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Complete Health Indicator Report of Prenatal Care

Definition

Number of infants born to pregnant women receiving prenatal care in the first trimester as a percentage of the total number of live births.

Numerator

Number of infants born to pregnant women receiving prenatal care in the first trimester.

Denominator

Number of live births.

Data Interpretation Issues

Utah prenatal care reporting is not comparable to the U.S. between the 1989 and 2003 revisions of the birth certificate due to wording and format changes. Utah adopted the 2003 U.S. revision to the birth certificate in 2009. The U.S. began reporting U.S. rates of first trimester prenatal care in 2016.

Why Is This Important?

Women who receive early and consistent prenatal care (PNC) enhance their likelihood of giving birth to a healthy child. Health care providers recommend that women begin prenatal care in the first trimester of their pregnancy.

Other Objectives

Healthy People 2030 has an objective of Increasing the proportion of pregnant women who receive early and adequate prenatal care--MICH-08 with a baseline of 76.4% (2018) and a goal of 80.5%.

How Are We Doing?

The percentage of women entering prenatal care in the first trimester of pregnancy increased to 77.1% in 2021, the highest reported since 2009, then decreased to 72.8% in 2022.

How Do We Compare With the U.S.?

The National Center for Health Statistics began reporting U.S. rates of first trimester prenatal care in 2016. Among women giving birth in the U.S. in 2021, 78.3% began prenatal care in the first trimester of pregnancy, compared to 77.1% in 2021 in Utah.

What Is Being Done?

The Utah Department of Health and Human Services Baby Your Baby Program sponsors a statewide media campaign and provides information and referral services to pregnant women in Utah. MotherToBaby (formerly Pregnancy Risk Line) is a phone service available to pregnant women, the public, and health care providers who have questions about possible effects of medications, chemicals, or infectious agents on a developing baby or breastfed infant. MotherToBaby can be reached by both phone calls or text messaging. The Pregnancy Risk Assessment Monitoring System (PRAMS) collects and analyzes data to identify characteristics of Utah women and their utilization of prenatal care. The Maternal and Infant Health Program will utilize these data to target interventions in those populations identified as having poor first trimester entry.

Available Services

'''Baby Your Baby:''' 1-800-826-9662[[br]] [http://www.babyyourbaby.org][[br]] A public resource to answer pregnancy related questions and and locate services. '''MotherToBaby:''' Phone - 1-800-822-2229[[br]] Text - 1-855-999-3525[[br]] Email - expertinfo@mothertobaby.org[[br]] A service to answer questions about what's safe during pregnancy and breastfeeding.[[br]] [[br]] Social media for MotherToBaby include: *Facebook: [http://www.facebook.com/MotherToBaby] *Twitter: @MotherToBaby *Pinterest: [http://www.pinterest.com/MotherToBaby]

Health Program Information

Early entry into prenatal care for women with limited financial resources is facilitated by the Division of Integrated Healthcare's Presumptive Eligibility for Prenatal Medicaid Program - also known as the Baby Your Baby Program. Applicants are screened via a brief application and those meeting the program's eligibility requirements are able to receive a medical card that will provide temporary coverage in order to allow them to begin prenatal care from any willing Medicaid provider in Utah. During the time the woman has temporary coverage, she completes the Medicaid Application. The Baby Your Baby Program acts as a bridge into Prenatal Medicaid and allows women to start their prenatal care in a timely manner.


Related Indicators

Relevant Population Characteristics

Data show the following population subgroups are less likely to enter prenatal care in their first trimester: *Mothers younger than 20, especially teens *Non-White Race *Hispanic ethnicity *Low educational attainment (high school or less) *Unmarried women *Women who have had three or more previous births

Related Relevant Population Characteristics Indicators:


Health Care System Factors

Data show the following health care system factors contribute to being less likely to enter prenatal care in the first trimester: *Lack of health insurance *Availability of family planning services (if a pregnancy is planned, a woman is more likely to seek early and adequate prenatal care)

Related Health Care System Factors Indicators:


Risk Factors

Data show the following risk factors contribute to being less likely to enter prenatal care in the first trimester: *Tobacco use during pregnancy

Related Risk Factors Indicators:


Health Status Outcomes

Increased costs associated with premature births, low birth weight births, and maternal and infant mortality and morbidity are related to a lack of prenatal visits.

