State-Specific Assisted Reproductive Technology Surveillance, United States: 2019 Data Brief

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TABLE 1: Number and outcomes of assisted reproductive technology procedures performed in 2019, by female patient's reporting area of residence at time of treatment — United States and Puerto Rico
Number and outcomes of assisted reproductive technology procedures performed in 2019, by female patient’s reporting area of residence at time of treatment — United States and Puerto Rico
Patient’s reporting area of residence* No. of ART clinics† No. of ART procedures performed§ No. of ART embryo-transfer procedures¶ No. of ART pregnancies No. of ART live-birth deliveries No. of ART singleton live-birth deliveries No. of ART multiple live-birth deliveries No. of ART live-born infants ART procedures per 1 million women aged 15–44 years**
Alabama 5 1,241 925 490 401 350 51 452 1,301
Alaska 0 149 125 71 62 57 5 67 1,047
Arizona 13 2,947 2,453 1,413 1,141 987 154 1,297 2,110
Arkansas 1 629 498 236 192 170 22 214 1,079
California 72 26,090 20,663 12,067 10,037 9,264 773 10,820 3,235
Colorado 8 2,490 2,347 1,615 1,371 1,260 111 1,482 2,111
Connecticut 6 3,629 2,850 1,685 1,423 1,330 93 1,517 5,452
Delaware 2 893 634 346 283 275 8 291 4,942
District of Columbia 2 1,370 1,066 583 480 467 13 494 7,208
Florida 27 8,773 6,956 3,780 3,067 2,821 246 3,316 2,256
Georgia 8 4,598 3,805 2,188 1,777 1,643 134 1,915 2,115
Hawaii 6 1,192 934 505 416 368 48 464 4,535
Idaho 1 657 531 315 254 226 28 283 1,903
Illinois†† 24 12,645 9,772 5,302 4,279 3,970 309 4,590 5,050
Indiana 8 2,625 2,167 1,066 884 771 113 999 2,005
Iowa 2 1,580 1,320 749 614 569 45 659 2,651
Kansas 4 1,156 993 575 476 445 31 508 2,056
Kentucky 4 1,426 1,165 579 457 415 42 500 1,678
Louisiana 4 1,657 1,302 684 557 521 36 593 1,790
Maine 1 601 497 261 220 199 21 241 2,564
Maryland 6 6,295 4,904 2,613 2,076 1,989 87 2,163 5,312
Massachusetts†† 8 10,626 8,801 4,527 3,794 3,569 225 4,020 7,628
Michigan 10 4,598 3,857 2,089 1,742 1,485 257 1,998 2,447
Minnesota 5 3,246 2,786 1,632 1,359 1,208 151 1,510 2,988
Mississippi 3 596 535 301 257 240 17 274 1,014
Missouri 9 2,437 2,063 1,138 933 835 98 1,033 2,066
Montana 1 378 320 192 157 146 11 168 1,941
Nebraska 2 1,084 863 441 357 313 44 401 2,896
Nevada 6 1,418 1,152 682 556 513 43 601 2,357
New Hampshire 0 1,031 846 438 370 348 22 392 4,195
New Jersey†† 18 10,652 9,210 5,425 4,477 4,264 213 4,692 6,365
New Mexico 2 391 356 222 197 182 15 212 984
New York 43 23,459 19,318 9,536 7,603 7,142 461 8,073 6,054
North Carolina 10 4,709 3,860 2,257 1,855 1,726 129 1,981 2,277
North Dakota 1 262 224 135 112 95 17 131 1,725
Ohio 11 5,532 4,501 2,363 1,920 1,794 126 2,048 2,498
Oklahoma 3 1,124 933 493 419 354 65 485 1,448
Oregon 4 1,463 1,321 853 732 642 90 827 1,758
Pennsylvania 13 7,812 6,256 3,220 2,606 2,477 129 2,738 3,278
Puerto Rico 3 299 244 109 80 58 22 103 486
Rhode Island†† 1 969 794 321 267 250 17 284 4,712
South Carolina 3 1,871 1,495 890 706 659 47 756 1,891
South Dakota 1 297 250 141 118 99 19 137 1,835
Tennessee 9 1,869 1,549 936 766 714 52 818 1,402
Texas 42 16,084 13,318 7,646 6,310 5,842 468 6,787 2,666
Utah 4 2,355 1,935 1,118 932 834 98 1,033 3,327
Vermont 2 414 340 160 132 119 13 143 3,619
Virginia 11 6,300 5,036 2,689 2,121 2,002 119 2,238 3,740
Washington 11 4,629 3,681 2,267 1,847 1,734 113 1,961 3,042
West Virginia 2 408 346 193 146 134 12 158 1,280
Wisconsin 6 2,372 2,005 1,104 931 864 67 999 2,181
Wyoming 0 195 172 106 85 77 8 93 1,817
Non-U.S. residents – 8,164 6,932 4,283 3,644 3,302 342 3,987 §§
Total 448 209,687 171,206 95,030 77,998 72,118 5,880 83,946 3,226
ART = assisted reproductive technology.
*In cases of missing patient’s residence data (0.4%), it was assigned as the location where the ART procedure was performed.
†The ART procedures and outcomes by patient’s reporting area of residence do not necessarily reflect the procedures and outcomes of the ART clinics within the reporting area because some patients seek treatment at a clinic in a location other than their area of residence.
§Excludes 121,086 cycles in which egg or embryo banking was performed and 10 research cycles.
Embryo-transfer procedures include all procedures performed in which at least one embryo was transferred.
**On the basis of US Census Bureau estimates. Source: US Census Bureau. https://data.census.gov/cedsci/.
††State with comprehensive insurance mandate requiring insurers to cover the costs associated with diagnosis and treatment of infertility inclusive of ART services for at least four oocyte retrievals.
§Non-U.S. residents were excluded from rate because the appropriate denominators were not available.
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