[By place of residence]
Pregnancy Risk 
Factors 
Obstetric Procedures
Onset of Labor
Characteristics of 
Labor and Delivery
Abnormal Conditions 
of the Newborn
Congenital Anomalies
Total of reporting areas 
1.4
1.8
1.8
1.3
1.7
1.8
Alabama
---
---
---
---
---
---
Alaska
---
---
---
---
---
---
Arizona
---
---
---
---
---
---
Arkansas
---
---
---
---
---
---
California
0.1
0.1
0.1
0.1
0.1
0.1
Colorado
0.1
0.1
0.1
0.1
0.1
0.1
Connecticut
---
---
---
---
---
---
Delaware
2.0
2.0
2.0
2.0
2.0
2.0
District of Columbia
---
---
---
---
---
---
Florida  
0.5
0.5
0.6
0.3
0.3
0.6
Georgia
11.5
18.3
16.3
10.4
12.6
12.7
Hawaii 
---
---
---
---
---
---
Idaho 
1.4
1.4
1.4
1.4
1.4
1.4
Illinois
---
---
---
---
---
---
Indiana
0.6
0.6
0.6
0.6
0.6
0.6
Iowa
1.5
1.5
1.5
1.5
1.5
1.5
Kansas
3.3
3.3
3.3
3.3
3.3
3.3
Kentucky 
1.0
1.0
1.1
0.7
0.8
0.8
Louisiana
---
---
---
---
---
---
Maine
---
---
---
---
---
---
Maryland
---
---
---
---
---
---
Massachusetts
---
---
---
---
---
---
Michigan 
1.1
1.4
1.4
0.5
2.5
3.2
Minnesota 
---
---
---
---
---
---
Mississippi
---
---
---
---
---
---
Missouri
---
---
---
---
---
---
Montana
2.3
4.0
5.5
0.9
2.3
1.4
Nebraska
0.1
0.1
0.1
0.1
0.1
0.1
Nevada
---
---
---
---
---
---
New Hampshire  
8.7
9.4
10.6
9.1
13.6
14.2
New Jersey
---
---
---
---
---
---
New Mexico
0.4
2.4
4.1
0.4
2.2
0.4
New York (excluding NYC)
2.0
2.8
3.4
1.7
3.6
4.1
New York City
0.4
0.8
0.4
0.6
0.5
1.3
North Carolina
---
---
---
---
---
---
North Dakota
1.9
1.9
1.9
1.9
1.9
1.9
Ohio 
2.1
1.1
1.1
1.6
2.2
3.2
Oklahoma
---
---
---
---
---
---
Oregon
0.1
0.1
0.1
0.6
0.1
0.1
Pennsylvania 
1.6
1.6
1.6
1.6
1.6
1.7
Rhode Island
---
---
---
---
---
---
South Carolina
3.0
3.1
3.0
2.9
3.0
3.0
South Dakota
0.9
1.0
1.0
0.8
0.8
0.6
Tennessee 
0.5
0.5
0.5
0.5
0.5
0.5
Texas
0.2
0.2
0.2
0.2
0.2
0.2
Utah 
---
---
---
---
---
---
Vermont 
0.9
1.0
1.0
0.8
1.0
1.2
Virginia
---
---
---
---
---
---
Washington 
1.1
1.7
1.8
1.0
1.8
2.3
West Virginia
---
---
---
---
---
---
Wisconsin
---
---
---
---
---
---
Wyoming
2.9
2.9
2.9
2.8
2.9
2.9
Puerto Rico
0.0
0.0
0.0
0.0
0.0
0.0
Virgin Islands
---
---
---
---
---
---
Guam
---
---
---
---
---
---
American Samoa
---
---
---
---
---
---
Northern Marianas
---
---
---
---
---
---
See footnotes at end of table.
Area
Items exclusive to the 2003 US. Standard Certificate of Live Birth 3
Table B. Percent of birth records on which specified items were not stated: United States and each state and territory, New York City and the District of Columbia, 2008 -- Con.
