TECHNICAL NOTES

LOUISIANA MATERNAL AND CHILD HEALTH DATA PROFILES 2007-2009

Healthy People 2010 Objectives

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INDICATORS

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DEFINITIONS

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DATA SOURCES

A. TEEN BIRTH RATES

Not applicable / Teen Birth Rate 15-17 / Number of live births to women aged less than or equal 17 years, per 1,000 female population aged 15-17 years / Louisiana State Center for Health Statistics, 2007-2009 birth certificates
Population Estimates Program, Population Division, U.S. Census Bureau, County Population Estimates by Age, Sex, Race and Hispanic Origin: April 1, 2000 to July 1, 2009.
Release Date: June 2010
Not applicable / Teen Birth Rate 18-19 / Number of live births to women aged 18-19 years, per 1,000 female population aged 18-19 years / Louisiana State Center for Health Statistics, 2007-2009 birth certificates
Population Estimates Program, Population Division, U.S. Census Bureau, County Population Estimates by Age, Sex, Race and Hispanic Origin: April 1, 2000 to July 1, 2009.
Release Date: June 2010
Not applicable / Teen Birth Rate 15-19 / Number of live births to women aged less than or equal 19 years, per 1,000 female population aged 15-19 years / Louisiana State Center for Health Statistics, 2007-2009 birth certificates
Population Estimates Program, Population Division, U.S. Census Bureau, County Population Estimates by Age, Sex, Race and Hispanic Origin: April 1, 2000 to July 1, 2009.
Release Date: June 2009

B. INFANT, CHILD, AND ADOLESCENT MORTALITY RATES

16-1a / Fetal Mortality Rate1 / Number of fetal deaths (with gestation > 20 weeks or birth weight > 350 grams) per 1,000 live births plus fetal deaths / Fetal deaths and live births 2007-2009: Louisiana State Center for Health Statistics
16-1b / Perinatal Mortality Rate / Number of fetal deaths (with gestation > 28 weeks) plus number of deaths of children under 7 days of age per 1,000 live births plus fetal deaths. / Fetal deaths, live births, and deaths 2007-2009: Louisiana State Center for Health Statistics
16-1d / Neonatal Mortality Rate / Number of deaths of children under 28 days of age per 1,000 live births / Louisiana State Center for Health Statistics, 2007-2009 birth and death certificates
16-1e / Post-neonatal Mortality Rate / Number of deaths of children that occur between 28 days and 365 days after birth per 1,000 live births. / Louisiana State Center for Health Statistics, 2007-2009 birth and death certificates
16-1c / Infant Mortality Rate / Number of deaths of children under one year of age per 1,000 live births. / Louisiana State Center for Health Statistics, 2007-2009 birth and death certificates
16-2a / Mortality Rate of Children Aged 1-4 Years / Number of deaths of children aged 1-4 years per 100,000 population aged 1-4 years / Louisiana State Center for Health Statistics, 2007-2009 death certificates
Population Estimates Program, Population Division, U.S. Census Bureau, County Population Estimates by Age, Sex, Race and Hispanic Origin: April 1, 2000 to July 1, 2009.
Release Date: June 2010
16-2b / Mortality Rate of Children Aged 5-9 Years / Number of deaths of children aged 5-9 years per 100,000 population aged 5-9 years / Louisiana State Center for Health Statistics, 2007-2009 death certificates
Population Estimates Program, Population Division, U.S. Census Bureau, County Population Estimates by Age, Sex, Race and Hispanic Origin: April 1, 2000 to July 1, 2009.
Release Date: June 2010
16-3a / Mortality Rate of Children Aged 10-14 Years / Number of deaths of children aged 10-14 years per 100,000 population aged 10-14 years / Louisiana State Center for Health Statistics, 2007-2009 death certificates
Population Estimates Program, Population Division, U.S. Census Bureau, County Population Estimates by Age, Sex, Race and Hispanic Origin: April 1, 2000 to July 1, 2009.
Release Date: June 2010
16-3b / Mortality Rate of Children Aged 15-19 Years / Number of deaths of children aged 15-19 years per 100,000 population aged 15-19 years / Louisiana State Center for Health Statistics, 2007-2009 death certificates
Population Estimates Program, Population Division, U.S. Census Bureau, County Population Estimates by Age, Sex, Race and Hispanic Origin: April 1, 2000 to July 1, 2009.
Release Date: June 2010
16-3c / Mortality Rate of Children Aged 20-24 Years / Number of deaths of children aged 20-24 years per 100,000 population aged 20-24 years / Louisiana State Center for Health Statistics, 2007-2009 death certificates
Population Estimates Program, Population Division, U.S. Census Bureau, County Population Estimates by Age, Sex, Race and Hispanic Origin: April 1, 2000 to July 1, 2009.
Release Date: June 2010

