Somerset County Public Health Profile Report
First Trimester Prenatal Care: Percentage of Live Births, 2017
Somerset77.9% 95% Confidence Interval(76.4% - 79.3%)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.
Somerset 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 sharp decline to 73.6% in 2015 and 72.1% in 2016 before an increase to 74.7% in 2017. There is a significant difference in onset of PNC by race/ethnicity with over 80% of White and Asian mothers receiving early PNC compared to 65% of Hispanic and 60% of Black mothers. The percentage of births with first trimester PNC is also significantly higher among US-born mothers (79%) than among the foreign-born (70%), overall and for each race/ethnicity. First trimester PNC is positively correlated with age and education.
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.
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:
NoteThe 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, Essex, Bergen, and Passaic County resident mothers where the proportion of records with unknown PNC onset is above the statewide rate of 2.0%.
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