Related Health Status Outcomes Indicators:




Graphical Data Views

Prenatal care in the first trimester of pregnancy, Utah, 2009-2022 and U.S., 2016-2021

::chart - missing::
confidence limits

Utah vs. U.S.YearPercentage of mothersLower LimitUpper Limit
Record Count: 20
Utah200971.6%71.2%72.0%
Utah201073.1%72.7%73.5%
Utah201174.8%74.4%75.1%
Utah201275.5%75.1%75.9%
Utah201376.4%76.0%76.8%
Utah201476.2%75.9%76.6%
Utah201576.4%76.0%76.8%
Utah201675.3%74.9%75.6%
Utah201777.0%76.6%77.4%
Utah201876.2%75.8%76.6%
Utah201975.9%75.5%76.3%
Utah202075.9%75.5%76.3%
Utah202177.1%76.7%77.4%
Utah202272.8%72.4%73.2%
U.S.201677.1%
U.S.201777.3%
U.S.201877.5%
U.S.201977.6%
U.S.202077.7%
U.S.202178.3%

Data Notes

Percentage of mothers of live born infants where prenatal care was reported to have been received in the first trimester (births where prenatal care was unreported were counted in the denominator).   [[br]] [[br]] Utah began use of the 2003 birth certificate version in 2009. Prenatal care reporting is not comparable to earlier years due to wording and format changes. The National Center for Health Statistics began reporting U.S. rates of first trimester prenatal care in 2016.

Data Sources

  • Utah Birth Certificate Database, Office of Vital Records and Statistics, Utah Department of Health and Human Services
  • National Center for Health Statistics


Prenatal care in the first trimester of pregnancy by ethnicity, Utah, 2022

::chart - missing::
confidence limits

Hispanic EthnicityPercentage of mothersLower LimitUpper Limit
Record Count: 4
Hispanic/Latino65.7%64.8%66.7%
Non-Hispanic/Latino74.8%74.4%75.2%
Unknown ethnicity54.5%50.2%58.8%
All ethnicities72.8%72.4%73.2%

Data Notes

Percentage of mothers of live born infants where prenatal care was reported to have been received in the first trimester (births where prenatal care was unreported were counted in the denominator).

Data Source

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


Prenatal care in the first trimester of pregnancy by race, Utah, 2022

::chart - missing::
confidence limits

RacePercentage of mothersLower LimitUpper Limit
Record Count: 9
American Indian/Alaska Native57.8%52.9%62.7%
Asian73.5%70.9%75.9%
Black, African American57.2%53.5%61.0%
Native Hawaiian, Pacific Islander46.8%43.2%50.4%
White74.8%74.4%75.2%
Two or more races67.4%65.2%69.6%
Other62.9%60.9%64.8%
Unknown53.7%49.2%58.3%
All races72.8%72.4%73.2%

Data Notes

Percentage of mothers of live born infants where prenatal care was reported to have been received in the first trimester (births where prenatal care was unreported were counted in the denominator).

Data Source

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


Prenatal care in the first trimester of pregnancy by local health district, Utah, 2022

::chart - missing::
confidence limits

Local Health DistrictPercentage of mothersLower LimitUpper Limit
Record Count: 14
Bear River75.8%74.2%77.4%
Central72.2%69.4%74.8%
Davis County77.2%76.0%78.4%
Salt Lake County70.1%69.3%70.8%
San Juan64.0%56.8%71.1%
Southeast68.6%64.4%72.9%
Southwest64.2%62.7%65.8%
Summit79.4%75.2%83.2%
Tooele75.2%72.5%77.7%
TriCounty59.2%55.7%62.6%
Utah County75.8%75.1%76.6%
Wasatch77.5%73.0%81.6%
Weber-Morgan75.8%74.4%77.2%
State of Utah72.8%72.4%73.2%

Data Notes

Percentage of mothers of live born infants where prenatal care was reported to have been received in the first trimester (births where prenatal care was unreported were counted in the denominator).   [[br]] [[br]] Note: Local health district represents district of mother's residence.

