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Complete Health Indicator Report of Obesity in Pregnancy

Definition

Percentage of women who delivered a live birth and had a body mass index (BMI) greater than or equal to 30.0 kg/m^2^ calculated from prepregnancy weight and height.

Numerator

The number of women who delivered a live birth and had a body mass index (BMI) greater than or equal to 30.0 kg/m^2^ calculated from pre-pregnancy weight and height.

Denominator

Total number of live births.

Why Is This Important?

Women who are not at a healthy weight prior to pregnancy are at increased risk of adverse maternal and infant outcomes. Women who are obese prior to pregnancy have longer hospital stays and higher utilization of medical care during pregnancy.

Healthy People Objective MICH-16.5:

Increase the proportion of women delivering a live birth who had a healthy weight prior to pregnancy
U.S. Target: 53.4 percent

How Are We Doing?

The percentage of Utah women with a healthy prepregnancy BMI (18.5 - 25) has decreased over the last decade to a low of 47.4% in 2019. Utah's rate is slightly higher (better) than the Healthy People 2030 objective of 47.1%. The proportion of Utah women with an obese prepregnancy BMI has increased each year from 14.5% in 2005 to 23.2% in 2019.

How Do We Compare With the U.S.?

In 2018 (the last year of available U.S. data), the percentage of Utah women with an obese BMI prior to pregnancy was 22.6% compared to 27.5% in the U.S.

What Is Being Done?

In an effort to reduce the rate of obesity in reproductive-aged women, the emphasis is being placed on maternal preconception health to help women achieve optimal weight and health prior to pregnancy. Women should be counseled on their weight by their primary caregivers as part of well-woman care and should be informed of their increased risks for adverse outcomes once becoming pregnant if they are at an unhealthy weight. Women who are pregnant should be counseled about appropriate weight gain during pregnancy and postpartum weight loss to prevent obesity in future pregnancies. The Utah Department of Health's EPICC Program has information on healthy eating and physical activity for all Utah citizens: http://choosehealth.utah.gov/


Related Indicators

Relevant Population Characteristics

Higher rates of obesity are found among women who are: * older than 30 years of age * of lower education levels * of Hispanic ethnicity * of Pacific Islander, Black, or American Indian/Native Alaskan race * grand multiparous * living below 100% of the federal poverty level * uninsured prior to pregnancy * enrolled in Medicaid prior to pregnancy

Related Relevant Population Characteristics Indicators:


Health Care System Factors

Health care system factors relate to access to routine well woman care and low reported rates of counseling by health care providers.

Related Health Care System Factors Indicators:


Risk Factors

Physical activity and a healthy diet are both important for maintaining a healthy weight. Anyone whose calorie intake exceeds the number of calories they burn is at risk.

Related Risk Factors Indicators:


Health Status Outcomes

Studies show that obese pregnant women are at increased risk for: * gestational diabetes * preeclampsia * eclampsia * cesarean section * macrosomia * instrumental delivery (i.e. forceps, vacuum) * fetal distress * antepartum stillbirth * early neonatal death * longer labors * inadequate contraction patterns during the first stage of labor * receiving oxytocin for labor induction and augmentation

Related Health Status Outcomes Indicators:




Graphical Data Views

Obese BMI Prior to Pregnancy, Utah Women, 1993-2019

::chart - missing::
confidence limits

YearPercentage of WomenLower LimitUpper Limit
Record Count: 27
19939.6%9.3%9.9%
199410.0%9.7%10.3%
199510.8%10.5%11.2%
199611.1%10.8%11.5%
199710.6%10.3%10.9%
199811.3%11.0%11.6%
199912.0%11.6%12.3%
200012.6%12.3%13.0%
200113.3%13.0%13.7%
200213.5%13.2%13.8%
200314.0%13.7%14.4%
200414.5%14.2%14.8%
200514.5%14.1%14.8%
200615.0%14.7%15.3%
200715.4%15.0%15.7%
200816.0%15.7%16.3%
200916.3%16.0%16.7%
201016.7%16.3%17.0%
201117.4%17.0%17.8%
201218.0%17.6%18.4%
201318.5%18.2%18.9%
201419.1%18.7%19.5%
201520.1%19.7%20.5%
201621.0%20.6%21.4%
201721.6%21.2%22.0%
201822.6%22.2%23.0%
201923.2%22.7%23.6%

Data Notes

Obesity for adults is defined as a BMI of 30 or more. BMI is calculated by dividing weight in kilograms by the square of height in meters.

Data Source

Utah Birth Certificate Database, Office of Vital Records and Statistics, Utah Department of Health


Obese BMI Prior to Pregnancy by Race, Utah, 2018-2019

::chart - missing::
confidence limits

RacePercentage of WomenLower LimitUpper Limit
Record Count: 6
American Indian/Native Alaskan35.1%31.5%38.7%
Asian8.9%7.7%10.1%
Black27.2%24.7%29.7%
Pacific Islander52.7%47.9%57.4%
White22.1%21.8%22.5%
All Races22.9%22.6%23.2%

Data Notes

Obesity for adults is defined as a BMI of 30 or more. BMI is calculated by dividing weight in kilograms by the square of height in meters.

