DefinitionThe percentage of live births in the reporting period for which prenatal care was received in the first trimester.
NumeratorNumber of live births in the reporting period for which prenatal care was received in the first trimester.
DenominatorTotal number of live births in the reporting period. (Births where prenatal care was unreported were counted in the denominator.)
Data Interpretation IssuesThe U.S. revised the birth certificate in 2003. Many of the new variable formats (such as that for prenatal care) were not compatible with the previous formats. In addition, not all states implemented the new birth certificate at the same time. New Mexico implemented a new electronic birth certificate registration system in 2007 and the new birth certificate in 2008. As states began using the new certificate, prenatal care rates dropped off, largely because of missing data. The changes to the birth certificate make comparisons across states and across years problematic. A description of the impact of the changes to the birth certificate can be found here: [http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_06.pdf] (downloaded on 10/02/13).
Why Is This Important?Prenatal care is the health care a woman gets while she is pregnant. Health care providers recommend that women begin prenatal care in the first trimester of their pregnancy. Regular, recommended prenatal care reduces the risk of pregnancy-related complications for the mother and infant and increases a woman's chances of having healthy baby at full term.
Healthy People Objective: MICH-10.1, Prenatal care beginning in first trimesterU.S. Target: 77.9 percent
Other ObjectivesNew Mexico Community Health Status Indicator (CHSI)
What Is Being Done?NM is one of six states participating in the Collaborative Innovations Networks (COIIN). This was a national effort focusing on Safe Sleep, Smoking Cessation, Interconception Care, Perinatal Regionalization, and reducing non-medically indicated C-sections and inductions before 39 weeks.
NM was selected as one of four states to participate in the National Governor's Association Initiative to improve birth outcomes in 2013. This initiative involves key leadership from the Governor's Office, Department of Health, University of NM, NM Primary Care Association, NM Hospital Association, March of Dimes, Managed Care Organizations, CYFD, members of the provider community and other key stakeholders working together to align efforts toward improving birth outcomes.