pregnancy nutrition surveillance system
TRANSCRIPT
2010
NATIONAL
Pregnancy Nutrition
Surveillance System
Contributors* of records
* Includes the District of Columbia, Puerto Rico, the Cheyenne River Sioux Tribe (SD), the Inter Tribal Council of Arizona,
and the Rosebud Sioux Tribe (SD).
– Contributor
– Non-contributor
Source of data
2010 National PNSS Table 1D * Special Supplemental Nutrition Program for Women, Infants and Children.
0 10 20 30 40 50 60 70 80 90 100
Nation
Percentage
WIC*
MaternalHealth
Other
Racial and ethnic distribution
2010 National PNSS Table 1D
0 10 20 30 40 50 60 70 80 90 100
Nation
Percentage
White
Black
Hispanic
American Indian
Asian
Multiple
Other
Trends in racial and ethnic distribution
0
20
40
60
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple
2010 National PNSS Table 14D
Age distribution
2010 National PNSS Table 1D
0 10 20 30 40 50 60 70 80 90 100
Nation
Percentage
<15 Years
15-17 Years
18-19 Years
20-29 years
30-39 Years
≥40 Years
Trends in age distribution
0
20
40
60
80
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Year
Perc
enta
ge
<15 Years 15-17 Years 18-19 Years20-29 Years 30-39 Years 40+ Years
2010 National PNSS Table 15D
Education level
2010 National PNSS Table 1D
0 10 20 30 40 50 60 70 80 90 100
Nation
Percentage
<High School
High School
>High School
Migrant status
2010 National PNSS Table 1D
0 10 20 30 40 50 60 70 80 90 100
Nation
Percentage
Yes
No
Household income reported as percent poverty level
2010 National PNSS Table 1D
0 10 20 30 40 50 60 70 80 90 100
Nation
Percentage
0-50
51-100
101-130
131-150
151-185
186-200
Over 200
Adj. Eligibility
Program participation at initial prenatal visit
0
25
50
75
100
WIC* SNAP** Medicaid TANF***
Perc
enta
ge
2010 National PNSS Table 1D
* Special Supplemental Nutrition Program for Women, Infants, and Children.
** Supplemental Nutrition Assistance Program.
*** Temporary Assistance for Needy Families.
Timing of WIC enrollment and medical care
0
15
30
45
60
75
90
1st
Trimester
2nd
Trimester
3rd
Trimester
Postpartum 1st Trimester No Care
Perc
enta
ge
2010 National PNSS Table 2D
WIC Enrollment Medical Care
Year
2010
target*
* Year 2010 target: 90% of pregnant women will enter into prenatal care during the first trimester.
Trends in WIC enrollment and medical care
0
15
30
45
60
75
90
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Year
Perc
enta
ge
Medical Care 1st Trimester No Medical Care 1st Trimester WIC Enrollment
2010 National PNSS Table 17D
Trends in first trimester WIC enrollment
by race and ethnicity
0
10
20
30
40
50
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple Total
2010 National PNSS Table 21D
Parity and interpregnancy interval
0
10
20
30
40
50
0 1 2 3 or More < 6
Months
6-18
Months
Perc
enta
ge
2010 National PNSS Table 2D
Parity Interpregnancy Interval
Prevalence of prepregnancy underweight
and overweight*
2010 National PNSS Table 2D
0
10
20
30
40
50
60
Perc
enta
ge
* Underweight (BMI < 19.8); overweight (BMI = 26.0-29.0); and obese (BMI > 29.0).
Underweight Normal Overweight (top) and
Obese
Prevalence of prepregnancy underweight* by race and ethnicity
0
5
10
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
2010 National PNSS Table 9D * BMI < 19.8.
Prevalence of prepregnancy overweight* by race and ethnicity
0
10
20
30
40
50
60
70
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
2010 National PNSS Table 9D * BMI > 26.0 (includes overweight and obese women).
Prevalence of less than ideal maternal
weight gain* by race and ethnicity
0
10
20
30
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
2010 National PNSS Table 9D
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight and obese = 15-25 pounds.