Data Source

Utah Birth Certificate Database, Office of Vital Records and Statistics, Utah Department of Health


Obese BMI Prior to Pregnancy by Ethnicity, Utah, 2018-2019

::chart - missing::
confidence limits

Hispanic EthnicityPercentage of WomenLower LimitUpper Limit
Record Count: 4
Hispanic27.6%26.7%28.4%
Non-Hispanic21.9%21.6%22.2%
Unknown Ethnicity21.7%20.1%23.3%
All Utahns22.9%22.6%23.2%

Data Notes

Obesity for adults is defined as a BMI of 30 or more. BMI is calculated by dividing weight in kilograms by the square of height in meters.

Data Source

Utah Birth Certificate Database, Office of Vital Records and Statistics, Utah Department of Health


Obese BMI Prior to Pregnancy by Local Health District, Utah, 2018-2019

::chart - missing::
confidence limits

Local Health DistrictPercentage of WomenLower LimitUpper Limit
Record Count: 14
Bear River25.3%24.0%26.6%
Central22.9%20.8%24.9%
Davis County23.1%22.2%24.0%
Salt Lake County23.5%22.9%24.0%
San Juan34.1%27.9%40.3%
Southeast25.2%22.0%28.5%
Southwest21.5%20.3%22.6%
Summit11.7%9.3%14.0%
Tooele28.9%26.5%31.3%
TriCounty27.5%25.0%29.9%
Utah County19.5%19.0%20.1%
Wasatch17.4%14.5%20.2%
Weber-Morgan27.9%26.7%29.1%
State of Utah22.9%22.6%23.2%

Data Notes

Obesity for adults is defined as a BMI of 30 or more. BMI is calculated by dividing weight in kilograms by the square of height in meters.

Data Source

Utah Birth Certificate Database, Office of Vital Records and Statistics, Utah Department of Health


Obese BMI Prior to Pregnancy by County, Utah, 2018-2019

::chart - missing::
confidence limits

CountyPercentage of WomenLower LimitUpper LimitNote
Record Count: 30
Beaver24.2%17.5%30.8%
Box Elder29.7%27.1%32.4%
Cache23.7%22.2%25.2%
Carbon28.6%23.8%33.3%
Daggett40.0%8.0%72.0%*
Davis23.1%22.2%24.0%
Duchesne25.8%22.0%29.6%
Emery25.6%19.2%32.0%
Garfield23.6%14.3%32.8%
Grand16.2%10.5%21.9%
Iron24.1%21.7%26.5%
Juab20.4%15.8%25.1%
Kane21.8%14.5%29.1%
Millard19.2%14.6%23.7%
Morgan16.9%11.9%21.8%
Piute21.6%6.6%36.6%*
Rich20.6%9.4%31.9%
Salt Lake23.5%22.9%24.0%
San Juan34.1%27.9%40.3%
Sanpete24.7%21.2%28.2%
Sevier24.6%20.4%28.7%
Summit11.7%9.3%14.0%
Tooele28.9%26.5%31.3%
Uintah28.4%25.2%31.5%
Utah19.5%19.0%20.1%
Wasatch17.4%14.5%20.2%
Washington20.3%19.0%21.7%
Wayne20.8%8.5%33.0%*
Weber28.3%27.1%29.5%
State22.9%22.6%23.2%

Data Notes

Obesity for adults is defined as a BMI of 30 or more. BMI is calculated by dividing weight in kilograms by the square of height in meters.   [[br]] [[br]] *Use caution in interpreting; the estimate has a relative standard error greater than 30% and does not meet UDOH standards for reliability.

Data Source

Utah Birth Certificate Database, Office of Vital Records and Statistics, Utah Department of Health


