State-Specific Assisted Reproductive Technology Surveillance, United States: 2021 Data Brief

TABLE 1: Number and outcomes of assisted reproductive technology procedures performed in 2021, by female patient’s reporting area of residence at time of treatment in 50 US states, the District of Columbia, and Puerto Rico
Number and outcomes of assisted reproductive technology procedures performed in 2021, by female patient’s reporting area of residence at time of treatment in 50 US states, the District of Columbia, and Puerto Rico
Patient’s
reporting area
of residencea
No. of ART clinicsb No. of ART procedures performedc No. of ART embryo-transfer proceduresd 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
15–49 yearse
Alabama 5 1,219 966 527 407 377 30 437 1,077
Alaska 1 238 186 94 78 f f 82 1,457
Arizona 13 3,585 3,030 1,716 1,408 1,278 130 1,541 2,222
Arkansas 1 788 651 339 281 261 20 301 1,173
California 78 30,835 24,533 14,797 12,389 11,755 634 13,026 3,359
Colorado 7 3,398 3,185 2,050 1,719 1,622 97 1,816 2,478
Connecticut 6 4,109 3,293 1,926 1,605 1,522 83 1,692 5,179
Delaware 2 1,202 832 445 355 343 12 367 5,630
District of Columbia 2 1,668 1,280 700 573 560 13 586 8,515
Florida 26 11,204 9,205 4,947 3,929 3,695 234 4,164 2,439
Georgia 10 6,241 5,167 2,914 2,389 2,228 161 2,559 2,425
Hawaii 6 1,147 937 496 390 356 34 424 3,761
Idaho 1 845 705 456 381 332 49 432 2,003
Illinois 24 14,564 11,229 6,067 4,945 4,655 290 5,236 5,062
Indiana 7 3,010 2,581 1,333 1,045 949 96 1,141 1,971
Iowa 2 1,967 1,665 960 782 725 57 839 2,843
Kansas 5 1,259 1,130 634 510 474 36 546 1,943
Kentucky 4 1,993 1,595 771 611 568 43 654 2,006
Louisiana 4 2,045 1,505 783 660 621 39 698 1,952
Maine 1 712 563 306 266 251 15 282 2,537
Maryland 6 7,381 5,739 3,046 2,415 2,343 72 2,487 5,265
Massachusetts 8 11,650 9,517 4,782 4,011 3,813 198 4,213 7,188
Michigan 9 5,320 4,424 2,442 1,943 1,713 230 2,175 2,434
Minnesota 5 3,969 3,367 1,909 1,593 1,456 137 1,735 3,160
Mississippi 3 779 677 380 316 301 15 331 1,165
Missouri 7 2,793 2,355 1,273 1,047 983 64 1,111 2,048
Montana 1 412 360 215 176 f f 179 1,761
Nebraska 2 1,200 941 475 390 361 29 420 2,758
Nevada 6 1,763 1,432 868 703 642 61 765 2,479
New Hampshire 1 1,248 1,018 522 443 413 30 474 4,257
New Jersey 15 12,921 11,043 6,554 5,450 5,285 165 5,619 6,330
New Mexico 2 495 469 280 226 207 19 246 1,070
New York 45 28,072 23,082 11,215 9,049 8,645 404 9,456 6,252
North Carolina 11 5,989 5,068 2,983 2,502 2,363 139 2,646 2,490
North Dakota 1 425 356 232 191 182 9 200 2,498
Ohio 11 6,768 5,526 2,955 2,413 2,286 127 2,540 2,624
Oklahoma 4 1,322 1,153 609 496 448 48 543 1,470
Oregon 4 1,917 1,773 1,075 908 836 72 979 1,992
Pennsylvania 12 9,454 7,657 4,056 3,313 3,188 125 3,442 3,385
Puerto Rico 3 551 452 146 91 72 19 111 751
Rhode Island 1 1,161 915 393 324 310 14 337 4,687
South Carolina 3 2,335 2,075 1,177 971 936 35 1,006 2,031
South Dakota 1 413 337 146 120 106 14 136 2,198
Tennessee 8 2,532 2,055 1,191 1,012 955 57 1,071 1,602
Texas 43 18,906 15,774 8,994 7,403 7,011 392 7,798 2,672
Utah 4 2,904 2,426 1,425 1,182 1,073 109 1,289 3,514
Vermont 2 499 392 185 149 143 6 155 3,619
Virginia 11 7,252 5,949 3,423 2,699 2,599 100 2,798 3,675
Washington 11 5,554 4,629 2,809 2,338 2,207 131 2,471 3,132
West Virginia 2 477 398 220 180 163 17 197 1,296
Wisconsin 6 2,887 2,409 1,295 1,081 1,001 80 1,163 2,271
Wyoming 0 192 180 100 86 77 9 95 1,551
Non-US residents 4,517 3,935 2,452 1,962 1,809 153 2,117 g
Total 453 246,087 202,121 112,088 91,906 86,746 5,160 97,128 3,250

ART = assisted reproductive technology.

layout
a In cases of missing patient’s residence data (1.8%), it was assigned as the location where the ART procedure was performed.
b ART procedures and outcomes by patient’s 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.
c Excludes 167,689 cycles in which egg or embryo banking was performed.
d  Embryo-transfer procedures include all procedures performed in which at least one embryo was transferred.
e US Census Bureau estimates. Source: US Census Bureau. https://data.census.gov/cedsci/.
f To protect confidentiality, cells with values of 1–4 for ART infants are suppressed. Also suppressed are data that can be used to derive suppressed cell values. These values are included in the totals.
g Non-US residents were excluded from rate because the appropriate denominators were not available.