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Executive SummaryIntroductionExplore the Health of Women, Children and InfantsFindingsThe Health of Women and Children between StatesThe Health of Women and Children within StatesHealthy Communities for ChildrenClinical Preventive Services for ChildrenRacial Disparities in Measures of MortalityVariations in SmokingMeasures of Women's HealthBehaviors | Measures of Women’s HealthCommunity & Environment | Measures of Women’s HealthPolicy | Measures of Women’s HealthClinical Care | Measures of Women’s HealthOutcomes | Measures of Women’s HealthMeasures of Infants' HealthBehaviors | Measures of Infants’ HealthCommunity & Environment | Measures of Infants’ HealthPolicy | Measures of Infants’ HealthClinical Care | Measures of Infants’ HealthOutcomes | Measures of Infants’ HealthMeasures of Children's HealthBehaviors | Measures of Children’s HealthCommunity & Environment | Measures of Children’s HealthPolicy | Measures of Children’s HealthClinical Care | Measures of Children’s HealthOutcomes | Measures of Children’s HealthState Summaries
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
United StatesAppendixData Sources and Measures of Women’s HealthData Sources and Measures of Infants’ HealthData Sources and Measures of Children’s HealthMethodologyModel DevelopmentAmerica’s Health Rankings® Health of Women and Children Steering GroupThe Team
Alcohol During Pregnancy
Prenatal exposure to alcohol increases the risk of miscarriage, stillbirth, and fetal alcohol spectrum disorders (FASDs). FASDs last a lifetime and manifest as physical birth defects, long-term impairments to cognitive function—both intellectual and behavioral—and other problems with organ function. FASDs are the most common preventable cause of intellectual disability in the United States and are completely preventable by avoiding alcohol during pregnancy. There is no known safe amount of alcohol or time to consume alcohol while pregnant. The US Surgeon General recommends pregnant women and sexually active women who do not use effective contraception abstain from drinking alcohol.
Percentage of pregnant women aged 18 to 44 who self-report having at least one alcoholic beverage in the past 30 days
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Data source: Behavioral Risk Factor Surveillance System, 2011-2014 For details: www.americashealthrankings.org/ALL/alcohol_pregnant
Breastfed
Breastfeeding provides infants with nutrition and immunologic protection, and decreases risk of infant mortality, childhood obesity, asthma, gastroenteritis, types 1 and 2 diabetes, sudden infant death syndrome, and childhood leukemia. Breastfeeding mothers are at decreased risk of type 2 diabetes, and breast and ovarian cancers. Exclusive breastfeeding is recommended for the first six months of a baby’s life. An estimated 74% of babies are ever breastfed and 18.8% of infants are breastfed exclusively for six months. Current suboptimal breastfeeding rates cost the US economy $8.7 billion per year.
Percentage of infants exclusively breastfed for six months
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Data source: CDC, Breastfeeding Report Card, 2014 For details: www.americashealthrankings.org/ALL/Breastfed
Sleep Position
An infant’s sleeping arrangement is the primary risk factor for sudden unexpected infant death (SUID). In the United States, SUID claims about 3,500 infants each year, and a prone (face-down) sleep position significantly increases the risk of SUID relative to a supine (face-up) position. The American Academy of Pediatrics recommends that infants be placed on their back for sleep until 12 months of age. Additional safe sleep recommendations include placing the infant to sleep on a firm sleep surface without soft objects, loose bedding, or other similar items and sharing a room with parents but not a bed.
Percentage of women with a recent birth who report their infants are usually placed on their backs to sleep
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Data source: Pregnancy Risk Assessment Monitoring System, 2012; Maternal and Infant Health Assessment, 2012 For details: www.americashealthrankings.org/ALL/sleep_position
Smoking During Pregnancy
The harmful effects of smoking extend beyond the smoker. Smoking during pregnancy increases the risk of preterm birth, low birthweight, miscarriage, and sudden infant death syndrome. Children exposed to secondhand smoke are at greater risk for respiratory infections and chronic respiratory conditions such as asthma. Pregnancy may serve as a major motivator to help women quit—an estimated 46% quit. Infants born to mothers who quit smoking during the first trimester are of comparable weight and height to those of non-smoking women. The majority of women who quit smoking during pregnancy relapse postpartum in spite of the harmful effects to children due to secondhand smoke exposure.
Percentage of pregnant women aged 18 to 44 who are self-reported smokers (smoked at least 100 cigarettes in their lifetime and currently smoke)
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Data source: Behavioral Risk Factor Surveillance System, 2011-2014 For details: www.americashealthrankings.org/ALL/smoking_pregnant_brfss