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[By place of residence]
Attempted forceps
Attempted vacuum
Fetal presentation
Final route and 
method of delivery
Trial of labor
Total of reporting areas 
4.0
3.9
4.5
0.8
1.6
Alabama
---
---
---
---
---
Alaska
---
---
---
---
---
Arizona
---
---
---
---
---
Arkansas
---
---
---
---
---
California
8.5
8.2
9.0
0.1
0.1
Colorado
0.1
0.1
0.1
0.1
0.6
Connecticut
---
---
---
---
---
Delaware
2.0
2.0
2.0
2.0
2.1
District of Columbia
---
---
---
---
---
Florida  
0.7
0.7
1.3
0.2
1.4
Georgia
15.5
15.4
21.5
1.6
9.9
Hawaii 
---
---
---
---
---
Idaho 
1.5
1.6
1.4
1.3
1.4
Illinois
---
---
---
---
---
Indiana
1.6
1.6
1.8
0.7
1.4
Iowa
1.5
1.5
1.5
1.5
1.5
Kansas
3.3
3.3
3.3
3.3
3.3
Kentucky 
0.6
0.7
1.0
0.7
0.7
Louisiana
---
---
---
---
---
Maine
---
---
---
---
---
Maryland
---
---
---
---
---
Massachusetts
---
---
---
---
---
Michigan 
0.8
0.7
1.9
0.3
0.9
Minnesota 
---
---
---
---
---
Mississippi
---
---
---
---
---
Missouri
---
---
---
---
---
Montana
0.1
0.1
0.1
0.1
0.1
Nebraska
0.1
0.1
0.1
0.1
0.1
Nevada
---
---
---
---
---
New Hampshire  
8.7
8.7
8.7
8.7
8.7
New Jersey
---
---
---
---
---
New Mexico
1.8
1.7
7.3
0.5
0.8
New York (excluding NYC)
4.8
4.8
2.3
2.2
2.3
New York City
3.0
3.7
1.1
0.7
0.8
North Carolina
---
---
---
---
---
North Dakota
2.1
2.1
2.1
1.9
1.9
Ohio 
1.3
1.3
3.2
1.2
1.2
Oklahoma
---
---
---
---
---
Oregon
4.8
4.6
1.4
0.1
0.2
Pennsylvania 
1.7
1.7
1.7
1.7
4.4
Rhode Island
---
---
---
---
---
South Carolina
3.0
3.0
3.0
3.0
3.1
South Dakota
0.6
0.6
0.6
0.6
0.6
Tennessee 
0.5
0.5
0.5
0.5
0.5
Texas
2.4
2.5
3.3
0.2
1.1
Utah 
---
---
---
---
---
Vermont 
0.9
0.9
0.7
0.7
0.7
Virginia
---
---
---
---
---
Washington 
1.0
1.0
1.1
0.0
0.1
West Virginia
---
---
---
---
---
Wisconsin
---
---
---
---
---
Wyoming
2.9
2.9
2.9
2.8
3.9
Puerto Rico
2.5
2.5
0.0
0.0
8.4
Virgin Islands
---
---
---
---
---
Guam
---
---
---
---
---
American Samoa
---
---
---
---
---
Northern Marianas
---
---
---
---
---
See footnotes at end of table.
Table B. Percent of birth records on which specified items were not stated: United States and each state and territory, New York City and the District of Columbia, 2008 -- Con.
Area
Items exclusive to the 2003 US. Standard Certificate of Live Birth  3
Method of Delivery
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0.0 Quantity more than zero but less than 0.05.
---Data not available.
 Quantity zero.
1
Excludes data for Puerto Rico, Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Marianas.
2
Data are for states using the 1989 Standard Certificate of Live Birth.  Births to residents of states using the 1989 Standard Certificate of Live Birth 
occurring in states using the 2003 Standard Certificate of Live Birth are coded as not stated for this item.  See "Technical Notes."
Data are for states using the 2003 Standard Certificate of Live Birth.  Births to residents of states using the 2003 Standard Certificate of Live Birth 
occurring in states using the 1989 Standard Certificate of Live Birth are coded as not stated for this item.  See "Technical Notes."
4
Not stated levels for states which implemented the 2003 U.S. Standard Certificate of Live Birth are derived from the item "Final route and method of delivery" only.    
