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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.

Healthy People Objective MICH-10.1:

Increase the proportion of pregnant women who receive prenatal care beginning in first trimester
U.S. Target: 77.9 percent
State Target: 77.9 percent

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 from 71.6% in 2009 to 77.1% in 2021.

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 2020, 75.9% 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 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 Medicaid and Health Financing'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 2009-2021

::chart - missing::
confidence limits

Utah vs. U.S.Yearpercentage of mothersLower LimitUpper Limit
Record Count: 18
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%
U.S.201677.1%
U.S.201777.3%
U.S.201877.5%
U.S.201977.6%
U.S.202078.3%

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
  • National Center for Health Statistics


Prenatal care in the first trimester of pregnancy by ethnicity, Utah, 2021

::chart - missing::
confidence limits

Hispanic EthnicityPercentage of mothersLower LimitUpper LimitNote
Record Count: 5
Hispanic/Latino70.1%69.1%71.1%
Non-Hispanic/Latino79.1%78.7%79.5%
Unknown Ethnicity65.9%63.6%68.3%
All Ethnicities77.1%76.7%77.4%
U.S.78.3%2021 Provisional

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


Prenatal care in the first trimester of pregnancy by race, Utah, 2021

::chart - missing::
confidence limits

RacePercentage of mothersLower LimitUpper LimitNote
Record Count: 8
American Indian/Alaska Native67.4%63.3%71.4%
Asian79.0%76.5%81.2%
Black, African American63.2%60.0%66.4%
Native Hawaiian, Pacific Islander48.7%44.0%53.4%
White78.3%77.9%78.7%
Two or More Races74.7%69.9%79.1%Unknown
All Races77.1%76.7%77.4%
U.S.78.3%2021 Provisional Data

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


Prenatal care in the first trimester of pregnancy by local health district, Utah, 2021

::chart - missing::
confidence limits

Local Health DistrictPercentage of mothersLower LimitUpper LimitNote
Record Count: 15
Bear River81.3%79.8%82.7%
Central76.4%73.9%78.8%
Davis County82.2%81.1%83.2%
Salt Lake County74.6%73.9%75.3%
San Juan61.1%54.1%68.1%
Southeast73.6%69.1%77.6%
Southwest64.5%62.9%66.2%
Summit85.1%81.4%88.3%
Tooele77.5%74.9%80.0%
TriCounty69.1%65.8%72.3%
Utah County79.6%78.9%80.3%
Wasatch83.2%79.0%86.8%
Weber-Morgan81.6%80.3%82.8%
State of Utah77.1%76.7%77.4%
U.S.78.3%2021 Provisional Data

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


Prenatal care in the first trimester of pregnancy by county, Utah, 2021

::chart - missing::
confidence limits

CountyPercentage of mothersLower LimitUpper LimitNote
Record Count: 31
Beaver72.0%62.3%80.6%
Box Elder74.8%71.7%77.8%
Cache83.8%82.1%85.3%
Carbon71.1%64.7%76.9%
Daggett61.5%35.1%88.0%*
Davis82.2%81.1%83.2%
Duchesne71.8%66.0%77.1%
Emery80.5%72.1%87.4%
Garfield72.1%60.2%82.4%
Grand71.1%61.2%80.0%
Iron82.4%79.5%85.0%
Juab75.4%68.9%81.1%
Kane58.2%48.4%67.9%
Millard80.7%74.4%86.1%
Morgan88.3%82.2%93.0%
Piute90.9%74.0%102.3%*
Rich88.5%72.0%99.9%
Salt Lake74.6%73.9%75.3%
San Juan61.1%54.1%68.1%
Sanpete70.6%66.0%75.0%
Sevier81.6%76.7%85.9%
Summit85.1%81.4%88.3%
Tooele77.5%74.9%80.0%
Uintah67.8%63.8%71.9%
Utah79.6%78.9%80.3%
Wasatch83.2%79.0%86.8%
Washington58.2%56.2%60.3%
Wayne75.0%58.8%88.6%
Weber81.3%80.0%82.6%
State77.1%76.7%77.4%
U.S.78.3%

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]] Note: County represents county of mother's residence. [[br]] [[br]]

