Pregnancy Nutrition Surveillance System

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


Age distribution


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


Education level


0 10 20 30 40 50 60 70 80 90 100

Nation

Percentage

<High School

High School

>High School

Migrant status


0 10 20 30 40 50 60 70 80 90 100

Nation

Percentage

Yes

No

Household income reported as percent poverty level


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


* 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


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


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


Parity and interpregnancy interval

0

10

20

30

40

50

0 1 2 3 or More < 6

Months

6-18

Months

Perc

enta

ge


Parity Interpregnancy Interval

Prevalence of prepregnancy underweight

and overweight*


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


Indian


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


Indian


Perc

enta

ge


* 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


Indian


Perc

enta

ge




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




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


* 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


* 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




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




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





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


Indian


Perc

enta

ge


Prevalence of postpartum anemia* by race and ethnicity

0

10

20

30

40

50


Indian


Perc

enta

ge


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



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



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


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


Trends in prevalence of smoking during the last

3 months of pregnancy


0

10

20

30

40

50

60

70

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year

Perc

enta

ge



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


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


* 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


Indian


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


Indian


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


* 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


Indian


Perc

enta

ge


* 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


Indian


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 *


* 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


Indian


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


Indian


Perc

enta

ge

2010 National PNSS Table 12D * High birthweight > 4000 g.

Prevalence of preterm delivery*


0

5

10

15


Indian


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


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


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


2010 National PNSS Table 23D * < 37 weeks gestation.

Percentage of infants ever breastfed*


0

10

20

30

40

50

60

70

80

90

100


Indian


Perc

enta

ge

Year

2010

target**


* 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


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


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


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


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


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


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


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


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


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


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

Documents

Pregnancy Nutrition Surveillance System