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Pregnancy and Reproductive Health

Below are links to information related to pregnancy, birth defects prevention, and reproductive health. Click on the right menu or scroll down to view programs, research, statistics and guidelines on this topic.

Research, Recommendations and Guidelines


Births: Preliminary Data for 2014
The 2014 preliminary number of U.S. births was 3,985,924, an increase of 1% from 2013. The number of births increased for women in all race and Hispanic origin groups in 2014 except for American Indian or Alaska Native women, for whom births decreased.

Patterns of Health Insurance Coverage Around the Time of Pregnancy Among Women with Live-Born Infants — Pregnancy Risk Assessment Monitoring System, 29 States, 2009
This report summarizes data from 29 states that conducted PRAMS in 2009. Data on the prevalence of health insurance coverage stability (stable coverage, unstable coverage, and uninsured) the month before pregnancy, during pregnancy, and at the time of delivery are reported by state and selected maternal characteristics.

Workplace Secondhand Smoke Exposure during Pregnancy: Who is Protected? Blog
We estimated that about 1 in 10 nonsmoking, working women of reproductive age in the United States are exposed to secondhand smoke at work. We also found that black women were twice as likely to be exposed to secondhand smoke at work during pregnancy as white women.

Optimal Serum and Red Blood Cell Folate Concentrations in Women of Reproductive Age for Prevention of Neural Tube Defects: World Health Organization Guidelines
Evidence was evaluated regarding the 1) genetic, biologic, and sociodemographic determinants of blood folate concentrations in women of reproductive age; 2) threshold concentration of blood folate associated with lowest NTD risk; 3) response of blood folate concentrations to nutrition interventions; and 4) performance of laboratory assays for blood folate assessment.

Interpregnancy Intervals in the United States: Data From the Birth Certificate and the National Survey of Family Growth
Jurisdiction-specific median IPI ranged from 25 months (Idaho, Montana, North Dakota, South Dakota, Utah, and Wisconsin) to 32 months (California) using birth certificate data.

Vital Signs: Trends in Use of Long-Acting Reversible Contraception Among Teens Aged 15–19 Years Seeking Contraceptive Services — United States, 2005–2013
Given the estimated 4.4 million sexually experienced female teens in the United States, and the high effectiveness, safety and ease of using LARC, continued efforts are needed to increase access and availability of these methods for teens.

Preventing Teen Pregnancy: A Key Role for Health Care Providers
LARC is safe to use, does not require taking a pill each day or doing something each time before having sex, and can prevent pregnancy for 3 to 10 years, depending on the method. Less than 1% of LARC users would become pregnant during the first year of use.

Stressful Life Events Experienced by Women in the Year Before Their Infants' Births — United States, 2000–2010
Younger, less educated, unmarried, and Medicaid-covered women had the highest prevalence of stressful life events. Public health practitioners and clinicians can use the information on trends and risk factors for SLEs to determine the likelihood that pregnant women might benefit from screening for stressors during pregnancy.

Infant and Maternal Characteristics in Neonatal Abstinence Syndrome — Selected Hospitals in Florida, 2010–2011
Effective June 2014, NAS is now a mandatory reportable condition in Florida. Interventions are also needed to 1) increase the number and use of community resources available to drug-abusing and drug-dependent women of reproductive age, 2) improve drug addiction counseling and rehabilitation referral and documentation policies, and 3) link women to these resources before or earlier in pregnancy.

Trends in Long-acting Reversible Contraception Use Among U.S. Women Aged 15–44
Use of long-acting reversible contraceptives (LARCs) declined between 1982 and 1988, remained stable through 2002, and then increased nearly five­ fold in the last decade among women aged 15–44, from 1.5% in 2002 to 7.2% in 2011–2013.

Implementation of a Statewide Surveillance System for Neonatal Abstinence Syndrome — Tennessee, 2013
The first year's surveillance results highlight the need for primary prevention activities focused on reducing dependence/addiction among women of childbearing age and preventing unintended pregnancy among female opioid users.

