistics on births/natality.
Fast Stats A-Z:
Reproductive Health Statistics
View data and statistics on reproductive health.
Fetal Alcohol Syndrome
Fetal alcohol syndrome is 100% preventable if a woman does not drink alcohol
while she is pregnant. Learn more.
Folic Acid
Folic acid is a B vitamin. It is used in our bodies to make new cells.
If a woman has enough folic acid in her body before she is pregnant, it
can help prevent major birth defects of her baby's brain and spine. These
birth defects are called neural tube defects or NTDs. Women need to take
folic acid every day starting before they are pregnant to help prevent
NTDs. The CDC and the U.S. Public Health Service urge every woman who could
become pregnant to get 400 micrograms (400 mcg) of synthetic folic acid
every day. Learn more.
Folic
Acid Publications in English and Spanish
Order a variety of folic acid materials, including PSAs, booklets, brochures,
and more.
Frequently Asked Questions: West Nile Virus, Pregnancy, and Breastfeeding Learn answers to questions about West Nile Virus, pregnancy, and breastfeeding.
Guidelines for
Vaccinating Pregnant Women
Risk to a developing fetus from vaccination of the mother during pregnancy
is primarily theoretical. No evidence exists of risk from vaccinating pregnant
women with inactivated virus or bacterial vaccines or toxoids. Benefits
of vaccinating pregnant women usually outweigh potential risks when the
likelihood of disease exposure is high, when infection would pose a risk
to the mother or fetus, and when the vaccine is unlikely to cause harm.
Learn more.
Health Topics:
Pregnancy
View a list of links to information related to pregnancy.
Hepatitis
B and You
A computerized PowerPoint health education program, this program was designed
for women who test positive for the hepatitis B virus (HBV) during pregnancy.
The program was developed with input from HBV-infected women as to information
they wanted regarding the cause, transmission, and prevention of perinatal
hepatitis B. Feedback was obtained as to women's knowledge level before
and after viewing the information. Hepatitis B and You presents information
at a sixth grade reading level, and uses strategies that are known to work
with people who have low literacy skills. The use of this specialized program
with a large group of women from a county health department has improved
the rate of completion for both the hepatitis B vaccination series and
serologic follow-up by 50 percent.
HIV, STD, and TB Prevention
Learn more about HIV, sexually transmitted diseases, and tuberculosis.
Infant
Health
Learn more about infant health.
Listeriosis:
Frequently Asked Questions
Learn answers to frequently asked questions about listeriosis.
Medication
Use during Pregnancy and Breastfeeding
Many pregnant women or mothers who are breastfeeding worry about whether
to take medications - including prescription and over-the-counter drugs,
vitamins, and dietary or herbal supplements. They are afraid these could
harm their child. However, sometimes taking medication can't be avoided.
Learn more.
Occupational Safety and
Health: Reproductive Health
Learn more about reproductive health and the workplace.
Pregnancy Nutrition
Surveillance System
The Pediatric Nutrition Surveillance System (PedNSS) and the Pregnancy
Surveillance System (PNSS) are program-based surveillance systems that
monitor the nutritional status of low-income infants, children, and women
in federally funded maternal and child health programs. Learn more.
Pregnancy Planning Education
Program
Learn what you need to know now to have a safe pregnancy and healthy baby
with this online education program available for women who are planning
to get pregnant.
Preventing
Emerging Infectious Diseases: Addressing the Problem of Diseases of Pregnant
Women and Newborns
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Each year, 6 million pregnancies and 4 million live births occur in the
United States. Infectious diseases pose a silent yet serious health threat
to many of these women and their babies. Infection acquired during pregnancy,
while sometimes inapparent and asymptomatic in the mother, can be devastating
to the health of the infant. CDC, in collaboration with other government
agencies, industry, academia, and other health partners, has developed
a plan with four goals specifically designed to limit the harm caused by
infectious agents acquired during pregnancy and early infancy.
Reproductive Health
Learn more about reproductive health.
STDs
and Pregnancy
Learn answers to frequently asked questions related to sexually transmitted
diseases (STDs) and pregnancy.
Toxoplasmosis
and Pregnant Women
Toxoplasmosis is an infection caused by a parasite called Toxoplasma gondii.
This parasite is carried by cats and is passed in their feces (stool).
Pregnant women need to be aware that toxoplasmosis can cause problems with
pregnancy, including abortion. However, people are more likely to get toxoplasmosis
from eating undercooked meat or gardening than from contact with pet cats.
By following simple safety tips, pregnant women can reduce the risk of
getting toxoplasmosis from cats.
Toxoplasmosis:
An Important Message for Women
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Learn more about toxoplasmosis.
Pregnancy:
Unintended and Teen Pregnancy
Learn more about unintended and teen pregnancy.
Vaccinations
and Pregnancy
Find out what vaccinations pregnant women should get and other information.
What
You Can Do to Keep Germs from Harming Your Baby
Germs are everywhere in the world: on us, in us, and around us. Some of
them can harm your baby before and after birth. This booklet has important
information about some diseases caused by germs and the screening tests
and vaccinations that can help prevent them.
Women and Smoking:
A Report of the Surgeon General
Learn more about the harmful effects smoking has on women.
This site contains documents in PDF format. You will need Adobe Acrobat Reader
to access the file. If you do not have the Acrobat Reader, you may download a
free copy from the Adobe Web site.
Page last modified: July 29, 2010
Page last reviewed: July 29, 2010