Data Source

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


Prenatal care in the first trimester of pregnancy by Utah small area, 2021

::chart - missing::
confidence limits

Utah Small AreasPercentage of mothersLower LimitUpper Limit
Record Count: 101
Brigham City72.9%67.8%77.5%
Box Elder Co (Other) V271.9%64.4%78.5%
Tremonton78.7%73.7%83.1%
Logan V282.3%79.6%84.7%
North Logan84.6%80.8%87.9%
Cache (Other)/Rich (All) V283.8%79.5%87.5%
Hyrum88.4%83.2%92.5%
Smithfield84.6%79.7%88.7%
Ben Lomond82.8%80.2%85.1%
Weber County (East)79.2%75.1%82.9%
Morgan County88.4%82.3%93.0%
Ogden (Downtown)79.7%76.4%82.7%
South Ogden81.9%78.1%85.3%
Roy/Hooper83.3%80.1%86.0%
Riverdale78.6%74.0%82.7%
Clearfield Area/Hooper79.2%76.7%81.5%
Layton/South Weber80.2%77.9%82.4%
Kaysville/Fruit Heights85.7%82.0%88.8%
Syracuse86.5%83.0%89.5%
Centerville87.5%82.3%91.6%
Farmington84.8%80.0%88.9%
North Salt Lake82.1%77.8%85.8%
Woods Cross/West Bountiful86.0%80.7%90.4%
Bountiful82.2%79.0%85.1%
SLC (Rose Park)66.8%62.4%71.3%
SLC (Avenues)86.0%79.8%90.8%
SLC (Foothill/East Bench)87.5%82.4%91.5%
Magna69.0%64.7%73.3%
SLC (Glendale) V262.4%57.3%67.4%
West Valley (Center)66.8%63.5%70.2%
West Valley (West) V269.1%64.6%73.6%
West Valley (East) V264.7%61.4%68.1%
SLC (Downtown) V274.2%68.5%79.4%
SLC (Southeast Liberty)82.4%76.3%87.5%
South Salt Lake73.2%68.2%77.8%
SLC (Sugar House)79.4%74.9%83.3%
Millcreek (South)85.4%80.0%89.8%
Millcreek (East)84.9%80.3%88.8%
Holladay V282.1%77.1%86.3%
Cottonwood82.0%78.0%85.5%
Kearns V269.6%65.9%73.3%
Taylorsville (E)/Murray (W)70.2%65.9%74.2%
Taylorsville (West)77.8%73.9%81.2%
Murray74.7%70.8%78.3%
Midvale72.2%68.3%75.9%
West Jordan (Northeast) V271.0%66.2%75.4%
West Jordan (Southeast)73.0%68.8%76.8%
West Jordan (W)/Copperton72.1%68.7%75.3%
South Jordan V276.5%72.3%80.2%
Daybreak82.2%78.8%85.2%
Sandy (West)74.2%69.7%78.3%
Sandy (Center) V282.5%78.2%86.2%
Sandy (Northeast)82.1%76.4%86.9%
Sandy (Southeast)83.9%78.6%88.3%
Draper81.1%77.4%84.4%
Riverton/Bluffdale78.3%75.2%81.1%
Herriman74.4%71.9%76.8%
Tooele County (Other)74.5%68.7%79.7%
Tooele Valley78.3%75.3%81.1%
Eagle Mountain/Cedar Valley80.7%78.3%82.9%
Lehi82.2%80.2%84.1%
Saratoga Springs83.1%80.4%85.5%
American Fork84.6%82.0%86.9%
Alpine75.4%66.4%83.2%
Pleasant Grove/Lindon83.0%80.3%85.4%
Orem (North)76.2%72.8%79.4%
Orem (West)76.8%74.1%79.3%
Orem (East)74.7%70.0%79.1%
Provo/BYU77.0%73.4%80.2%
Provo (West City Center)74.4%71.0%77.6%
Provo (East City Center)78.9%75.1%82.3%
Salem City80.8%73.8%86.5%
Spanish Fork80.0%77.1%82.8%
Springville77.8%74.6%80.8%
Mapleton86.6%79.9%91.8%
Utah County (South) V279.5%75.0%83.4%
Payson76.4%72.4%80.0%
Park City81.8%76.4%86.4%
Summit County (East)90.3%85.1%94.2%
Wasatch County83.0%78.8%86.5%
Daggett and Uintah County67.6%63.6%71.6%
Duchesne County72.4%66.6%77.7%
Nephi/Mona76.1%69.2%82.1%
Delta/Fillmore85.4%78.4%90.9%
Sanpete Valley70.2%64.4%75.5%
Central (Other)75.6%70.9%79.9%
Richfield/Monroe/Salina83.8%78.0%88.7%
Carbon County70.5%64.1%76.3%
Emery County80.4%71.9%87.3%
Grand County71.1%61.2%80.0%
Blanding/Monticello68.0%59.0%77.0%
San Juan County (Other)54.2%41.5%67.0%
St. George58.4%55.7%61.1%
Washington Co (Other) V260.9%52.6%69.2%
Washington City56.3%51.3%61.3%
Hurricane/La Verkin58.7%53.3%64.1%
Ivins/Santa Clara59.2%51.9%66.5%
Cedar City83.0%79.9%85.7%
Southwest LHD (Other)69.2%64.3%74.1%
State of Utah77.1%76.7%77.4%
U.S.78.3%

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]] 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

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 Map, evidence-based and peer-reviewed and 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 PubMedlibrary.



Page Content Updated On 11/30/2022, Published on 12/21/2022
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 Wed, 27 September 2023 21:48:25 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Wed, 21 Dec 2022 09:23:02 MST