Opioid Prescription Claims Among Women of Reproductive Age — United States, 2008–2012
Opioid-containing medications are widely prescribed among reproductive-aged women with either private insurance or Medicaid, with approximately one fourth of privately insured and over one third of Medicaid-enrolled women filling a prescription for an opioid each year during 2008–2012. This is a significant public health concern. 

Supplement Use and Other Characteristics Among Pregnant Women with a Previous Pregnancy Affected by a Neural Tube Defect — United States, 1997–2009
Preventing the recurrence of NTDs by managing maternal risk factors before conception, including folic acid intake and obesity, presents important opportunities for public health.

Updated Estimates of Neural Tube Defects Prevented by Mandatory Folic Acid Fortification — United States, 1995–2011
The updated estimate of approximately 1,300 NTD-affected births averted annually during the post-fortification period is slightly higher than the previously published estimate. Mandatory folic acid fortification remains an effective public health policy intervention.

Avoid Harmful Substances
Make a PACT to get healthy, physically and mentally, before and during pregnancy to increase your chances of having a healthy baby. Avoiding harmful home and workplace exposures is one important step.

Are Flight Attendants at Higher Risk for Miscarriage?
Working during normal sleep hours, high physical job demands and exposure to cosmic radiation may put pregnant flight attendants at higher risk for miscarriage, according to research published January 5 online ahead of print in the journal Epidemiology. The study is the first to date that looked at potential workplace reproductive hazards on individual flights flown by flight attendants.

Project Connect Implementation Guide
This evidence-based, scalable intervention is designed to increase youth access to sexual and reproductive health care services. Project Connect promotes health systems change by identifying providers who are already doing a good job of serving youth, then linking youth to those resources.

NIOSH Current Intelligence Bulletin: Reproductive Risks Associated With Hazardous Drug Exposures in Healthcare Workers and Recommendations for Reducing Exposures
This bulletin reviews and summarizes all published studies on adverse reproductive effects of occupational exposures to antineoplastic drugs.

2011-2013 NSFG: Public Use Data Files Now Available
Codebooks and documentation, questionnaires, program statements, and more are now available.

Abortion Surveillance - United States, 2011
For 2011, a total of 730,322 abortions were reported to CDC. These 46 areas had an abortion rate of 13.9 abortions per 1,000 women aged 15–44 years and an abortion ratio of 219 abortions per 1,000 live births.

Births in the United States, 2013
There were 3.93 million births in the United States in 2013, down less than 1% from 2012 and 9% from the 2007 high. Birth rates dropped to record lows in 2013 among women under age 30 and rose for most age groups 30 and over.

Current Contraceptive Status Among Women Aged 15-44: United States, 2011-2013
In 2011–2013, 61.7% of the 60.9 million women aged 15–44 in the United States were currently using contraception. The most common contraceptive methods currently being used were the pill (16.0%), female sterilization (15.5%), male condoms (9.4%), and long-acting reversible contraceptives (7.2%).


Nation at a Glance: Declining Teen Birth Rates by State
Click on individual states and reporting areas to see teen birth rates for 2012, 2000, and 1991.

2009 Cohort Linked Birth/Infant Death Data Files and User Guide Now Available (Data Release)
This documentation is for the 2009 birth cohort linked birth/infant death data set (linked file). Previous birth cohort linked files were released for data years 1983-91. Beginning with 1995 data, the linked file was released in two different formats -period data and birth cohort data.

CDC Global Maternal and Child Health Strategy 2013-2016
The strategy aims to ensure that CDC’s technical and programmatic expertise is leveraged for maximum impact to reduce maternal and child morbidity and mortality. It focuses on women’s health from preconception through postpartum, and children’s health from the perinatal period through the fourth year.

Prenatal Breastfeeding Counseling — Pregnancy Risk Assessment Monitoring System, United States, 2010
Overall, approximately 17% of mothers reported that their physician, nurse, or other health-care worker did not talk about breastfeeding during their prenatal care visits. Multicomponent interventions and supports, including prenatal breastfeeding counseling, are needed to help mothers start and continue breastfeeding.

Receipt of Reproductive Health Services Among Sexually Experienced Persons Aged 15–19 Years — National Survey of Family Growth, United States, 2006–2010
During the 12 months before the interview, approximately 30% of sexually experienced females aged 15–19 years did not receive contraceptive services, nearly 70% of sexually experienced females aged 15–19 years did not receive recommended STD services, and 74% of sexually experienced males aged 15–19 years did not receive STD services.