C. PREGNANCY-ASSOCIATED MORTALITY & MATERNAL COMPLICATIONS

Not applicable / Pregnancy-Associated Mortality Rate 2 / Number of deaths of women while pregnant or within 1 year of termination of pregnancy, irrespective of cause of death, per 100,000 live births (CDC/ACOG definition) / Louisiana State Center for Health Statistics, 2007-2009 death certificates and 2004-2007 fetal death/ live births
Maternal and Child Health program performed the data linkage to produce records of pregnancy-associated deaths.
16-5a / Percent of Maternal Complications during Labor and Delivery / Number of live births to women who have any complications during labor or delivery per 100 live births / Louisiana State Center for Health Statistics, 2007-2009 birth certificates

D. SEXUALLY TRANSMITTED DISEASES (STDs) DURING PREGNANCY

Not applicable / Percent of All STDs during Pregnancy / Number of live births to women who were infected by Chlamydia, Gonorrhea, or Syphilis during pregnancy per 100 live births / Louisiana HIV/STD prevention program, 2006-2009 STD data
Louisiana State Center for Health Statistics, 2007-2009 birth certificates
Maternal and Child Health program performed the data linkage to produce records of STD during pregnancy.
Not applicable / Percent of Chlamydia during Pregnancy / Number of live births to women who were infected by Chlamydia during pregnancy per 100 live births / Louisiana HIV/STD prevention program, 2006-2009 STD data
Louisiana State Center for Health Statistics, 2007-2009 birth certificates
Maternal and Child Health program performed the data linkage to produce records of STD during pregnancy.
Not applicable / Percent of Gonorrhea during Pregnancy / Number of live births to women who were infected by Gonorrhea during pregnancy per 100 live births / Louisiana HIV/STD prevention program, 2006-2009 STD data
Louisiana State Center for Health Statistics, 2007-2009 birth certificates
Maternal and Child Health program performed the data linkage to produce records of STD during pregnancy.
Not applicable / Percent of Syphilis during Pregnancy / Number of live births to women who were infected by Syphilis during pregnancy per 100 live births / Louisiana HIV/STD prevention program, 2006-2009 STD data
Louisiana State Center for Health Statistics, 2007-2009 birth certificates
Maternal and Child Health program performed the data linkage to produce records of STD during pregnancy.

E. PRENATAL CARE

16-6a / Percent of First Trimester Entry of Prenatal Care / Number of live births to women who enter prenatal care in the first trimester of pregnancy per 100 live births / Louisiana State Center for Health Statistics, 2007-2009 birth certificates
16-6b / Percent of Early and Adequate Prenatal Care3 / Number of live births to women who have early and adequate prenatal care per 100 live births / Louisiana State Center for Health Statistics, 2007-2009 birth certificates
F. OBSTETRICAL CARE
16-8 / Percent of Very Low Birth Weight (VLBW) Infants Born at Level III Hospitals4 or Subspecialty Perinatal Centers / Number of VLBW live births born at level III hospitals or subspecialty perinatal centers per 100 VLBW live births / Louisiana State Center for Health Statistics, 2007-2009 birth certificates

16-9a

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Percent of Primary Cesarean Delivery among Low-Risk Women5

/ Number of live births born by cesarean section per 100 live births to low-risk women who have not had previous cesarean deliveries /

Louisiana State Center for Health Statistics, 2007-2009 birth certificates

16-9b / Percent of Repeat Cesarean Delivery among Low-Risk Women 5 / Number of live births born by cesarean section per 100 live births to low-risk women who have had previous cesarean deliveries / Louisiana State Center for Health Statistics, 2007-2009 birth certificates

