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2009 2009
NORTH CAROLINANORTH CAROLINA
Pregnancy NutritionSurveillance System
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GraphicsGraphics
20082008 (prior year) national PNSS (prior year) national PNSS data are presented.data are presented.
Contributors included 30 states, the Contributors included 30 states, the District of Columbia, 6 Indian Tribal District of Columbia, 6 Indian Tribal Organizations, and 1 U.S. territory.Organizations, and 1 U.S. territory.
Comparing Contributor and National DataComparing Contributor and National Data
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Source of dataSource of data
2009 NC PNSS Table 1C
* Special Supplemental Nutrition Program for Women, Infants and Children.
0 10 20 30 40 50 60 70 80 90 100
State
Nation
Percentage
WIC*
MaternalHealth
Other
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Racial and ethnic distribution Racial and ethnic distribution
2009 NC PNSS Table 1C
0 10 20 30 40 50 60 70 80 90 100
State
Nation
Percentage
White
Black
Hispanic
American Indian
Asian
Multiple
Other
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Trends in racial and ethnic distributionTrends in racial and ethnic distribution
0
20
40
60
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple
2009 NC PNSS Table 14C
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Age distributionAge distribution
2009 NC PNSS Table 1C
0 10 20 30 40 50 60 70 80 90 100
State
Nation
Percentage
<15 Years15-17 Years18-19 Years20-29 years30-39 Years≥40 Years
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Trends in age distributionTrends in age distribution
0
20
40
60
80
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
Perc
enta
ge
<15 Years 15-17 Years 18-19 Years20-29 Years 30-39 Years 40+ Years
2009 NC PNSS Table 15C
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Education levelEducation level
2009 NC PNSS Table 1C
0 10 20 30 40 50 60 70 80 90 100
State
Nation
Percentage
<High School High School>High School
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Migrant statusMigrant status
2009 NC PNSS Table 1C
0 10 20 30 40 50 60 70 80 90 100
State
Nation
Percentage
Yes
No
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Household income Household income reported as percent poverty levelreported as percent poverty level Household income Household income reported as percent poverty levelreported as percent poverty level
2009 NC PNSS Table 1C
0 10 20 30 40 50 60 70 80 90 100
State
Nation
Percentage
0-50
51-100
101-130
131-150
151-185
186-200
Over 200
Adj. Eligibility
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Program participationProgram participationat initial prenatal visitat initial prenatal visit
0
25
50
75
100
WIC* SNAP** Medicaid TANF***
Per
cent
age
State Nation
2009 NC PNSS Table 1C
* Special Supplemental Nutrition Program for Women, Infants, and Children. ** Supplemental Nutrition Assistance Program. *** Temporary Assistance for Needy Families.
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Timing of WIC enrollment and medical careTiming of WIC enrollment and medical care
0102030405060708090
100
1st Trimester
2ndTrimester
3rd Trimester
Postpartum 1st Trimester No Care
Per
cent
age
State Nation
2009 NC PNSS Table 2C
WIC Enrollment Medical Care
Year 2010target*
* Year 2010 target: 90% of pregnant women will enter into prenatal care during the first trimester.
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Trends in WIC enrollment and medical careTrends in WIC enrollment and medical care
0102030405060708090
100
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
Per
cent
age
Medical Care 1st Trimester No Medical Care 1st Trimester WIC Enrollment
2009 NC PNSS Table 17C
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Trends in first trimester WIC enrollment by race and ethnicity
Trends in first trimester WIC enrollment by race and ethnicity
0
10
20
30
40
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
Per
cent
age
White Black Hispanic American Indian Asian Multiple Total
2009 NC PNSS Table 21C
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Parity and interpregnancy interval Parity and interpregnancy interval
0
10
20
30
40
50
0 1 2 3 or More < 6Months
6-18Months
Perc
enta
ge
State Nation
2009 NC PNSS Table 2C
Parity Interpregnancy Interval
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Prevalence of prepregnancy underweight and overweight*Prevalence of prepregnancy underweight and overweight*
2009 NC PNSS Table 2C
0
10
20
30
40
50
60
Perc
enta
ge
State Nation
* Underweight (BMI < 18.5); overweight (BMI = 25.0-29.9); and obese (BMI > 30.0).