Breastfeeding Report Card 2014

National and State Patterns of Teen Births in the United States, 1940–2013
Pregnant? Get Tdap in Your Third Trimester

Recent Declines in Nonmarital Childbearing in the United States

Promoting Health Equity through Education Programs and Policies: High School Completion Programs
The Task Force recommends high school completion programs for a subset of students who are at risk for non-completion because they are pregnant or have children, based on strong evidence of effectiveness.

A National Public Health Action Plan for the Detection, Prevention, and Management of Infertility
This plan highlights the need to better understand and address issues at a population level that contribute to and are caused by infertility in women and men and that may affect the health of the pregnancy.

Cytomegalovirus: Protect Your Baby
CMV is a common virus that can be contracted through contact with the saliva or urine of children. Pregnant women who are infected can transmit CMV to their fetuses, causing a congenital CMV infection. A "congenital" infection is one that is transmitted from mother to baby during the pregnancy. Pregnant women can take steps to reduce their risk of exposure to CMV.

Recent Declines in Induction of Labor by Gestational Age
Trends in induction rates vary by gestational age, with rates for most gestational age groups declining since 2010. Induction rates for births at 36, 37, and 38 weeks have declined since 2006, with the largest decrease at 38 weeks.

Teen Birth Rates Drop, But Disparities Persist
Improve the lives of young people—strengthen communities by reducing teen pregnancy and eliminating disparities. Learn more about CDC's communitywide initiatives to address this issue.

Births: Preliminary Data for 2013
The 2013 preliminary number of births for the United States was 3,957,577, slightly more births (4,736) than in 2012. U.S. data on births are shown by age, live-birth order, race, and Hispanic origin of mother. Data on marital status, cesarean delivery, preterm births, and low birthweight are also presented.

First Births to Older Women Continue to Rise
This report explores trends in first births to women aged 35–39 and 40–44 years from 1970 to 2012, and by race and Hispanic origin from 1990 to 2012 (the most recent year for which comparable data are available). Trends in first births for older women by state are examined for the recent period, 2000 to 2012.

Trends in Uninsured Clients Visiting Health Centers Funded by the Title X Family Planning Program - Massachusetts, 2005-2012
In Massachusetts, publicly funded providers continued to be used as providers of choice for many clients with health-care coverage and remained as a "safety net" for uninsured persons in need of family planning services.

Primary Cesarean Delivery Rates, by State: Results from the Revised Birth Certificate, 2006–2012
The primary cesarean delivery rate for the 38 states, District of Columbia, and New York City that were using the revised certificate by January 1, 2012, was 21.5%. State-specific rates ranged from 12.5% (Utah) to 26.9%.

Infertility Service Use in the United States: Data From the National Survey of Family Growth, 1982–2010
Twelve percent of women aged 15–44 in 2006–2010 (7.3 million women), or their husbands or partners, had ever used infertility services.

Assisted Reproductive Technology Surveillance - United States, 2010
In 2010, a total of 147,260 ART procedures performed in 443 U.S. fertility clinics were reported to CDC. These procedures resulted in 47,090 live-birth deliveries and 61,564 infants.

Births: Final Data for 2012
3,952,841 births were registered in the U.S. in 2012. The general fertility rate declined to 63.0 per 1,000 women aged 15–44. The teen birth rate fell 6%, to 29.4 per 1,000 women.

Pregnancy Rates for U.S. Women Continue to Drop
The data in this report provide a comprehensive picture of pregnancies and pregnancy outcomes. Data on pregnancy outcomes by age, race and Hispanic origin, and marital status are presented using data from the National Vital Statistics System, the Abortion Surveillance System and Guttmacher Institute, and the National Survey of Family Growth (NSFG).

Newly Released Data From the Revised U.S. Birth Certificate, 2011
This report is the first release of multistate data for selected items exclusive to the 2003 revision of the U.S. Standard Certificate of Live Birth. The 3,267,934 births to residents of the 36-state and D.C. reporting area represented 83% of all 2011 U.S. births.