G. LOW BIRTH WEIGHT AND PREMATURITY

16-10a / Percent of Low Birth Weight Births / Number of live births with birth weight less than 2,500 grams or 5 pounds 8 ounces per 100 live births / Louisiana State Center for Health Statistics, 2007-2009 birth certificates
16-10b / Percent of Very Low Birth Weight Births / Number of live births with birth weight less than 1,500 grams or 3 pounds 4 ounces per 100 live births / Louisiana State Center for Health Statistics, 2007-2009 birth certificates
16-11b / Percent of Preterm Births <32 Weeks of Gestational Age / Number of live births with gestation age less than 32 weeks per 100 live births / Louisiana State Center for Health Statistics, 2007-2009 birth certificates
16-11c / Percent of Preterm Births 32-36 Weeks of Gestational Age / Number of live births with gestation age of 32-36 weeks per 100 live births / Louisiana State Center for Health Statistics, 2007-2009 birth certificates
16-11a / Percent of total preterm births <37 weeks gestational age / Number of live births with gestation age less than 37 weeks per 100 live births / Louisiana State Center for Health Statistics, 2007-2009 birth certificates

H. SUBSTANCE EXPOSURE DURING PREGNANCY

16-17c / Percent of Smoking during Pregnancy / Number of live births to women who smoke any time during pregnancy per 100 live births / Louisiana State Center for Health Statistics, 2007-2009 birth certificates

I. INFANT SLEEP POSITION

16-13 / Percent of Back Sleep Position / Number of full-term infants who are put down to sleep only on their backs per 100 live births / 2009 Louisiana Pregnancy Risk Assessment and Monitoring Surveillance
Not applicable / Percent of Side Sleep Position / Number of full-term infants who are put down to sleep only on their sides per 100 live births / 2009 Louisiana Pregnancy Risk Assessment and Monitoring Surveillance
Not applicable / Percent of Stomach Sleep Position / Number of full-term infants who are put down to sleep only on their stomachs per 100 live births / 2009 Louisiana Pregnancy Risk Assessment and Monitoring Surveillance

J. BREASTFEEDING

Not applicable / Percent of Ever Breastfed / Number of infants to women who ever breastfed their infants per 100 live births / 2009 Louisiana Pregnancy Risk Assessment and Monitoring Surveillance
16-19a / Percent of Breastfeeding in Hospital / Number of infants to women who breastfed their infants in hospital per 100 live births / 2009 Louisiana Pregnancy Risk Assessment and Monitoring Surveillance. The data of this indicator were not available in 2009 due to high amount of missing values (43%)
K. SUBSTANCE EXPOSURE DURING 3rd TRIMESTER
Not applicable / Percent of Smoking during Third Trimester / Number of live births to women who smoke during 3rd trimester of pregnancy per 100 live births / 2009 Louisiana Pregnancy Risk Assessment and Monitoring Surveillance
Not applicable / Percent of Drinking during Third Trimester / Number of live births to women who drink during 3rd trimester of pregnancy per 100 live births / 2009 Louisiana Pregnancy Risk Assessment and Monitoring Surveillance

(1) A fetal mortality rate used in the Healthy People 2010 Objectives is the number of fetal deaths with gestation of 20 weeks or more per 1,000 live births plus fetal deaths.

(2) Definition of maternal death used in the Healthy People 2010 Objectives is the death of a woman while pregnant or within 42 days of termination of pregnancy from any cause related to or aggravated by the pregnancy or its management, but not from accidental or incidental causes. International Classification Disease – The Tenth Revision (ICD–10) codes include A34, O00–O95, and O98–O99.

(3) Kotelchuck index is used to measure early and adequacy prenatal care (PNC).

- Adequate plus PNC: PNC initiation begun in month 1,2,3, or 4 and 110 % or more expected PNC visits were received

- Adequate PNC: PNC initiation begun in month 1,2,3, or 4 and 80% to 109% of expected PNC visits were received

- Intermediate PNC: PNC initiation begun in month 1,2,3, or 4 and 50% to 79% of expected PNC visits were received

- Inadequate PNC: PNC initiation begun in month 5 or late or less than 50% of expected PNC visits were received

Early and adequacy PNC includes adequate plus PNC and adequate PNC.

(4) Include obstetrical level III and level III regional birth facilities.

(5) A pregnant woman who has full term (37-42 weeks), singleton, and vertex presentation baby.

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