Prevalence of greater than ideal maternal
weight gain* by race and ethnicity
0
10
20
30
40
50
60
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
2010 National PNSS Table 9D
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight and obese = 15-25 pounds.
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
2010 National PNSS Table 2D
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight and obese = 15-25 pounds.
Maternal weight gain* by prepregnancy BMI**
0
10
20
30
40
50
60
Underweight Normal Overweight Obese
Prepregnancy BMI
Perc
enta
ge
< Ideal Weight Gain > Ideal Weight Gain
2010 National PNSS Table 13D
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35
pounds; prepregnancy overweight and obese = 15-25 pounds.
** Underweight (BMI < 19.8); overweight (BMI = 26.0-29.0); and obese (BMI > 29.0).
Trends in prevalence of prepregnancy
overweight and underweight*
0
20
40
60
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Year
Perc
enta
ge
Overweight Underweight
2010 National PNSS Table 16D
* Underweight (BMI < 19.8); overweight (BMI > 26.0; includes overweight and obese).
Trends in prevalence of less than ideal and
greater than ideal weight gain*
0
20
40
1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
Year
Perc
enta
ge
< Ideal Weight Gain > Ideal Weight Gain
2010 National PNSS Table 16D
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight and obese = 15-25 pounds.
Trends in the prevalence of less than ideal
maternal weight gain* by race and ethnicity
0
10
20
30
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Year
Perc
enta
ge
White Black Hispanic Amer Indian Asian Multiple Total
2010 National PNSS Table 20D
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight and obese = 15-25 pounds.
Trends in the prevalence of greater than ideal
maternal weight gain* by race and ethnicity
05
101520253035404550556065
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Year
Perc
enta
ge
White Black Hispanic Amer Indian Asian Multiple Total
2010 National PNSS Table 20D
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight and obese = 15-25 pounds.
Prevalence of anemia* by timing of program
enrollment
0
10
20
30
40
1st Trimester 2nd Trimester 3rd Trimester Postpartum
Perc
enta
ge
2010 National PNSS Table 2D * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.
Prevalence of third-trimester anemia* by race and ethnicity
0
10
20
30
40
50
60
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
2010 National PNSS Table 9D * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.
Prevalence of postpartum anemia* by race and ethnicity
0
10
20
30
40
50
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
2010 National PNSS Table 9D * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.
Trends in prevalence of third trimester
anemia* by race and ethnicity
0
20
40
60
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Year
Perc
enta
ge
White Black Hispanic Amer Indian Asian Multiple Total
2010 National PNSS Table 20D * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.
Trends in the prevalence of postpartum
anemia* by race and ethnicity
0
20
40
60
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Year
Perc
enta
ge
White Black Hispanic Amer Indian Asian Multiple Total
2010 National PNSS Table 20D * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.
Prevalence of smoking and smoking in the
household by pregnancy status
0
5
10
15
20
25
3 Mos Prior to
Pregnancy
During
Pregnancy
Last 3 Mos of
Pregnancy
Postpartum During
Pregnancy
Postpartum
Perc
enta
ge
2010 National PNSS Table 2D
Smoking Smoking in the
Household
Year 2010 target: 99% of pregnant women report no smoking in the past month.
Smoking changes during pregnancy among 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 and
Stayed Off Cigarettes
Pe
rce
nta
ge
2010 National PNSS Table 2D
Trends in prevalence of smoking during the last
3 months of pregnancy
by race and ethnicity
0
10
20
30
40
50
60
70
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple Total
2010 National PNSS Table 22D
Trends in the prevalence of smoking in the
household* by race and ethnicity
0
10
20
30
40
50
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple Total
2010 National PNSS Table 22D * During the prenatal period.
Prevalence of maternal drinking
0
5
10
3 Months Prior to Pregnancy Last 3 Months of Pregnancy
Perc
enta
ge
2010 National PNSS Table 2D Year 2010 Target: 6% or less of pregnant women report use of alcohol in the previous month.
Prevalence of medical conditions during
pregnancy*
0
5
10
Diabetes Hypertension
Perc
enta
ge
2010 National PNSS Table 2D
* Woman reports being told by doctor she had diabetes prior to and/or during pregnancy.
