Complete Indicator Profile of Health Care - No Prenatal Care (HA2020 Leading Health Indicator: 21)
DefinitionNumber of infants born to pregnant women who did not receive prenatal care in the first trimester as a percentage of the total number of live births.
NumeratorNumber of infants born to pregnant women who did not receive prenatal care in the first trimester.
DenominatorNumber of live births.
Why Is This Important?Access to quality healthcare is influenced by a number of factors, including: having a usual source of care, having health insurance, and being able to afford care. Inadequate prenatal care--including late initiation of care, infrequent prenatal visits, or no care at all--is associated with poor infant and maternal outcomes, including low birth weight or preterm infants and for the mothers an increased risk for pregnancy-related mortality and complications of childbirth.
Healthy People Objective MICH-10.1:Prenatal care beginning in first trimester
U.S. Target: 77.9 percent (or 22.1 percent not beginning prenatal care in the first trimester)
State Target: Healthy Alaskans 2020 Target: 19.0% with no prenatal care in first trimester
How Are We Doing?The percentage of Alaska mothers not receiving prenatal care in the first trimester had been on a decline.
Relevant Population CharacteristicsPregnant teens 15-19 years of age, mothers with low level of education, race other than White, Hispanic ethnicity, being unmarried, lower socio-economic status, and women who lack health insurance are less likely to get early prenatal care.
Related Relevant Population Characteristics Indicator Profiles:
Health Care System FactorsHaving health insurance improves availability of prenatal care services. Lack of health insurance affects both the timing and frequency of prenatal care visits, resulting in poor pregnancy outcomes such as premature birth, low birth weight, and complicated delivery. Availability of family planning services is another system factor that reduces the risk of unintended pregnancy. If a pregnancy is planned, a woman is more likely to seek early and adequate prenatal care.
Related Health Care System Factors Indicator Profiles:
Risk FactorsThe risk factors for late entry are (2006 Alaska PRAMS data):
- women less than 20 years of age
- women with less than 12 years of education
- non-White women
- Hispanic women
- unmarried women
- women with an annual household income less than $15,000/year
- unintended pregnancy
- women who had no private insurance prior to conception
Related Risk Factors Indicator Profiles:
Health Status OutcomesPrenatal care can improve birth outcomes and prevent medical complications and their costs associated with premature births, low birth weight births, and maternal and infant mortality and morbidity.
Graphical Data Views
Percentage of women delivering live births who have not received prenatal care beginning in first trimester of pregnancy, all Alaskan, Alaska Natives, and U.S., 2001-2020
Data NotesHealthy Alaskans 2020 Target: 19.0% with no prenatal care in first trimester
** Data Not Available
U.S. data for 2005 includes only the 37 states that had not implemented the 2003 birth certificate revision.
U.S. data for 2006 includes only the 32 states that had not implemented the 2003 birth certificate revision.
There is no U.S. Comparable data for 2007 or 2008 as the National Center for Health Statistics only reported on those states that were using the 2003 birth certificate revision. Alaska had not implemented this version in 2007 or 2008, therefore the data are not comparable.
More Resources and LinksAlaska and national goals may be found at the following sites:
Maps of health indicators for various subdivisions of Alaska may be found at the following site:
Evidence-based community health improvement ideas and interventions may be found at the following sites:
Additional indicator data by state and county may be found on these Websites:
Medical literature can be queried at the PubMed website.
For an on-line medical dictionary, click on this Dictionary link.
Page Content Updated On 03/18/2013, Published on 03/18/2014