Obese BMI Prior to Pregnancy by Utah Small Area, 2018-2019

::chart - missing::
confidence limits

Utah Small AreasPercentage of WomenLower LimitUpper Limit
Record Count: 100
Brigham City31.4%27.3%35.5%
Box Elder Co (Other) V226.9%21.2%32.6%
Tremonton29.9%25.5%34.2%
Logan V223.0%20.8%25.2%
North Logan22.2%19.1%25.3%
Cache (Other)/Rich (All) V224.2%20.5%27.9%
Hyrum24.7%18.9%30.4%
Smithfield27.1%22.5%31.6%
Ben Lomond29.6%27.2%32.0%
Weber County (East)20.8%17.6%23.9%
Morgan County17.1%12.1%22.1%
Ogden (Downtown)27.1%24.2%30.0%
South Ogden26.9%23.8%30.0%
Roy/Hooper32.8%29.7%35.9%
Riverdale30.5%26.6%34.3%
Clearfield Area/Hooper30.4%28.2%32.6%
Layton/South Weber22.7%20.9%24.6%
Kaysville/Fruit Heights17.9%15.3%20.6%
Syracuse21.7%18.4%25.0%
Centerville19.8%15.8%23.7%
Farmington15.8%12.6%19.0%
North Salt Lake23.2%19.7%26.7%
Woods Cross/West Bountiful22.5%18.2%26.9%
Bountiful19.9%17.6%22.2%
SLC (Rose Park)34.2%30.6%37.8%
SLC (Avenues)8.8%6.0%11.7%
SLC (Foothill/East Bench)8.8%6.2%11.3%
Magna33.9%30.0%37.7%
SLC (Glendale) V229.3%25.4%33.2%
West Valley (Center)34.9%32.1%37.8%
West Valley (West) V232.2%28.5%35.8%
West Valley (East) V230.9%28.3%33.5%
SLC (Downtown) V213.5%10.7%16.3%
SLC (Southeast Liberty)7.6%5.0%10.2%
South Salt Lake25.5%22.0%29.0%
SLC (Sugar House)15.8%13.2%18.5%
Millcreek (South)13.9%10.7%17.1%
Millcreek (East)10.8%8.1%13.4%
Holladay V218.6%15.1%22.2%
Cottonwood16.6%13.9%19.3%
Kearns V234.4%31.2%37.6%
Taylorsville (E)/Murray (W)25.4%22.5%28.3%
Taylorsville (West)28.1%24.9%31.3%
Murray23.8%20.9%26.6%
Midvale26.0%23.1%28.9%
West Jordan (Northeast) V224.9%21.7%28.0%
West Jordan (Southeast)27.4%24.2%30.5%
West Jordan (W)/Copperton27.4%24.7%30.1%
South Jordan V218.5%15.8%21.3%
Daybreak18.4%15.8%21.0%
Sandy (West)21.4%18.2%24.6%
Sandy (Center) V222.1%18.8%25.5%
Sandy (Northeast)13.9%10.5%17.2%
Sandy (Southeast)15.5%12.0%19.0%
Draper11.3%9.3%13.2%
Riverton/Bluffdale17.8%15.7%19.9%
Herriman21.8%19.8%23.8%
Tooele County (Other)27.4%22.5%32.3%
Tooele Valley29.5%26.7%32.2%
Eagle Mountain/Cedar Valley23.8%21.6%26.0%
Lehi16.5%15.0%18.0%
Saratoga Springs20.2%17.8%22.6%
American Fork16.3%14.2%18.3%
Alpine15.1%9.4%20.6%
Pleasant Grove/Lindon19.3%17.3%21.3%
Orem (North)23.7%21.3%26.1%
Orem (West)18.6%16.7%20.5%
Orem (East)17.8%14.8%20.7%
Provo/BYU12.9%11.0%14.8%
Provo (West City Center)21.1%18.8%23.4%
Provo (East City Center)17.2%14.9%19.5%
Salem City17.6%12.5%22.8%
Spanish Fork21.5%19.2%23.8%
Springville20.2%17.8%22.6%
Mapleton16.9%12.0%21.8%
Utah County (South) V225.0%21.0%29.0%
Payson26.2%22.8%29.6%
Park City7.4%4.9%9.8%
Summit County (East)18.6%13.8%23.3%
Wasatch County17.3%14.5%20.2%
Daggett and Uintah County28.4%25.3%31.5%
Duchesne County25.6%21.8%29.4%
Nephi/Mona19.5%14.6%24.4%
Delta/Fillmore20.5%15.2%25.8%
Sanpete Valley25.1%20.9%29.4%
Central (Other)23.1%19.2%26.9%
Richfield/Monroe/Salina24.5%19.7%29.3%
Carbon County28.5%23.8%33.3%
Emery County25.4%19.2%31.6%
Grand County16.2%10.5%21.9%
Blanding/Monticello27.6%19.8%35.4%
San Juan County (Other)36.5%24.9%48.2%
St. George20.0%18.2%21.8%
Washington Co (Other) V220.1%14.7%25.4%
Washington City18.6%15.3%21.9%
Hurricane/La Verkin23.6%19.8%27.5%
Ivins/Santa Clara20.2%15.3%25.1%
Cedar City23.5%20.9%26.0%
Southwest LHD (Other)24.5%20.6%28.5%
State of Utah22.9%22.6%23.2%

Data Notes

Obesity for adults is defined as a BMI of 30 or more. BMI is calculated by dividing weight in kilograms by the square of height in meters.   [[br]] [[br]] A description of the Utah Small Areas may be found on IBIS at the following URL: [https://ibis.health.utah.gov/resource/Guidelines.html].

Data Source

Utah Birth Certificate Database, Office of Vital Records and Statistics, Utah Department of Health

References and Community Resources

Power Your Life: [http://www.poweryourlife.org][[br]] [[br]] Utah Department of Health EPICC website: [http://www.choosehealth.utah.gov/][[br]] [[br]] ChooseMyPlate - personalized eating plans with special sections for pregnant and breastfeeding women: [https://www.choosemyplate.gov/browse-by-audience/view-all-audiences/adults/moms-pregnancy-breastfeeding]

More Resources and Links

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.

Page Content Updated On 10/15/2020, Published on 10/22/2020
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 24 September 2021 3:16:54 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Thu, 22 Oct 2020 11:39:21 MDT