5  The Florida and Michigan tobacco use item is not consistent with the tobacco use items on either the 1989 or 2003 U.S Standard Certificates of Live Birth.
6  Reliable data on tobacco use not available for Georgia for 2008.
7  The Commonwealth of the Northern Marianas reports tobacco use but does not report the average number of cigarettes smoked per day.
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Characteristic of mother
27 states
1
United States
Race/Hispanic origin of mother
Non-Hispanic white
2
51.30
53.81
**
Non-Hispanic black
2
13.26
14.78
**
Hispanic
3
28.93
24.70
**
Mexican
19.46
16.25
**
Puerto Rican
1.60
1.64
**
Cuban
0.54
0.40
**
Central or South American
3.61
3.69
**
Other and Unknown Hispanic
3.73
2.73
**
American Indian or Alaska Native 
4
0.88
1.17 **
Asian or Pacific Islander
6.09
5.96 **
Unmarried Women
41.07
40.65 **
Age of Mother
<20 years
10.52
10.37 **
20-24 years
24.92
24.77 **
25-29 years
28.01
28.15 **
30-34 years
22.31
22.52 **
35-39 years
11.52
11.51
40-54 years
2.71
2.67 **
Characteristic of Infant/Delivery
Very preterm
5
1.94
1.99
**
Preterm
6
12.16
12.33
**
Very low birthweight
7
1.42
1.46
**
Low birthweight
8
8.05
8.19
**
4,000 grams or more
9
7.61
7.63
Multiple births
10,11
33.24
34.12 **
** Difference significant at p = 0.05.
3
Includes persons of Hispanic origin of any race.
4
Includes births to Aleuts and Eskimos.
5
Born prior to 32 completed weeks of gestation.
6
Born prior to 37 completed weeks of gestation.
7
Birthweight of less than 1,500 grams (3 lb 4 oz)
8
Birthweight of less than 2,500 grams (5 lb 8 oz).
9
Equivalent to 8 lb 14 oz.
10
Includes births in twin, triplet, and higher order multiple deliveries.
11
The number of live births in multiple deliveries per 1,000 live births.
Table C. Percentage of live births by selected demographic and health 
characteristics: United States and total of 27 revised states, 2008 
1
California, Colorado, Delaware, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Michigan, Montana, Nebraska, New 
Hampshire, New Mexico, New York, North Dakota, Ohio, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, 
Texas, Vermont, Washington, and Wyoming.
2
Race and Hispanic origin are reported separately on birth certificates. Race categories are consistent with the 1977 Office of 
Management and Budget (OMB) standards. All states in the 22-state reporting area reported multiple-race data for 2007. The 
multiple-race data for these were bridged to the single-race categories of the 1977 OMB standards for comparability with other 
states; see "Technical Notes."
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Item on 2003 U.S. Standard Certificate of Live Birth
Comparable
Not comparable
New
Race - Mother/Father 
X
1
Hispanic origin - Mother/Father
X
Education - Mother/Father
X
Cigarette smoking during pregnancy
X
Month prenatal care began
X
Risk factors in this pregnancy
Diabetes, Prepregnancy (Diagnosis prior to this pregnancy)
X
2
Diabetes, Gestational (Diagnosis in this pregnancy)
X
2
Hypertension, Prepregnancy (chronic)
X
Hypertension, Gestational (PIH, preeclampsia)
X
Hypertension, Eclampsia
X
Previous preterm birth
X
Other previous poor pregnancy outcome
X
Mother had previous cesarean delivery
X
Obstetric Procedures
Cervical cerclage
X
Tocolysis
X
External cephalic version - Successful 
X
External cephalic version - Failed 
X
Onset of Labor
Premature rupture>=12 hrs
X
Precipitous labor<3 hrs
X
Prolonged labor>=20 hours
X
Characteristics of Labor/Delivery
Induction of labor 
X
Augmentation of labor
X
Non-vertex presentation
X
Steroids (glucocorticoids) for fetal lung maturation
X
Antibiotics received by the mother during labor
X
Clinical chorioamnionitis diagnosed during labor
X
Moderate/heavy meconium staining of the amniotic fluid
X
Fetal intolerance of labor 
X
Epidural or spinal anesthesia during labor
X
Method of Delivery
Forceps delivery attempted but unsuccessful?
