late or no prenatal care - phdmc

Late or No Prenatal Care

Montgomery County, Ohio 2009-2011

February 2014

1

Late or No Prenatal Care Late prenatal care: Beginning prenatal care in the third trimester

Why is it important to receive early and regular prenatal care?

- Reduce the risk of pregnancy complications by:

- Receiving important information on health topics such as healthy eating, regular exercise, medications, and prenatal vitamins

- Monitoring potential health problems through physical exams, weight checks, blood and urine tests, and ultrasounds

- Managing existing medical conditions (ex. high blood pressure and diabetes)

- Opportunity to have discussions about significant issues with your health care provider:

- Effects of alcohol, tobacco, and illicit drug use on the baby

- HIV testing

- Physical and verbal abuse

- Breastfeeding

What are the risks of beginning prenatal care late or receiving no prenatal care at all?

- Illness or death of the mother or baby

- Preterm birth (<37 weeks gestation)

- Low birth weight (<2500g) baby

What are some barriers to beginning prenatal care during the first trimester?

- Unavailability of appointments

- Lack of money to pay for prenatal visits

- Not receiving a Medicaid card early enough to begin care

- No available childcare

- Unable to acquire transportation to appointments

2

The Facts

The Healthy People 2020 Goal is to increase the proportion of women receiving prenatal care beginning in the first trimester of their pregnancy to 77.9%. In 2011, 77.1% of women in Montgomery County received prenatal care during the first trimester (29% of prenatal information was unknown).

Source: Center for Health Statistics. Ohio Department of Health. 2006-2011 Montgomery County, Ohio Birth Certificate Data

Additional Resources

Ohio - Pregnancy Risk Assessment Monitoring System (PRAMS) http://www.odh.ohio.gov/healthstats/pramshs/pramsdata.aspx

CDC - Pregnancy http://www.cdc.gov/pregnancy/

The Commonwealth Fund - Prenatal Care in the First Trimester http://www.commonwealthfund.org/Performance-Snapshots/Preventive-Health-and-Dental-Care-Visits/Prenatal-Care-in-the-First-Trimester.aspx

Health People 2020 http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=26

National Institute of Child Health and Development - Prenatal Care https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/Pages/prenatal-care.aspx

0.0

2.0

4.0

6.0

8.0

10.0

12.0

2006 2007 2008 2009 2010 2011

Pe

rce

nt

Percent of Women Who Received Late or No Prenatal Care Montgomery County, OH 2006-2011

Montgomery County Black White

http://www.odh.ohio.gov/healthstats/pramshs/pramsdata.aspx

http://www.cdc.gov/pregnancy/

http://www.commonwealthfund.org/Performance-Snapshots/Preventive-Health-and-Dental-Care-Visits/Prenatal-Care-in-the-First-Trimester.aspx

http://www.commonwealthfund.org/Performance-Snapshots/Preventive-Health-and-Dental-Care-Visits/Prenatal-Care-in-the-First-Trimester.aspx

http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=26

https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/Pages/prenatal-care.aspx

3

Late or No Prenatal Care, All Races

Table

Chart

Map

4

Late or No Prenatal Care: Percent of pregnant women who receive prenatal care beginning in the third trimester or no prenatal care

All Races, 2009-2011

Asterisk (*) indicates percent not calculated for zip codes with <10 total births due to small numbers

Zip Codes Births Percent

Montgomery County 20,407 4.6

45005 < 10 *

45066 98 0.0

45309 338 4.2

45315 111 4.5

45322 645 2.0

45325 76 8.0

45327 267 2.4

45342 1,494 4.2

45344 < 10 *

45345 236 3.7

45354 25 0.0

45371 < 10 *

45377 480 4.3

45381 < 10 *

45402 433 12.6

45403 837 6.1

45404 568 7.6

45405 851 7.8

45406 902 9.6

45409 236 3.3

45410 779 4.6

45414 1,014 4.8

45415 342 3.5

45416 212 7.1

45417 1,353 7.9

45418 55 8.8

45419 556 2.7

45420 1014 3.0

45424 1953 3.6

45426 622 6.4

45428 < 10 *

45429 742 1.7

45431 734 3.4

45432 276 5.2

45433 < 10 *

45439 433 5.2

45440 424 2.6

45449 783 3.9

45458 758 2.4

45459 660 3.1

5


All Races, 2009-2011

0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0

Montgomery

45066

45309

45315

45322

45325

45327

45342

45345

45354

45377

45402

45403

45404

45405

45406

45409

45410

45414

45415

45416

45417

45418

45419

45420

45424

45426

45429

45431

45432

45439

45440

45449

45458

45459

Percent

*Zip codes with less than 10 births are not presented.