Woman reports being told by doctor she had hypertension prior to and/or during pregnancy.
Incidence of gestational diabetes* by race and ethnicity
0
5
10
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
2010 National PNSS Table 9D * Includes diabetes mellitus and gestational diabetes.
Prevalence of hypertension during pregnancy* by race and ethnicity
0
5
10
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
2010 National PNSS Table 9D * Includes chronic hypertension and pregnancy-induced hypertension.
Prevalence of multivitamin use prior to and
during pregnancy*
0
20
40
60
80
100
Prepregnancy Use During Pregnancy
Perc
enta
ge
2010 National PNSS Table 2D
* Multivitamin use prior to pregnancy is a proxy for folic acid consumption. Multivitamin use during pregnancy is a
proxy for iron consumption. Year 2010 Target: Increase to 80% the number of women of childbearing age who take in
400 mcg. of folic acid each day.
Prevalence of multivitamin use prior to
pregnancy* by race and ethnicity
0
10
20
30
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
2010 National PNSS Table 10D
* Multivitamin use prior to pregnancy is a proxy for folic acid consumption. Year 2010 Target: Increase to
80% the number of women of childbearing age who take in 400 mcg. of folic acid each day.
Prevalence of multivitamin use during
pregnancy* by race and ethnicity
0
10
20
30
40
50
60
70
80
90
100
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
2010 National PNSS Table 10D * Multivitamin use during pregnancy is a proxy for iron consumption.
Prevalence of low birthweight and high
birthweight *
2010 National PNSS Table 2D
* 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.
0
5
10
Pe
rcen
tag
e
LBW (top) and HBW
VLBW
Prevalence of selected birth outcomes*
0
5
10
15
Preterm Full Term Low
Birthweight
Multiple Births
Pe
rce
nta
ge
2010 National PNSS Table 2D * Preterm: < 37 weeks gestation. Full term low birthweight: 37 or more weeks and < 2500 g.
Prevalence of low birthweight* by race and ethnicity
0
5
10
15
20
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
2010 National PNSS Table 12D * Low birthweight includes VLBW < 1500 g and LBW = 1500-<2500 g. ** Year 2010 target: Reduce low birthweight to < 5.0 percent.
Year
2010
target**
Prevalence of low birthweight* by selected health indicators
0
5
10
15
20
Prepregnancy BMI Weight Gain Smoking During
Pregnancy
Perc
enta
ge
2010 National PNSS Table 13D * 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
2010
target**
Prevalence of high birthweight* by race and ethnicity
0
5
10
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
2010 National PNSS Table 12D * High birthweight > 4000 g.
Prevalence of preterm delivery*
by race and ethnicity
0
5
10
15
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
2010 National PNSS Table 12D * Preterm: < 37 weeks gestation.
Trends in the prevalence of low birthweight* by race and ethnicity
0
5
10
15
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple Total
2010 National PNSS Table 23D * < 2500 g.
Trends in the prevalence of high birthweight* by race and ethnicity
0
5
10
15
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple Total
2010 National PNSS Table 23D * > 4000 g.
Trends in the prevalence of preterm delivery* by race and ethnicity
0
5
10
15
20
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple Total
2010 National PNSS Table 23D * < 37 weeks gestation.
Percentage of infants ever breastfed*
by race and ethnicity
0
10
20
30
40
50
60
70
80
90
100
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
Year
2010
target**
2010 National PNSS Table 12D
* 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%.
