Complete Indicator Profile - Health Care - No Prenatal Care (HA2020 Leading Health Indicator: 21)

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State of Alaska

Complete Indicator Profile of Health Care - No Prenatal Care (HA2020 Leading Health Indicator: 21)

Definition

Number 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.

Numerator

Number of infants born to pregnant women who did not receive prenatal care in the first trimester.

Denominator

Number 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.



Related Indicators

Relevant Population Characteristics

Pregnant 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 Factors

Having 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 Factors

The 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 Outcomes

Prenatal 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

::chart - missing::

Alaska Comparisons Year Percentage of women not receiving prenatal care
Record Count: 44
All Alaskans 2001 19.1%
All Alaskans 2002 19.5%
All Alaskans 2003 19.9%
All Alaskans 2004 18.9%
All Alaskans 2005 19.5%
All Alaskans 2006 18.7%
All Alaskans 2007 19.7%
All Alaskans 2008 20.2%
All Alaskans 2009 19.7%
All Alaskans 2010 21.3%
All Alaskans 2011 22.0%
All Alaskans 2012 23.1%
Alaska Natives 2001 27.9%
Alaska Natives 2002 29.8%
Alaska Natives 2003 29.2%
Alaska Natives 2004 29.0%
Alaska Natives 2005 28.2%
Alaska Natives 2006 27.3%
Alaska Natives 2007 30.1%
Alaska Natives 2008 32.3%
Alaska Natives 2009 27.0%
Alaska Natives 2010 27.0%
Alaska Natives 2011 25.2%
Alaska Natives 2012 26.7%
U.S. 2001 16.6%
U.S. 2002 16.3%
U.S. 2003 15.9%
U.S. 2004 16.1%
U.S. 2005 16.1%
U.S. 2006 16.8%
U.S. 2007 29.2%
U.S. 2008 29.0%
U.S. 2009 27.9%
U.S. 2010 26.9%
U.S. 2011 **
U.S. 2012 **
Healthy Alaskans Goal 2013 19.0%
Healthy Alaskans Goal 2014 19.0%
Healthy Alaskans Goal 2015 19.0%
Healthy Alaskans Goal 2016 19.0%
Healthy Alaskans Goal 2017 19.0%
Healthy Alaskans Goal 2018 19.0%
Healthy Alaskans Goal 2019 19.0%
Healthy Alaskans Goal 2020 19.0%

Data Notes

Healthy 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.

Data Sources

  • Alaska Bureau of Vital Statistics, Division of Public Health, Department of Health and Social Services
  • National Vital Statistics System, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention


More Resources and Links

Alaska 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 08/12/2013, Published on 08/12/2014
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Wed, 01 October 2014 0:18:44 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov".

Content updated: Wed, 24 Sep 2014 11:33:10 AKDT