Recent Trends in Births and Fertility Rates Through June 2013
The provisional count of births in the United States for the 12-month period ending June 2013 was 3,941,000, which was not significantly different from the 3,944,000 births (provisional count) for the 12-month period ending June 2012.

Seasonal Influenza Vaccination Coverage Among Women Who Delivered a Live-Born Infant - 21 States and New York City, 2009-10 and 2010-11 Influenza Seasons
Results from this study indicate that historically high seasonal influenza vaccination coverage levels among pregnant women achieved during the 2009-10 season were either maintained or increased during the 2010-11 season by the 21 participating states and New York City.

Infant Mortality Statistics from the 2010 Period Linked Birth/Infant Death Data Set
The U.S. infant mortality rate was 6.14 infant deaths per 1,000 live births in 2010, 4 percent lower than the rate of 6.39 in 2009. The number of infant deaths was 24,572 in 2010, a decline of 1,836 infant deaths from 2009.


Hepatitis B “Protect Your Baby for Life” Fact Sheet
This 2-page fact sheet is for pregnant women who have Hepatitis B and explains the importance of the Hepatitis B vaccine in preventing the spread of hepatitis B to their infants. Available in 12 languages.

Prematurity Awareness
Learn more about premature birth, risk factors, and what you can do.

Abortion Surveillance — United States, 2010
A total of 765,651 abortions were reported to CDC for 2010. Compared with 2009, the total number and rate of reported abortions for 2010 decreased 3% and reached the lowest levels for the entire period of analysis (2001–2010); the abortion ratio was stable, changing only 0.4%.

Elements of Youth-Friendly Contraceptive and Reproductive Health Services
Contraceptive and reproductive health services include family planning; contraception (methods to prevent pregnancy); prenatal, obstetric, and postnatal care; and prevention or treatment of reproductive tract infections, including sexually transmitted infections.

Births: Preliminary Data for 2012
The preliminary number of births for the United States in 2012 was 3,952,937, essentially unchanged (not statistically significant) from 2011; the general fertility rate was 63.0 births per 1,000 women age 15-44 years, down only slightly from 2011, after declining nearly 3 percent a year from 2007 through 2010.

Prevent Group B Strep App for Obstetric and Neonatal Providers
"Prevent Group B Strep" is a standalone application that provides patient-specific and scenario-specific guidance consistent with the 2010 Guidelines for the Prevention of Perinatal GBS Disease. The app generates customized guidelines based on user input of patient characteristics.

Seasonal Flu Vaccine Safety and Pregnant Women Qs & As
Changes in the immune system, heart, and lungs during pregnancy make pregnant women more prone to severe illness from influenza as well as hospitalizations and even death. Pregnant women with influenza also have a greater chance for serious problems for their unborn babies, including premature labor and delivery.

Use of Family Planning and Related Medical Services among Women Aged 15–44 in the United States: National Survey of Family Growth, 2006–2010
In 2006–2010, 43 million women aged 15-44 received a family planning or related medical service in the previous 12 months. A Pap test and a pelvic exam were the most common services received by women in the previous year, followed by receipt of a method of birth control.

Breastfeeding and Early Care and Education
Breastfeeding Support: Close to Mothers is the theme for World Breastfeeding Week 2013. This theme focuses on the importance of all aspects of breastfeeding support.

Saving Mothers, Giving Life Global Health Initiative
A five-part blog series about efforts to save the lives of mothers in Africa through an initiative called Saving Mothers, Giving Life, a U.S. government initiative that addresses the needs of mothers in labor, delivery, and the first 24 hours postpartum – the time period in which an estimated 60 percent of maternal deaths and 50 percent of neonatal deaths occur.

Updated Recommendations for Use of VariZIG — United States, 2013
Patient groups recommended by CDC to receive VariZIG include newborn infants whose mothers have signs and symptoms of varicella around the time of delivery (i.e., 5 days before to 2 days after); hospitalized premature infants born at ≥28 weeks of gestation whose mothers do not have evidence of immunity to varicella; hospitalized premature infants born at <28 weeks of gestation or who weigh ≤1,000 g at birth, regardless of their mothers' evidence of immunity to varicella; pregnant women without evidence of immunity; and Immunocompromised patients without evidence of immunity.