Trends in the percentage of infants ever
breastfed* by race and ethnicity
0102030405060708090
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple Total
2010 National PNSS Table 23D * 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%.
Maps
National Maps of State Data
2010 Pregnancy Nutrition
Surveillance System
Percentage of pregnancies among females
aged ≤ 17 years, by state
2010 National PNSS Table 4D
CR Sioux
DC
ITCA
P Rico
R Sioux
0 - < 3
3 - < 5
5 - < 7
7 +
No Data
Percentage of women enrolling in WIC during
their first trimester, by state
2010 National PNSS Table 6D
CR Sioux
DC
ITCA
P Rico
R Sioux
0 - < 26
26 - < 37
37 - < 48
48 +
No Data
Prevalence of prepregnancy underweight*, by state
* BMI < 19.8. 2010 National PNSS Table 5D
CR Sioux
DC
ITCA
P Rico
R Sioux
0 - < 3
3 - < 4
4 - < 5
5 +
No Data
Prevalence of prepregnancy overweight*, by state
* BMI > 26.0. 2010 National PNSS Table 5D
CR Sioux
DC
ITCA
P Rico
R Sioux
0 - < 51
51 - < 54
54 - < 57
57 +
No Data
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight and obese = 15-25 pounds. 2010 National PNSS Table 5D
Prevalence of < ideal weight gain*, by state
CR Sioux
DC
ITCA
P Rico
R Sioux
0 - < 17
17 - < 20
20 - < 23
23 +
No Data
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight and obese = 15-25 pounds. 2010 National PNSS Table 5D
Prevalence of > ideal weight gain*, by state
CR Sioux
DC
ITCA
P Rico
R Sioux
0 - < 45
45 - < 50
50 - < 55
55 +
No Data
2010 National PNSS Table 7D
Prevalence of smoking during the last 3 months
of pregnancy, by state
CR Sioux
DC
ITCA
P Rico
R Sioux
0 - < 4
4 - < 15
15 - < 26
26 +
No Data
2010 National PNSS Table 5D
Incidence of gestational diabetes*,
by state
CR Sioux
DC
ITCA
P Rico
R Sioux
* Postpartum woman reports being told by doctor she had gestational diabetes during her most recent pregnancy.
0 - < 3
3 - < 6
6 - < 9
9 +
No Data
2010 National PNSS Table 5D
Prevalence of hypertension during pregnancy*,
by state
CR Sioux
DC
ITCA
P Rico
R Sioux
* Postpartum woman reports being told by doctor she had hypertension during her most recent pregnancy.
0 - < 2
2 - < 8
8 - < 14
14 +
No Data
2010 National PNSS Table 6D
Prevalence of multivitamin use prior to
pregnancy*, by state
CR Sioux
DC
ITCA
P Rico
R Sioux
* Multivitamin use prior to pregnancy is a proxy for folic acid consumption.
0 - < 11
11 - < 18
18 - < 25
25 +
No Data
2010 National PNSS Table 6D
Prevalence of multivitamin use during
pregnancy*, by state
CR Sioux
DC
ITCA
P Rico
R Sioux
* Multivitamin use during pregnancy is a proxy for iron consumption.
0 - < 70
70 - < 84
84 - < 98
98 +
No Data
Prevalence of low birthweight*, by state
* < 2500 grams. 2010 National PNSS Table 8D
CR Sioux
DC
ITCA
P Rico
R Sioux
0 - < 7
7 - < 8
8 - < 9
9 +
No Data
Prevalence of high birthweight*, by state
* > 4000 grams. 2010 National PNSS Table 8D
CR Sioux
DC
ITCA
P Rico
R Sioux
0 - < 5
5 - < 7
7 - < 9
9 +
No Data
* < 37 weeks gestation. 2010 National PNSS Table 8D
Prevalence of preterm delivery*, by state
CR Sioux
DC
ITCA
P Rico
R Sioux
0 - < 8
8 - < 11
11 - < 14
14 +
No Data
* Reported by mother at postpartum visit.. 2010 National PNSS Table 8D
Percentage of infants ever breastfed*, by state
CR Sioux
DC
ITCA
P Rico
R Sioux
0 - < 54
54 - < 70
70 - < 86
86 +
No Data