07/31/2013 Compass Measure - Prenatal Care
Index: Health / Subcategory: Physical Health

Prenatal Care

Date posted: 07/31/2013

Prenatal care refers to healthcare that a woman receives related to her pregnancy. Pregnancy is generally nine months in duration, and is divided into trimesters of three months each. Prenatal care is particularly important because it substantially decreases the risk of fetal mortality. (See Reducing Infant Mortality [pdf], The Annie E. Casey Foundation, July 2009).

What this chart shows: Mothers Who Received Prenatal Care in the First Trimester in Colorado and Larimer County, 2002-2011

 

Data Source: Colorado Department of Public Health and Environment

See data table

What the above data tell us:

In Larimer County, 86.9% of pregnant women and 77.3% of pregnant women in Colorado received prenatal care within their first trimester in 2011. Both Colorado and Larimer County failed to meet the Healthy People 2010 Objective of 90.0% from 2002 through 2010. With the adoption of updated objectives for the Healthy People 2020 initiative, Larimer County met the 2020 objective of 77.9% in 2011.

What this chart shows: Percentage of Mothers Who Received First Trimester Prenatal Care by Age Group in Colorado and Larimer County, 2011

Data Source: Colorado Department of Public Health and Environment

See data table

What the above data tell us:

Generally speaking, teenagers were less likely than older age groups to receive prenatal care in the first trimester of pregnancy. The only Larimer County group shown above that failed to meet the Healthy People 2020 Objective of 77.9% was women aged 15 to 19.

What this chart shows: Percentage of Mothers Who Received First Trimester Prenatal Care by Maternal Ethnicity & Race in Colorado & Larimer County, 2011

Data Source: Colorado Department of Public Health and Environment

See data table

What the above data tell us:

Non-Hispanic mothers were more likely to receive first trimester prenatal care than Hispanic mothers in Colorado and Larimer County during 2011. In addition, a greater percentage of Larimer County women received prenatal care during this time than in Colorado. The only group failing to meet the Healthy People 2020 Objective of 77.9% was Hispanic women in Colorado.

In 2007, national data showed 64.7% of Hispanic mothers (Births: Final Data for 2007, August 2010, [pdf] Centers for Disease Control) received prenatal care in the first trimester. Hispanic cultural norms regarding pregnancy affect their lack of formal prenatal care. Within the Hispanic community there is a strong informal system of prenatal care that guides women through their pregnancy including a strong cultural support for maternity, healthy dietary practices and a wide social support system that includes family, friends, community members and lay health workers (American Journal of Public Health). These cultural norms are most often practiced by Hispanic women who have spent less time in the United States. Despite their lack of early prenatal care, Hispanic mothers in the United States have lower rates of pre-term delivery and fewer low birthweight babies, compared to non-Hispanics and others (National Alliance for Hispanic Health).

Additional Information:

Related Information on COMPASS -

Other Resources -

Industry Standards or Targets:

Healthy People 2010 Objectives

Healthy People 2020 Objectives

In 2003, the United States Certificate of Live Births was revised. Colorado did not implement these changes until 2007.

Data Tables:

Percentage of Mothers who Received First Trimester Prenatal Care

 

Colorado

Larimer County

Healthy People 2010/2020 Objective

Total Live Births

Births with 1st trimester care

Percent

Total Live Births

Births with 1st trimester care

Percent

2002

68,420 53,293 77.9% 3,298 2,612 79.2%

90.0%

2003

69,304 54,117 78.1% 3,500 2,789 79.7%

90.0%

2004

68,475 53,955 78.8% 3,370 2,713 80.5%

90.0%

2005

68,922 54,147 78.6% 3,446 2,691 78.1%

90.0%

2006

70,737 55,354 78.3% 3,542 2,779 78.5%

90.0%

2007

70,804 53,828 76.0% 3,471 2,756 79.4%

90.0%

2008

70,028 52,298 74.7% 3,491 2,840 81.4%

90.0%

2009

68,605 52,185 76.1% 3,502 2,981 85.1%

90.0%

2010

66,346 51,457 77.6% 3,361 2,898 86.2%

90.0%

2011

65,052 50,313 77.3% 3,317 2,884 86.9%

77.9%

See chart

First Trimester Prenatal Care by Age Group of Mother - 2011

 

Colorado

Larimer County

Total Births

Births with 1st trimester care

Percent

Total Births

Births with 1st trimester care

Percent

15 to 19

4,687 2,825

60.3%

165

113 68.5%

20 to 29

31,744 24,003

75.6%

1,518

1,284 84.6%

30 to 39

26,379 21,799

82.6%

1,536

1,398 91.0%

40 to 49

2,162 1,649

76.3%

96

88 91.7%

See chart

First Trimester Prenatal Care by Ethnicity/Race of Mother - 2011

 

 

Colorado

Larimer County

Total Births

Births with 1st trimester care

%

Total Births

Births with 1st trimester care

%

Hispanic

18,302

12,724

69.5%

539

426

79.0%

White not Hispanic

40,224

33,061

82.2%

2,632

2,343

89.0%

See chart