Underweight Normal Overweight (top) and Obese
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Prevalence of prepregnancy underweight*by race and ethnicity
Prevalence of prepregnancy underweight*by race and ethnicity
0
5
10
15
White Black Hispanic AmericanIndian
Asian Total
Per
cent
age
State Nation
2009 NC PNSS Table 9C
* BMI < 18.5.
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Prevalence of prepregnancy overweight*by race and ethnicity
Prevalence of prepregnancy overweight*by race and ethnicity
0
10
20
30
40
50
60
70
White Black Hispanic AmericanIndian
Asian Total
Per
cent
age
State Nation
2009 NC PNSS Table 9C
* BMI > 25.0 (includes overweight and obese women).
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Prevalence of less than ideal maternal weight gain*by race and ethnicity
Prevalence of less than ideal maternal weight gain*by race and ethnicity
0
10
20
30
40
White Black Hispanic AmericanIndian
Asian Total
Per
cent
age
State Nation
2009 NC PNSS Table 9C
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds.
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Prevalence of greater than ideal maternal weight gain*by race and ethnicity
Prevalence of greater than ideal maternal weight gain*by race and ethnicity
0
10
20
30
40
50
60
White Black Hispanic AmericanIndian
Asian Total
Per
cent
age
State Nation
2009 NC PNSS Table 9C
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds.
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Prevalence of less than ideal, ideal and greater than ideal maternal weight gain*
Prevalence of less than ideal, ideal and greater than ideal maternal weight gain*
0
10
20
30
40
50
60
< Ideal Ideal > Ideal
Perc
enta
ge
State Nation
2009 NC PNSS Table 2C
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds.
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Maternal weight gain*by prepregnancy BMI**
Maternal weight gain*by prepregnancy BMI**
0
10
20
30
40
50
60
70
Underweight Normal Overweight Obese
Prepregnancy BMI
Perc
enta
ge
< Ideal Weight Gain > Ideal Weight Gain
2009 NC PNSS Table 13C
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds.
** Underweight (BMI < 18.5); overweight (BMI = 25.0-29.9); and obese (BMI > 30.0).
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Trends in prevalence of prepregnancy overweight and underweight* Trends in prevalence of prepregnancy overweight and underweight*
0
20
40
60
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
Perc
enta
ge
Overweight Underweight
2009 NC PNSS Table 16C* Underweight (BMI < 18.5); overweight (BMI > 25.0; includes overweight and obese).
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Trends in prevalence of less than ideal and greater than ideal weight gain*Trends in prevalence of less than ideal and greater than ideal weight gain*
0
20
40
60
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
Perc
enta
ge
< Ideal Weight Gain > Ideal Weight Gain
2009 NC PNSS Table 16C
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight 15-25 pounds and prepregnancy obese = 11-20 pounds.
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Trends in the prevalence of less than ideal maternal weight gain*by race and ethnicity
Trends in the prevalence of less than ideal maternal weight gain*by race and ethnicity
0
10
20
30
40
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
Perc
enta
ge
White Black Hispanic Amer Indian Asian Multiple Total
2009 NC PNSS Table 20C
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds.
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Trends in the prevalence of greater than ideal maternal weight gain*by race and ethnicity
Trends in the prevalence of greater than ideal maternal weight gain*by race and ethnicity
0
10
20
30
40
50
60
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
Perc
enta
ge
White Black Hispanic Amer Indian Asian Multiple Total
2009 NC PNSS Table 20C
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds.
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Prevalence of anemia* by timing of program enrollmentPrevalence of anemia* by timing of program enrollment
0
10
20
30
40
1st Trimester 2nd Trimester 3rd Trimester Postpartum
Perc
enta
ge
State Nation
2009 NC PNSS Table 2C * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.
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Prevalence of third-trimester anemia* by race and ethnicity
Prevalence of third-trimester anemia* by race and ethnicity
0
10
20
30
40
50
60
White Black Hispanic AmericanIndian
Asian Total
Per
cent
age
State Nation
2009 NC PNSS Table 9C
* Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.
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Prevalence of postpartum anemia* by race and ethnicity
Prevalence of postpartum anemia* by race and ethnicity
0
10
20
30
40
50
60
White Black Hispanic AmericanIndian
Asian Total
Per
cent
age
State Nation
2009 NC PNSS Table 9C
* Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.