X
Vacuum extraction delivery attempted but unsuccessful?
X
Cephalic  Presentation
X
Breech Presentation
3
Other presentation
3
Final route and method of delivery Vaginal/Spontaneous
X
4
Final route and method of delivery Vaginal/Forceps 
X
4
Final route and method of delivery Vaginal/Vacuum 
X
4
Final route and method of delivery Cesarean
X
5
If cesarean, was trial of labor attempted?
X
NEWBORN INFORMATION
Birthweight
X
Table D. Comparability of selected data items from the 2003 U.S. Standard Certificate of Live 
Birth with items from the 1989 U.S. Standard Certificate of Live Birth
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Apgar Score - 5 minute
X
Plurality
X
Abnormal Conditions of the Newborn
Assisted ventilation required immediately following delivery
X
Assisted ventilation > 6 hours
X
NICU admission 
X
Newborn given surfactant replacement therapy
X
Antibiotics received by the newborn for suspected neonatal sepsis
X
Seizure or serious neurologic dysfunction
X
Significant birth injury
X
Congenital Anomalies
Anencephaly
X
Meningomyelolcele/Spina Bifida
X
Cyanotic congenital heart disease
X
Congenital diaphragmatic hernia
X
Omphalocele
X
6
Gastroschisis
X
6
Limb reduction defect 
X
Cleft lip with or without Cleft palate
X
7
Cleft Palate alone
X
7
Down Syndrome
X
Infant Living at time of report
Infant being breastfed?
Down Syndrome - karyotype confirmed 
X
Down Syndrome - karyotype pending
X
Suspected chromosomal disorder
X
Suspected chromosomal disorder - karyotype confirmed 
X
Suspected chromosomal disorder - karyotype pending 
X
Hypospadias
X
4
Information on whether the vaginal delivery following a previous cesarean delivery (VBAC) is not comparable.
Cleft lip with or without palate may be combined with Cleft lip alone to be consistent with the Cleft lip/palate item on the 1989 
U.S. Standard Certificate of Live Birth.
1
Thirty states reported multiple race data in 2008. The multiple-race data for these states are bridged to the single race 
categories of the 1977 OMB standards for comparability with other states; See Detailed Technical Notes.
2
Prepregnancy diabetes and Gestational diabetes may be combined to be consistent with the Diabetes item reported on the 
1989 U.S. Standard Certificate of Live Birth.
3
"Breech" and "Other" fetal presentations at birth may be combined to be consistent with the Breech/malpresentation item on 
the 1989 U.S. Standard Certificate of Live Birth.
5
Information on whether the delivery was a primary or repeat cesarean is not comparable. 
6
"Omphalocele" and "Gastroschisis may be combined to be consistent with the Omphalocele/Gastroschisis item on the 1989 
U.S. Standard Certificate of Live Birth.
Page 1 of 3 
Table E. Sources for the resident population and population including Armed Forces 
abroad: Birth and death-registration states, 1900-1932, and United States, 1900-2008  
[2008] National Center for Health Statistics. Postcensal estimates of the resident population 
of the United States for July 1, 2000-July 1, 2008, by year, county, age, bridged race, 
Hispanic origin, and sex (Vintage 2008). Prepared under a collaborative arrangement with the 
U.S. Census Bureau; released May 14, 2009. Available from: 
http://www.cdc.gov/nchs/nvss/bridged_race/data_documentation.htm#vintage2008
September 2, 2009. 
[2008] US Census Bureau. Monthly postcensal resident population plus Armed Forces 
overseas, by single year of age, sex, race, and Hispanic origin. Available at: 
http://www.census.gov/popest/national/asrh/2007-nat-af.html
[2007] National Center for Health Statistics. Postcensal estimates of the resident population 
of the United States for July 1, 2000-July 1, 2007, by year, county, age, bridged race, 
Hispanic origin, and sex (Vintage 2007). Prepared under a collaborative arrangement with the 
U.S. Census Bureau; released August 7, 2008. Available from: 
http://www.cdc.gov/nchs/nvss/bridged_race/data_documentation.htm#vintage2007
September 5, 2008. 
