Middlesex County Public Health Profile Report
First Trimester Prenatal Care: Percentage of Live Births, 2020
Middlesex77.6% 95% Confidence Interval(76.7% - 78.4%)Description of the Confidence IntervalThe confidence interval indicates the range of probable true values for the level of risk in the community.
A value of "NA" (Not Available) will appear if the confidence interval was not published with the NJSHAD indicator data for this measure.
Middlesex Compared to State
Description of Gauge
Description of the GaugeThis graphic is based on the county data to the left. It compares the county value of this indicator to the state overall value.
The county value is considered statistically significantly different from the state value if the state value is outside the range of the county's 95% confidence interval. If the county's data or 95% confidence interval information is not available, a blank gauge image will be displayed with the message, "missing information."NOTE: The labels used on the gauge graphic are meant to describe the county's status in plain language. The placement of the gauge needle is based solely on the statistical difference between the county and state values. When selecting priority health issues to work on, a county should take into account additional factors such as how much improvement could be made, the U.S. value, the statistical stability of the county number, the severity of the health condition, and whether the difference is clinically significant.
- Excellent = The county's value on this indicator is BETTER than the state value, and the difference IS statistically significant.
- Watch = The county's value is BETTER than state value, but the difference IS NOT statistically significant.
- Improvement Needed = The county's value on this indicator is WORSE than the state value, but the difference IS NOT statistically significant.
- Reason for Concern = The county's value on this indicator is WORSE than the state value, and the difference IS statistically significant.
Why Is This Important?Women who receive early and consistent prenatal care (PNC) increase 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.
How Are We Doing?The percentage of mothers receiving first trimester prenatal care (PNC) had been about 75% for over a decade before increasing slightly between 2007 and 2014 to 79%. A change in data collection methods in 2014-2015 resulted in a sharp decline such that the rate now stands back at 75%. The Healthy New Jersey 2020 target was not met. There is a significant difference in onset of PNC by race/ethnicity with more than 80% of White and Asian mothers receiving early PNC compared to 66% of Hispanic and 63% of Black mothers. However, in recent years the rates among Blacks and Asians increased such that their Healthy New Jersey 2020 targets were met, while those for Whites and Hispanics were not.
What Is Being Done?The [http://nj.gov/health/fhs/ Division of Family Health Services] in the New Jersey Department of Health administers programs to enhance the health, safety and well-being of families and communities in New Jersey. Several programs are aimed at improving birth outcomes. The [https://nj.gov/governor/admin/fl/nurturenj.shtml Nurture NJ] campaign focuses on improving collaboration and programming between all departments, agencies, and stakeholders to make New Jersey the safest and most equitable place in the nation to give birth and raise a baby.
Healthy People Objective MICH-10.1:Prenatal care beginning in first trimester
U.S. Target: 77.9 percent
State Target: 75.7 percent
Health Care System Factors:
NoteBeginning in 2014, the calculation of onset of prenatal care (PNC) requires several pieces of information from the birth record. If any of those is missing or invalid, PNC onset cannot be calculated. The calculation of onset of prenatal care (PNC) requires several pieces of information from the birth record. If any of those is missing or invalid, PNC onset cannot be calculated. This problem is particularly high among births to Camden, Hudson, Passaic, and Salem County resident mothers where the proportion of records with unknown PNC onset is above the statewide rate of 1.9%.
Data SourcesBirth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health Centers for Disease Control and Prevention, National Center for Health Statistics. Natality public-use data. CDC WONDER On-line Database accessed at [http://wonder.cdc.gov/natality.html]
Measure Description for First Trimester Prenatal Care
Definition: Number of live births to pregnant women who received prenatal care in the first trimester as a percentage of the total number of live births.
Numerator: Number of live births to pregnant women who received prenatal care in the first trimester
Denominator: Number of live births