Births: Final Data for 2011
The number of births declined 1 percent in 2011 to 3,953,590. The general fertility rate also declined 1 percent, to 63.2 per 1,000 women 15 to 44 years. The teenage birth rate fell 8 percent to 31.3 per 1,000.

Changes in Cesarean Delivery Rates by Gestational Age: United States, 1996–2011
After 12 years of consecutive increases, the preliminary cesarean delivery rate among singleton births was unchanged from 2009 to 2011 (31.3%). Cesarean delivery rates decreased more than 5% among births at 38 weeks of gestation, but increased 4% among births at 39 weeks.

Cytomegalovirus: Protect Your Baby
Pregnant women can take steps to reduce their risk of exposure to cytomegalovirus, or CMV.

Recent Trends in Births and Fertility Rates through December 2012
The provisional count of births in the United States for the 12-month period ending December 2012 was 3,958,000, essentially unchanged from the 3,953,593 births (preliminary total) for 2011. The trend in the number of births was down, having declined steadily from the historic high of 4,316,233 in 2007 through 2011 but slowing from 2010 to 2011, and is essentially flat from 2011 to 2012.

Responsive Design, Weighting, and Variance Estimation in 2006-2010 National Survey of Family Growth
The report shows fieldwork results, including response rates, and the results of weighting, imputation, and variance estimation procedures.  The report should be useful to users of the 2006-2010 public-use data file and to survey methodologists who wish to learn how the NSFG was conducted.

Teen Birth Rates Drop, But Disparities Persist
Improve the lives of young people—strengthen communities by reducing teen pregnancy and eliminating disparities. Learn more about CDC’s communitywide initiatives to address this issue.

U.S. Selected Practice Recommendations for Contraceptive Use, 2013: Adapted from the World Health Organization Selected Practice Recommendations for Contraceptive Use, 2nd Edition
Includes recommendations that address a select group of common, yet sometimes controversial or complex, issues regarding initiation and use of specific contraceptive methods. Four new topics are addressed, including the effectiveness of female sterilization, extended use of combined hormonal methods and bleeding problems, starting regular contraception after use of emergency contraception, and determining when contraception is no longer needed.

Adjusting National Health and Nutrition Examination Survey Sample Weights for Women of Childbearing Age
Maternal risk factors have been tabulated for women of childbearing age using defined age ranges. When calculating statistics for women of childbearing age, the decision to adjust for age or not to adjust appears to be more important than the choice of adjustment method.

Declines in State Teen Birth Rates by Race and Hispanic Origin
Teen birth rates fell steeply in the United States from 2007 through 2011, resuming a decline that began in 1991 but was briefly interrupted in 2006 and 2007.

Program Increases Teen Contraceptive Use
Learn about a clinic-based program for adolescent girls that has improved contraceptive use and other health-related behaviors through personal case management and peer leadership opportunities.

Recent Declines in Infant Mortality in the United States, 2005–2011
Following a plateau from 2000 through 2005, the U.S. infant mortality rate declined 12% from 2005 through 2011. Declines for neonatal and postneonatal mortality were similar. From 2005 through 2011, infant mortality declined 16% for non-Hispanic black women and 12% for non-Hispanic white women.

Vital Signs: Repeat Births Among Teens — United States, 2007–2010
Nearly 1 in 5 teen births is a repeat birth. Learn what you can do to help break the cycle of teen pregnancy. Disparities in repeat teen births exist by race/ethnicity, with the highest percentages found among American Indian/Alaska Natives (21.6%), Hispanics (20.9%), and non-Hispanic blacks (20.4%) and lowest among non-Hispanic whites (14.8%).

Vital Signs Issue: Preventing Repeat Teen Births
Although teen birth rates have been falling for the last two decades, more than 365,000 teens, ages 15–19, gave birth in 2010. Teen pregnancy and childbearing can carry high health, emotional, social, and financial costs for both teen mothers and their children.

Immunization and Pregnancy Vaccines Flyer
The flyer shows which vaccines you may need before, during, and after pregnancy.