Data Source

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


Prenatal care in the first trimester of pregnancy by county, Utah, 2022

::chart - missing::
confidence limits

CountyPercentage of mothersLower LimitUpper LimitNote
Record Count: 30
Beaver73.0%63.8%81.0%
Box Elder69.7%66.6%72.8%
Cache78.3%76.5%80.0%
Carbon72.3%66.0%78.1%
Daggett****
Davis77.2%76.0%78.4%
Duchesne59.9%54.3%65.4%
Emery62.3%54.0%70.6%
Garfield66.7%53.3%80.0%
Grand68.7%59.6%77.8%
Iron76.3%73.3%79.1%
Juab74.5%68.0%80.3%
Kane49.4%39.0%59.8%
Millard69.0%62.1%75.9%
Morgan90.5%84.0%95.2%
Piute84.6%60.6%102.9%*
Rich74.3%57.8%88.2%
Salt Lake70.1%69.3%70.8%
San Juan64.0%56.8%71.1%
Sanpete67.7%62.9%72.5%
Sevier78.4%73.1%83.0%
Summit79.4%75.2%83.2%
Tooele75.2%72.5%77.7%
Uintah58.7%54.2%63.2%
Utah75.8%75.1%76.6%
Wasatch77.5%73.0%81.6%
Washington59.9%57.9%61.9%
Wayne64.3%46.5%82.0%
Weber75.3%73.8%76.7%
State72.8%72.4%73.2%

Data Notes

Percentage of mothers of live born infants where prenatal care was reported to have been received in the first trimester (births where prenatal care was unreported were counted in the denominator).   Note: County represents county of mother's residence. * Use caution in interpreting rates for estimates with an asterisk. These estimates have a coefficient of variation >30% and are therefore deemed unreliable by Utah Department of Health and Human Services standards. ** The estimates for Daggett county have been suppressed because 1) the relative standard error is greater than 50% or 2) the observed number of events is very small and not appropriate for publication.

