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Texas
Early Prenatal Care
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Early Prenatal Care is the percentage of pregnant women who receive care within the first trimester of pregnancy and was revised in the 2010 Edition. Early prenatal care is derived directly from the birth certificate. In 2003, CDC’s National Center for Health Statistics (NCHS) introduced a revised live birth certificate, however implementation of the new certificate has not occurred across all 50 states. Because states are using different versions of the birth certificate, a state-to-state direct comparison of prenatal care measures cannot be made, and a national average cannot be calculated. Therefore, the prenatal care measure only compares one state to another state using the same birth certificate and their scores are calculated based upon their peer group. Early prenatal care is not adjusted for frequency of care, continuation of care, age or race. Ranks are based on the most recently available data from the National Center for Health Statistics, three years prior to the publication date. Prior to the 2010 Edition, a broader definition of prenatal care was used that included frequency and timeliness of prenatal care throughout the pregnancy. The 1990 through 2004 Editions of the report defined Prenatal Care using the Kessner Index and 2005 through 2009 Editions used the Kotelchuck (APCNU) index.

Prenatal care is a critical component of health care for pregnant women and a key step towards having a healthy pregnancy and baby. Early prenatal care is especially important because many important developments take place during the first trimester, screenings can identify babies or mothers at risk for complications and health care providers can educate and prepare mothers for pregnancy.  Women who receive prenatal care have consistently shown better outcomes than those who did not receive prenatal care[1]. Mothers who do not receive any prenatal care are three times more likely to deliver a low birth weight baby than mothers who received prenatal care, and infant mortality is five times higher[2].  Early prenatal care also allows health care providers to identify and address health conditions and behaviors that may reduce the likelihood of a healthy birth, such as smoking and drug and alcohol abuse.


[1] Berg CJ. Pregnancy-related mortality in the united states, 1998 to 2005. Obstet Gynecol. 2010;116(6):1302. 

[2] Berg CJ. Pregnancy-related mortality in the united states, 1998 to 2005. Obstet Gynecol. 2010;116(6):1302. 

 

TX Prenatal Care (1990-2011) see more
  • Percentage of pregnant women receiving adequate prenatal care, as defined by Kessner Index.
  • Percentage of pregnant women receiving adequate prenatal care, as defined by Kotelchuck’s Adequacy of Prenatal Care Utilization (APNCU) Index.
  • Percentage of pregnant women receiving prenatal care during the first trimester.

The measures tracked by America's Health Rankings are those actions that can affect the future health of the population. For a state to improve the health of its population, efforts must focus on these measures, these determinants of health.

STATE RANKINGS

State Changes
Over Time
Rank Value Take Action
1990 - Texas graph 48 58.9 View Actions
1991 - Texas graph 48 58.5 View Actions
1992 - Texas graph 48 58.5 View Actions
1993 - Texas graph 47 59.8 View Actions
1994 - Texas graph 48 60.1 View Actions
1995 - Texas graph 47 61.9 View Actions
1996 - Texas graph 45 67.3 View Actions
1997 - Texas graph 45 69.0 View Actions
1998 - Texas graph 43 69.9 View Actions
1999 - Texas graph 39 70.9 View Actions
2000 - Texas graph 39 71.8 View Actions
2001 - Texas graph 39 71.6 View Actions
2002 - Texas graph 42 70.3 View Actions
2003 - Texas graph 38 71.8 View Actions
2004 - Texas graph 38 72.0 View Actions
2004 - Texas graph 37 71.3 View Actions
2005 - Texas graph 35 72.0 View Actions
2006 - Texas graph 34 71.6 View Actions
2007 - Texas graph 34 71.6 View Actions
2007 - Texas graph 37 81.8 View Actions
2008 - Texas graph 47 64.1 View Actions
2008 - Texas graph 39 63.2 View Actions
2009 - Texas graph 39 61.8 View Actions
2009 - Texas graph 49 61.6 View Actions
2010 - Texas graph 50 59.7 View Actions
2011 - Texas graph 50 59.3 View Actions
  • 1990 - 2013
    Annual Report
  • 2013
    Senior Report

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