Action Plan for the National Initiative on Preconception Health and Health Care (PCHHC)
The Action Plan for the National Initiative on Preconception Health and Health Care (PCHHC) 2012–2014 outlines goals, objectives, strategies, and action steps that can: 1) move science into clinical practice; 2) market messages and images that will raise consumer awareness of preconception care; 3) inform policy development, implementation, and innovation; 4) guide public health and prevention programs in efforts to improve the health of women, infants, and families; and 5) monitor the processes and impact of preconception and interconception care at the local, state, tribal, territorial, and national levels.

Immediate Postpartum Insertion of Long-Acting Reversible Contraception
Many repeat births could be prevented through postpartum use of long-acting reversible contraception (LARC) such as IUDs and implants. Counseling women during prenatal visits about postpartum contraception and offering women LARC in the hospital after delivery make it easier for women to avoid unintended pregnancy.

Prevention and Control of Meningococcal Disease: Recommendations of the Advisory Committee on Immunization Practices (ACIP)
Includes two sections on Safety of Meningococcal Conjugate Vaccine in Pregnancy, and Vaccinating during Pregnancy and Breastfeeding.

Public Health Grand Rounds Video: Reducing Teen Pregnancy in the United States
Prevention of teen pregnancy requires broad-based efforts including evidence-based sexual health education, support for parents in talking with their children about pregnancy prevention and other aspects of sexual and reproductive health, and ready access to effective and affordable contraception for teens who are sexually active.

Clinical Guidelines for Occupational Lifting in Pregnancy: Evidence Summary and Provisional Recommendations
Available in the American Journal of Obstetrics and Gynecology, available online March 1, 2013. This report proposes criteria to guide decisions by medical providers about permissible weights for lifting tasks performed at work over the course of an uncomplicated pregnancy.

Use of Emergency Contraception Among Women Aged 15-44: United States, 2006-2010
Young adult women aged 20-24 were most likely to have ever used emergency contraception; about one in four had done so (23%).

New Tools Available for CDC’s U.S. Medical Eligibility Criteria for Contraceptive Use, 2010
CDC has developed several new tools (app, summary charts, MEC Wheel) to assist health care providers in accessing and using the U.S. MEC.

Contraceptive Methods Women Have Ever Used: United States, 1982-2010
In 2006-2010, the most common methods that women or their partners had ever used were: the male condom (93%), the pill (82%), withdrawal (60%), and the injectable, Depo-Provera (23%).

Updated Recommendations for Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccine (Tdap) in Pregnant Women — Advisory Committee on Immunization Practices (ACIP), 2012
These updated recommendations on use of Tdap in pregnant women aim to optimize strategies for preventing pertussis morbidity and mortality in infants.

Helpful Tips for Pregnant Women and New Moms
If you are pregnant or have a new baby, your life can be filled with joy and new challenges. Here are a few tools to help keep you and your baby safe and healthy.

Show Your Love Campaign
Show Your Love is a national campaign designed to improve the health of women and babies by promoting preconception health and healthcare. The campaign’s main goal is to increase the number of women who plan their pregnancies and engage in healthy behaviors before becoming pregnant.


Hepatitis E and Maternal Deaths (Podcast) (10/30/2012)
Dr. Alain Labrique, assistant professor in the Department of International Health and Department of Epidemiology at the Bloomberg School of Public Health, gives us his perspective on hepatitis E and maternal deaths.

ACIP Recommends Tdap Immunization for Pregnant Women (10/30/2012)
The Advisory Committee for Immunization Practices voted to recommend that providers of prenatal care implement a Tdap immunization program for all pregnant women.

Pre-Existing Diabetes and Pregnancy: Potential Effects of Uncontrolled Diabetes Before and During Pregnancy (10/30/2012)
This page explains the importance of keeping diabetes under control during pregnancy and the effects of uncontrolled diabetes on pregnancy and newborns, and ways to control blood sugar to help prevent problems.

Current Contraceptive Use in the United States, 2006–2010, and Changes in Patterns of Use Since 1995 (10/30/2012)
Sixty-two percent of women of reproductive age are currently using contraception. Of women using a contraceptive method in the month of the interview, the most common methods used are the pill (28%, or 10.6 million women) and female sterilization (27%, or 10.2 million women).