[2007] US Census Bureau. Monthly postcensal resident population plus Armed Forces 
overseas, by single year of age, sex, race, and Hispanic origin. Available at: 
http://www.census.gov/popest/national/asrh/2007-nat-af.html
[2006] National Center for Health Statistics. Postcensal estimates of the resident population 
of the United States for July 1, 2000-July 1, 2006, by year, county, age, bridged race, 
Hispanic origin, and sex (Vintage 2006). Prepared under a collaborative arrangement with the 
U.S. Census Bureau. Available on the Internet from: 
http://www.cdc.gov/nchs/nvss/bridged_race/data_documentation.htm#vintage2006
August 
16, 2007. 
[2006] US Census Bureau. Monthly postcensal resident population plus Armed Forces 
overseas, by single year of age, sex, race, and Hispanic origin. Available at: 
http://www.census.gov/popest/national/asrh/2006_nat_af.html
[2005] National Center for Health Statistics.  Estimates of the July 1, 2000-July 1, 2005, 
United States resident population from the Vintage 2005 postcensal series by year, 
county, age, sex, race, and Hispanic origin, prepared under a collaborative arrangement 
with the U.S. Census Bureau. Available on the Internet from: 
http://www.cdc.gov/nchs/nvss/bridged_race/data_documentation.htm#vintage2005
.  
August 16, 2006. 
[2005] US Census Bureau. Monthly postcensal resident population plus Armed Forces 
overseas, by single year of age, sex, race, and Hispanic origin. Available at: 
http://www.census.gov/popest/national/asrh/2005_nat_af.html
Page 2 of 3 
[2004] 
National Center for Health Statistics.  Estimates of the July 1, 2000-July 1, 2004 , 
United States resident population from the Vintage 2004 postcensal series by year,  
county, age, sex, race, and Hispanic origin, prepared under a collaborative arrangement 
with the U.S. Census Bureau. Available on the Internet at: 
http://www.cdc.gov/nchs/nvss/bridged_race/data_documentation.htm#vintage2004
.  
September 9, 2005. 
[2004] US Census Bureau. Monthly postcensal resident population plus Armed Forces 
overseas, by single year of age, sex, race, and Hispanic origin. Available at: 
http://www.census.gov/popest/national/asrh/2004_nat_af.html
[2003] National Center for Health Statistics.  Estimates of the July 1, 2000-July 1, 2003 , 
United States resident population from the Vintage 2003 postcensal series by year,  
county, age, sex, race, and Hispanic origin, prepared under a collaborative arrangement 
with the U.S. Census Bureau. Available on the Internet at: 
http://www.cdc.gov/nchs/nvss/bridged_race/data_documentation.htm#vintage2003
.  
September 14, 2004. 
[2002] National Center for Health Statistics.  Estimates of the July 1, 2000-July 1, 2002 , 
United States resident population from the Vintage 2002 postcensal series by year,  
county, age, sex, race, and Hispanic origin, prepared under a collaborative arrangement 
with the U.S. Census Bureau. Available on the Internet at: 
http://www.cdc.gov/nchs/nvss/bridged_race/data_documentation.htm#vintage2002
.  
August, 1, 2003. 
[2001] National Center for Health Statistics.  Estimates of the July 1, 2000 and July 1, 
2001 , United States resident population from the Vintage 2001 postcensal series by year, 
age, sex, race, and Hispanic origin, prepared under a collaborative arrangement with the 
U.S. Census Bureau. Available on the Internet at: 
http://www.cdc.gov/nchs/nvss/bridged_race/data_documentation.htm#vintage2001
January 12, 2003. 
[2000] National Center for Health Statistics.  Estimates of the April 1, 2000, United 
States resident population by age, sex, race, and Hispanic origin, prepared under a 
collaborative arrangement with the U.S. Census Bureau. Available on the Internet at: 
http://www.cdc.gov/nchs/nvss/bridged_race/data_documentation.htm#april2000
. 2003. 