Data Source

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


Prenatal care in the first trimester of pregnancy by Utah Small Area, 2022

::chart - missing::
confidence limits

Utah Small AreasPercentage of mothersLower LimitUpper Limit
Record Count: 100
Brigham City68.7%63.7%73.8%
Box Elder Co (Other) V273.2%66.1%79.5%
Tremonton70.0%64.7%74.9%
Logan V277.6%74.7%80.3%
North Logan79.7%75.5%83.4%
Cache (Other)/Rich (All) V277.6%72.7%81.9%
Hyrum78.3%72.0%83.7%
Smithfield78.1%72.6%82.9%
Ben Lomond74.7%71.8%77.5%
Weber County (East)78.5%74.1%82.4%
Morgan County89.8%83.2%94.6%
Ogden (Downtown)75.4%72.0%78.6%
South Ogden72.9%68.9%76.7%
Roy/Hooper75.4%71.8%78.8%
Riverdale76.7%72.0%80.9%
Clearfield Area/Hooper76.2%73.5%78.7%
Layton/South Weber75.4%72.8%77.9%
Kaysville/Fruit Heights79.0%74.5%83.0%
Syracuse80.7%76.5%84.4%
Centerville81.0%74.9%86.1%
Farmington75.2%69.5%80.3%
North Salt Lake78.0%73.2%82.2%
Woods Cross/West Bountiful79.3%73.3%84.4%
Bountiful78.4%74.8%81.6%
SLC (Rose Park)68.0%63.5%72.5%
SLC (Avenues)82.2%75.6%87.7%
SLC (Foothill/East Bench)85.1%79.7%89.5%
Magna61.2%56.8%65.6%
SLC (Glendale) V258.4%53.2%63.6%
West Valley (Center)64.1%60.6%67.6%
West Valley (West) V266.2%61.6%70.9%
West Valley (East) V257.2%53.8%60.7%
SLC (Downtown) V265.1%59.6%70.7%
SLC (Southeast Liberty)84.2%78.4%88.9%
South Salt Lake64.4%59.1%69.7%
SLC (Sugar House)77.6%73.0%81.7%
Millcreek (South)75.8%69.7%81.2%
Millcreek (East)80.2%74.7%84.9%
Holladay V278.1%72.1%83.4%
Cottonwood77.1%72.8%81.0%
Kearns V262.8%59.0%66.6%
Taylorsville (E)/Murray (W)68.7%64.8%72.7%
Taylorsville (West)69.9%65.8%74.1%
Murray71.8%67.6%75.8%
Midvale70.9%66.9%74.5%
West Jordan (Northeast) V266.2%61.5%70.8%
West Jordan (Southeast)68.7%64.7%72.7%
West Jordan (W)/Copperton70.0%66.5%73.3%
South Jordan V266.6%61.9%71.3%
Daybreak75.4%71.5%79.0%
Sandy (West)74.1%69.3%78.4%
Sandy (Center) V273.8%68.5%78.7%
Sandy (Northeast)81.2%74.8%86.5%
Sandy (Southeast)83.7%78.2%88.3%
Draper78.8%75.1%82.2%
Riverton/Bluffdale73.2%69.9%76.4%
Herriman70.5%67.8%73.1%
Tooele County (Other)76.9%71.3%81.9%
Tooele Valley74.5%71.4%77.5%
Eagle Mountain/Cedar Valley77.8%75.4%80.0%
Lehi76.2%74.0%78.2%
Saratoga Springs80.2%77.4%82.7%
American Fork79.6%76.7%82.2%
Alpine76.8%67.2%85.0%
Pleasant Grove/Lindon77.6%74.6%80.3%
Orem (North)70.8%67.0%74.4%
Orem (West)74.1%71.4%76.6%
Orem (East)69.1%64.2%74.1%
Provo/BYU75.9%72.1%79.3%
Provo (West City Center)68.7%65.1%72.4%
Provo (East City Center)72.7%68.6%76.5%
Salem City72.7%64.8%79.6%
Spanish Fork77.2%74.1%80.0%
Springville76.5%73.1%79.7%
Mapleton81.4%74.8%86.8%
Utah County (South) V277.8%73.6%81.6%
Payson74.2%70.1%78.0%
Park City81.3%75.6%86.2%
Summit County (East)78.9%72.4%84.4%
Wasatch County76.5%71.9%80.6%
Daggett and Uintah County58.6%54.2%63.1%
Duchesne County60.5%55.0%66.1%
Nephi/Mona76.9%69.9%82.9%
Delta/Fillmore69.5%61.6%77.5%
Sanpete Valley68.8%62.9%74.7%
Central (Other)68.0%62.9%73.2%
Richfield/Monroe/Salina78.6%72.6%83.8%
Carbon County72.3%66.0%78.1%
Emery County62.3%54.0%70.6%
Grand County67.7%58.4%77.1%
Blanding/Monticello72.9%63.6%81.1%
San Juan County (Other)56.8%42.2%71.4%
St. George58.0%55.3%60.7%
Washington Co (Other) V265.2%57.3%73.2%
Washington City62.7%58.0%67.5%
Hurricane/La Verkin62.9%57.6%68.1%
Ivins/Santa Clara57.2%50.0%64.4%
Cedar City76.9%73.8%79.8%
Southwest LHD (Other)64.7%59.5%69.9%
State of Utah72.8%72.4%73.2%

Data Notes

Percentage of mothers of live born infants where prenatal care was reported to have been received in the first trimester (births where prenatal care was unreported were counted in the denominator).   [[br]] [[br]] Note: Utah Small Area represents area of mother's residence. [[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 and Human Services

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:
  • Centers for Disease Control and Prevention (CDC) WONDER Database, a system for disseminating public health data and information.
  • United States Census Bureau data dashboard.
  • Utah healthy Places Index, evidence-based and peer-reviewed tool, supports efforts to prioritize equitable community investments, develop critical programs and policies across the state, and much more.
  • County Health Rankings
  • Kaiser Family Foundation's StateHealthFacts.org
  • Medical literature can be queried at PubMed library.



Page Content Updated On 03/28/2024, Published on 04/02/2024
The information provided above is from the Utah Department of Health and Human Services 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 Tue, 18 June 2024 12:07:19 from Utah Department of Health and Human Services, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Tue, 2 Apr 2024 10:30:41 MDT