Births: Preliminary Data for 2011 (10/30/2012)
The 2011 preliminary number of US births was 3,953,593, 1 percent less (or 45,793 fewer) births than in 2010; the general fertility rate (63.2 per 1,000 women age 15-44 years) declined to the lowest rate ever reported for the United States.

Preconception Care and Health care Resource Center (9/30/2012)
The Preconception Health and Health Care Resource Center (the Resource Center) is a comprehensive web directory of hyperlinks to tools and resources designed to advance the health of men and women of reproductive age.

Lead Poisoning in Pregnant Women Who Used Ayurvedic Medications from India - New York City, 2011–2012 (8/30/2012)
Foreign-born pregnant women might be at increased risk for lead poisoning. Health-care providers should ask patients, especially foreign-born or pregnant patients, about any use of foreign health products, supplements, and remedies such as Ayurvedic medications.

Breastfeeding Report Card-United States, 2012 (8/30/2012)
This year’s Breastfeeding Report Card reveals that hospital support for breastfeeding has improved. Since 2009 47 states and the District of Columbia have increased their score on CDC’s Maternity Practices in Infant Nutrition and Care survey. Births at Baby-Friendly hospitals have increased from 1.93 percent in 2008 to 6.22 percent in 2012.

Protect Your Baby from Group B Strep! (8/30/2012)
Protect your baby from group B strep. If you're 35-37 weeks pregnant, ask your doctor or nurse about a group B strep test.

Intended and Unintended Births in the United States: 1982-2010 (8/30/2012)
About 37% of births in the United States were unintended at the time of conception. Large differences exist between groups in the percentage of births that are unintended.

Preconception Health Indicators Among Women - Texas, 2002-2010 (8/30/2012)
The Texas Department of State Health Services analyzed PRAMS responses regarding preconception health of Texas women who delivered a live-born infant during 2002−2010. Among women who responded, 48% had no health-care insurance coverage before pregnancy and 46% reported an unintended pregnancy.

Protect Your Baby from Group B Strep! (8/30/2012)
Protect your baby from group B strep. If you're 35-37 weeks pregnant, ask your doctor or nurse about a group B strep test.

Cytomegalovirus: Protect Your Baby (8/30/2012)
In the U.S. 1 in 750 children have disabilities due to congenital cytomegalovirus (CMV) infection. Learn how to protect your baby from CMV.

Congenital Transmission of Chagas Disease - Virginia, 2010 (8/30/2012)
This report describes the first case of congenital Chagas disease in the United States confirmed by CDC and highlights the importance of raising awareness of Chagas disease among health-care providers.

Cohort Fertility Tables for All, White, and Black Women: United States, 2006-2009 (8/30/2012)
These tables present detailed fertility data for cohorts of women as they pass through their childbearing years and include central birth rates, cumulative birth rates, birth distributions, and birth probabilities.

Births: Final Data for 2010 (8/30/2012)
The number of births declined to 3,999,386 in 2010, 3 percent less than in 2009. The teenage birth rate fell 10 percent to 34.2 per 1,000.

Prevalence and Timing of Oral Sex with Opposite-sex Partners Among Females and Males Aged 15–24 Years: United States, 2007–2010 (8/30/2012)
About two-thirds of females (66%) and males (65%) aged 15–24 years in 2007–2010 had ever had oral sex.

Estimated Pregnancy Rates and Rates of Pregnancy Outcomes for the United States, 1990-2008 (6/30/2012)
In 2008, an estimated 6,578,000 pregnancies resulted in 4,248,000 live births, 1,212,000 induced abortions, and 1,118,000 fetal losses.  Pregnancy rates have declined significantly for non-Hispanic white, non-Hispanic black, and Hispanic teenagers.

Breastfeeding Action Guides for Health Care Settings (6/30/2012)
Three new action guides: Doctors in Action, Nurses in Action and Health Care Leaders in Action.