[1999] National Center for Health Statistics.  Intercensal estimates of the July 1,  
1999, United States resident population by state and county, age, sex, bridged  
race, and Hispanic origin, prepared under a collaborative arrangement with the 
U.S. Census Bureau. File icen1999.txt. Internet released, April 15, 2003.  
Available at: http://www.cdc.gov/nchs/nvss/bridged_race.htm
[1998] National Center for Health Statistics.  Intercensal estimates of the July 1,  
1998, United States resident population by state and county, age, sex, bridged  
race, and Hispanic origin, prepared under a collaborative arrangement with the  
U.S. Census Bureau. File icen1998.txt. Internet released, April 15, 2003.  
Page 3 of 3 
Available at: http://www.cdc.gov/nchs/nvss/bridged_race.htm
[1997] National Center for Health Statistics.  Intercensal estimates of the July 1,  
1997, United States resident population by state and county, age, sex, bridged  
race, and Hispanic origin, prepared under a collaborative arrangement with the  
U.S. Census Bureau. File icen1997.txt. Internet released, April 15, 2003.  
Available at: http://www.cdc.gov/nchs/nvss/bridged_race.htm
[1996] National Center for Health Statistics.  Intercensal estimates of the July 1,  
1996, United States resident population by state and county, age, sex, bridged  
race, and Hispanic origin, prepared under a collaborative arrangement with the 
U.S. Census Bureau. File icen1996.txt. Internet released, April 15, 2003.  
Available at: http://www.cdc.gov/nchs/nvss/bridged_race.htm
[1995] National Center for Health Statistics.  Intercensal estimates of the July 1,  
1995, United States resident population by state and county, age, sex, bridged  
race, and Hispanic origin, prepared under a collaborative arrangement with the  
U.S. Census Bureau. File icen1995.txt. Internet released, April 15, 2003.  
Available at: http://www.cdc.gov/nchs/nvss/bridged_race.htm
[1994] National Center for Health Statistics.  Intercensal estimates of the July 1,  
1994, United  States resident population by state and county, age, sex, bridged 
race, and Hispanic origin, prepared under a collaborative arrangement with the  
U.S. Census Bureau. File icen1994.txt. Internet released, April 15, 2003.  
Available at: http://www.cdc.gov/nchs/nvss/bridged_race.htm
  
[1993] National Center for Health Statistics.  Intercensal estimates of the July 1,  
1993, United States resident population state and county, by age, sex, bridged  
race, and Hispanic origin, prepared under a collaborative arrangement with the 
U.S. Census Bureau. File icen1993.txt. Internet released, April 15, 2003.  
Available at: http://www.cdc.gov/nchs/nvss/bridged_race.htm
[1992] National Center for Health Statistics.  Intercensal estimates of the July 1,  
1992, United States resident population by state and county, age, sex, bridged  
race, and Hispanic origin, prepared under a collaborative arrangement with the  
U.S. Census Bureau. File icen1992.txt. Internet released, April 15, 2003.  
Available at: http://www.cdc.gov/nchs/nvss/bridged_race.htm
[1991] National Center for Health Statistics.  Intercensal estimates of the July 1,  
1991, United States resident population by state and county, age, sex, bridged  
race, and Hispanic origin, prepared under a collaborative arrangement with the  
U.S. Census Bureau. File icen1991.txt. Internet released, April 15, 2003.  
Available at: http://www.cdc.gov/nchs/nvss/bridged_race.htm
Table F. Percentage net under/over 
er 
count, by age, sex, and race/Hispanic 
origin: United States, April 1, 2000 
Characteristic 
Estimate (%) 
Total  
-0.49  
Age/sex  
10–17 Male and female  
-1.32  
18–29 Male  
1.12  
18–29 Female  
-1.39  
30–49 Male  
2.01  
30–49 Female  
-0.60  
50 years and over male  
-0.80  
50 years and over female  
-2.53  
Race/Hispanic origin  
Non-Hispanic white  
-1.13  
Non-Hispanic black  
1.84  
Hispanic  
0.71  
SOURCE: Fenstermaker D, Haines D. Summary of estimated net coverage. DSSD 
A.C.E. Revision II Memorandum Series #PP-54. Washington: U.S. Census Bureau. 2002.  
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