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Trends in prevalence of third trimester anemia*by race and ethnicity
Trends in prevalence of third trimester anemia*by race and ethnicity
0
10
20
30
40
50
60
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
Perc
enta
ge
White Black Hispanic Amer Indian Asian Multiple Total
2009 NC PNSS Table 20C * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.
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Trends in the prevalence of postpartum anemia*by race and ethnicity
Trends in the prevalence of postpartum anemia*by race and ethnicity
0
10
20
30
40
50
60
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
Perc
enta
ge
White Black Hispanic Amer Indian Asian Multiple Total
2009 NC PNSS Table 20C * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.
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Prevalence of smoking and smoking in the household by pregnancy statusPrevalence of smoking and smoking in the household by pregnancy status
0
5
10
15
20
25
30
3 Mos Prior toPregnancy
DuringPregnancy
Last 3 Mos ofPregnancy
Postpartum DuringPregnancy
Postpartum
Perc
enta
ge
State Nation2009 NC PNSS Table 2C
Smoking Smoking in the Household
Year 2010 target: 99% of pregnant women report no smoking in the past month.
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Smoking changes during pregnancyamong women who reported smoking three months prior to pregnancy
Smoking changes during pregnancyamong women who reported smoking three months prior to pregnancy
0
10
20
30
40
50
Quit by 1st Prenatal Visit Quit by 1st Prenatal Visit andStayed Off Cigarettes
Pe
rce
nta
ge
State Nation
2009 NC PNSS Table 2C
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Trends in prevalence of smoking during the last 3 months of pregnancy by race and ethnicity
Trends in prevalence of smoking during the last 3 months of pregnancy by race and ethnicity
0
10
20
30
40
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple Total
2009 NC PNSS Table 22C
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Prevalence of maternal drinkingPrevalence of maternal drinking
0
5
10
3 Months Prior to Pregnancy Last 3 Months of Pregnancy
Per
cent
age
State Nation
2009 NC PNSS Table 2CYear 2010 Target: 6% or less of pregnant women report use of alcohol in the previous month.
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Prevalence of low birthweight and high Prevalence of low birthweight and high birthweight *birthweight *
2009 NC PNSS Table 2C
* VLBW < 1500 g; LBW = 1500 - < 2500 g; HBW > 4000 g. ** Year 2010 Target: Reduce very low birthweight to < 0.9 percent and low birthweight to < 5.0 percent.
LBW (top) and HBW VLBW
0
5
10
Pe
rce
nta
ge
State Nation
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Prevalence of selected birth outcomes*Prevalence of selected birth outcomes*Prevalence of selected birth outcomes*Prevalence of selected birth outcomes*
0
5
10
15
Preterm Full Term LowBirthweight
Multiple Births
Pe
rce
nta
ge
State Nation
2009 NC PNSS Table 2C * Preterm: < 37 weeks gestation. Full term low birthweight: 37 or more weeks and < 2500 g.
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Prevalence of low birthweight*by race and ethnicity
Prevalence of low birthweight*by race and ethnicity
0
5
10
15
20
White Black Hispanic AmericanIndian
Asian Total
Per
cent
age
State Nation
2009 NC PNSS Table 12C
* Low birthweight includes VLBW < 1500 g and LBW = 1500-<2500 g. ** Year 2010 target: Reduce low birthweight to < 5.0 percent.
Year 2010target**
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Prevalence of low birthweight*by selected health indicators
Prevalence of low birthweight*by selected health indicators
0
5
10
15
20
Prepregnancy BMI Weight Gain Smoking DuringPregnancy
Per
cent
age
2009 NC PNSS Table 13C* Low birthweight includes VLBW < 1500 g and LBW = 1500-<2500 g. ** Year 2010 target: Reduce low birthweight to < 5.0 percent.
Under- Normal Over- < Ideal Ideal > Ideal Smoker Nonsmoker weight weight
Year 2010target**
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Prevalence of high birthweight* by race and ethnicity
Prevalence of high birthweight* by race and ethnicity
0
5
10
White Black Hispanic AmericanIndian
Asian Total
Per
cent
age
State Nation
2009 NC PNSS Table 12C
* High birthweight > 4000 g.
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Prevalence of preterm delivery* by race and ethnicity
Prevalence of preterm delivery* by race and ethnicity
0
5
10
15
20
White Black Hispanic AmericanIndian
Asian Total
Per
cent
age
State Nation
2009 NC PNSS Table 12C
* Preterm: < 37 weeks gestation.