Update to CDC’s U.S. Medical Eligibility Criteria for Contraceptive Use, 2010: Revised Recommendations for the Use of Hormonal Contraception Among Women at High Risk for HIV Infection or Infected with HIV (6/30/2012)
This report summarizes CDC’s assessment of the evidence regarding hormonal contraceptive use and the risk for HIV acquisition, transmission, and disease progression and the resulting updated guid­ance. These updated recommendations affirm the previous guidance, which stated that 1) the use of hormonal contracep­tives, including combined hormonal contraceptives, progestin-only pills, depot medroxyprogesterone acetate, and implants, is safe for women at high risk for HIV infection or infected with HIV (US MEC category 1), and 2) all women who use contraceptive methods other than condoms should be counseled regarding the use of condoms and the risk for sexually transmitted infections.

Ectopic Pregnancy Mortality - Florida, 2009-2010 (3/8/2012)
This report summarizes investigation results, which identified 11 ectopic pregnancy deaths from 2009-2010 and 13 deaths from the 10-year period 1999-2008. The increase in ectopic mortality appears to be associated with illicit drug use and delays in seeking health care.

Recent Trends in Births and Fertility Rates Through June 2011 (3/8/2012)
The provisional count of births in the United States for the 12-month period ending June 2011 was 3,978,000, which was 2 percent lower than the provisional count of 4,057,000 for the 12-month period ending June 2010.

Protecting Babies from Flu (A Minute of Health with CDC Podcast) (3/8/2012)
Because expectant mothers are at increased risk for severe complications from influenza, CDC recommends they get an annual flu vaccine. This podcast discusses the importance of the flu vaccine for those who are pregnant.

Prevent Infections in Pregnancy (3/8/2012)
Take steps to help keep your unborn baby safe. These 10 tips can help you prevent infections. You won't always know if you have an infection-sometimes you won't even feel sick.

Are You Pregnant or a New Mom? (3/8/2012)
Get free text messages with tips for a healthy pregnancy and baby. Send our new e-card!

Teen Pregnancy Prevention Quiz (3/8/2012)
Take this interactive quiz, available in English and Spanish, to test your knowledge about the facts of teen pregnancy. Share the quiz with your friends and coworkers, post it on your Web site or share it on your social media networks!

Influenza Vaccination Coverage Among Pregnant Women - 29 States and New York City, 2009-10 Season (3/8/2012)
Results from PRAMS for the 2009-10 influenza season indicate that trivalent seasonal and monovalent pH1N1 vaccination coverage levels among women pregnant during the season were higher than previous seasonal rates, were highly associated with a health-care provider offer or recommendation for vaccination during pregnancy, and varied substantially among states.

Home Births in the United States:  1990-2009 (1/31/2012)
After a decline from 1990 to 2004, the percentage of U.S. births that occurred at home increased by 29%, from 0.56% of births in 2004 to 0.72% in 2009.

Three Decades of Twin Births in the United States, 1980-2009 (1/31/2012)
The number of twin births more than doubled from 1980 through 2009, rising from 68,339 to more than 137,000 births in each year from 2006 to 2009. In 1980, 1 in every 53 babies born in the United States was a twin, compared with 1 in every 30 births in 2009.

Folic Acid Helps Prevent Neural Tube Defects (1/31/2012)
If a woman consumes 400 micrograms of folic acid every day, she can help prevent birth defects of the brain and spine. Get 400 micrograms of folic acid every day before and during pregnancy.

Medication Use During Pregnancy (1/31/2012)
The safety of most medications taken by pregnant women is unknown and dependent on many factors. Talk with your doctor if you are pregnant or planning a pregnancy.

Reproductive Health Assessment After Disaster Toolkit (1/31/2012)
The Reproductive Health Assessment After Disaster Toolkit provides a set of tools to assess the reproductive health needs of women aged 15-44 affected by natural and man-made disasters. (Funding and scientific technical assistance provided by CDC).

Prepregnancy Contraceptive Use Among Teens with Unintended Pregnancies Resulting in Live Births - Pregnancy Risk Assessment Monitoring System (PRAMS), 2004-2008 (1/31/2012)
This report indicates that teens from 19 states who delivered a live infant from an unintended pregnancy have much lower rates of contraceptive use when compared with all sexually active teens.

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