6

45309

45327 45342

45417

45424

45325

45414

45377

45345

45426

45458

45322

45459

45315

45429

45449

45439

45415

45404

45420

45406

45431

45402

45403

45381

45405

45419

45409

45440

45432

45418

45416

45410

45354

45428

45371

45418

45066

45344

4500545005

45433

Sources: Esri, DeLorme, NAVTEQ, USGS, Intermap, iPC,

NRCAN, Esri Japan, METI, Esri China (Hong Kong), Esri(Thailand), TomTom, 2013

0 8 164 Miles

Prepared by: Public Health - Dayton & Montgomery County Epidemiology Department±

Late or No Prenatal Care, All RacesMontgomery County, OH 2009-2011

Percent Late or No Prenatal Care

0%

0.1% - 3.7%

3.8% - 6.1%

6.2% - 9.6%

9.7% - 12.6%

Less than 10 births

7

Late or No Prenatal Care, White

Table

Chart

Map

8


White, 2009-2011 Zip Codes Births Percent


45005 < 10 *

45066 89 89

45309 329 329

45315 78 78

45322 551 551

45325 74 74

45327 263 263

45342 1,211 1211

45344 < 10 *

45345 234 234

45354 25 25

45371 < 10 *

45377 441 441

45381 < 10 *

45402 94 94

45403 661 661

45404 438 438

45405 210 210

45406 107 107

45409 210 210

45410 660 660

45414 606 606

45415 193 193

45416 42 42

45417 254 254

45418 40 40

45419 517 517

45420 921 921

45424 1,560 1560

45426 106 106

45428 < 10 *

45429 680 680

45431 615 615

45432 247 247

45433 < 10 *

45439 329 329

45440 356 356

45449 601 601

45458 611 611

45459 575 575


9


White, 2009-2011

0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0

Montgomery

45066

45309

45315

45322

45325

45327

45342

45345

45354

45377

45402

45403

45404

45405

45406

45409

45410

45414

45415

45416

45417

45418

45419

45420

45424

45426

45429

45431

45432

45439

45440

45449

45458

45459

Percent


10

45309

45327 45342

45417

45424

45325

45414

45377

45345

45426

45458

45322

45459

45315

45429

45449

45439

45415

45404

45420

45406

45431

45402

45403

45381

45405

45419

45409

45440

45432

45418

45416

45410

45354

45428

45371

45418

45066

45344

4500545005

45433



0 8 164 Miles


Late or No Prenatal Care, WhiteMontgomery County, OH 2009-2011


0% - 1.6%

1.7% - 3.3%

3.4% - 5.6%

5.7% - 8.3%

8.4% - 12.2%

Less than 10 births

11

Late or No Prenatal Care, Black

Table

Chart

Map

12


Black, 2009-2011 Zip Codes Births Percent


45005 < 10 *

45066 < 10 *

45309 < 10 *

45315 27 11.8

45322 83 6.5

45325 < 10 *

45327 < 10 *

45342 128 10.2

45344 < 10 *

45345 < 10 *

45354 < 10 *

45371 < 10 *

45377 27 15.0

45381 < 10 *

45402 330 11.9

45403 120 7.6

45404 105 18.5

45405 612 9.2

45406 770 10.4

45409 14 0.0

45410 73 4.2

45414 380 4.8

45415 138 4.5

45416 162 7.4

45417 1,082 8.2

45418 15 12.5

45419 17 0.0

45420 50 8.6

45424 270 6.6

45426 506 6.4

45428 < 10 *

45429 21 0.0

45431 73 1.8

45432 20 0.0

45433 < 10 *

45439 69 0.0

45440 49 5.9

45449 133 2.3

45458 69 11.4

45459 44 7.4


13


Black, 2009-2011

0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 18.0 20.0

Montgomery

45315

45322

45342

45377

45402

45403

45404

45405

45406

45409

45410

45414

45415

45416

45417

45418

45419

45420

45424

45426

45429

45431

45432

45439

45440

45449

45458

45459

Percent


14

45309

45327 45342

45417

45424

45325

45414

45377

45345

45426

45458

45322

45459

45315

45429

45449

45439

45415

45404

45420

45406

45431

45402

45403

45381

45405

45419

45409

45440

45432

45418

45416

45410

45354

45428

45371

45418

45066

45344

4500545005

45433



0 8 164 Miles


Late or No Prenatal Care, BlackMontgomery County, OH 2009-2011


0% - 2.3%

2.4% - 6.6%

6.7% - 9.2%

9.3% - 12.5%

12.6% - 18.5%

Less than 10 births

15

Contact Information

Public Health - Dayton & Montgomery County

Epidemiology Department

Reibold Building

117 South Main Street

Dayton, Ohio 45422-1280

Phone: 937-496-6533

Fax: 937-496-7468

Website: http://www.phdmc.org/health-reports

Email: [email protected]

late or no prenatal care - phdmc

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