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Trends in the prevalence of low birthweight* by race and ethnicity
Trends in the prevalence of low birthweight* by race and ethnicity
0
5
10
15
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple Total
2009 NC PNSS Table 23C * < 2500 g.
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Trends in the prevalence of high birthweight* by race and ethnicity
Trends in the prevalence of high birthweight* by race and ethnicity
0
5
10
15
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple Total
2009 NC PNSS Table 23C * > 4000 g.
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Trends in the prevalence of preterm delivery* by race and ethnicity
Trends in the prevalence of preterm delivery* by race and ethnicity
0
5
10
15
20
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple Total
2009 NC PNSS Table 23C * < 37 weeks gestation.
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Percentage of infants ever breastfed* by race and ethnicity
Percentage of infants ever breastfed* by race and ethnicity
0102030405060708090
100
White Black Hispanic AmericanIndian
Asian Total
Pe
rce
nta
ge
State Nation
Year 2010 target**
2009 NC PNSS Table 12C
* Includes infants currently breastfeeding or ever breastfed as reported by mother at postpartum visit . ** Year 2010 Target: Increase the proportion of mothers who breastfeed their babies in the early postpartum period to 75%.
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Trends in the percentage of infants ever breastfed*by race and ethnicity
Trends in the percentage of infants ever breastfed*by race and ethnicity
0102030405060708090
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
Per
cent
age
White Black Hispanic American Indian Asian Multiple Total
2009 NC PNSS Table 23C
* Reported by mother at postpartum visit. Year 2010 target: increase the proportion of mothers who breastfeed their babies in the early postpartum period to 75%.
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MapsState Maps of County Data
MapsState Maps of County Data
2007-20092007-2009 Pregnancy NutritionSurveillance System
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Percentage of pregnancies among females aged ≤ 17 years, by county
Percentage of pregnancies among females aged ≤ 17 years, by county
2007-2009 NC PNSS Table 4B
0 - < 6
6 - < 8
8 - < 10
10 +
No Data
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Percentage of women enrolling in WIC during their first trimester, by county
Percentage of women enrolling in WIC during their first trimester, by county
2007-2009 NC PNSS Table 6B
0 - < 18
18 - < 32
32 - < 46
46 +
No Data
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Prevalence of prepregnancy underweight*, by county
Prevalence of prepregnancy underweight*, by county
* BMI < 18.5. 2007-2009 NC PNSS Table 5B
0 - < 3
3 - < 5
5 - < 7
7 +
No Data
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Prevalence of prepregnancy overweight*, by county
Prevalence of prepregnancy overweight*, by county
* BMI > 25.0. 2007-2009 NC PNSS Table 5B
0 - < 50
50 - < 55
55 - < 60
60 +
No Data
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* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds.
2007-2009 NC PNSS Table 5B
Prevalence of < ideal weight gain*, by county
Prevalence of < ideal weight gain*, by county
0 - < 18
18 - < 23
23 - < 28
28 +
No Data
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* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds. 2007-2009 NC PNSS Table 5B
Prevalence of > ideal weight gain*, by county
Prevalence of > ideal weight gain*, by county
0 - < 40
40 - < 46
46 - < 52
52 +
No Data
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2007-2009 NC PNSS Table 7B
Prevalence of smoking during the last 3 months of pregnancy, by county
Prevalence of smoking during the last 3 months of pregnancy, by county
0 - < 10
10 - < 18
18 - < 26
26 +
No Data
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Prevalence of low birthweight*, by county
Prevalence of low birthweight*, by county
* < 2500 grams. 2007-2009 NC PNSS Table 8B
0 - < 7
7 - < 9
9 - < 11
11 +
No Data
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Prevalence of high birthweight*, by county
Prevalence of high birthweight*, by county
* > 4000 grams. 2007-2009 NC PNSS Table 8B
0 - < 4
4 - < 6
6 - < 8
8 +
No Data
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* < 37 weeks gestation. 2007-2009 NC PNSS Table 8B
Prevalence of preterm delivery*, by county
Prevalence of preterm delivery*, by county
0 - < 11
11 - < 14
14 - < 17
17 +
No Data
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* Reported by mother at postpartum visit.. 2007-2009 NC PNSS Table 8B
Percentage of infants ever breastfed*, by county
Percentage of infants ever breastfed*, by county
0 - < 37
37 - < 59
59 - < 81
81 +
No Data