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Executive HighlightsIntroductionFindingsState RankingsSocial and Economic FactorsSuccessesChallengesState Rankings MeasuresBehaviors-WomenBehaviors-InfantsBehaviors-ChildrenCommunity & Environment-WomenCommunity & Environment-InfantsCommunity & Environment-ChildrenPolicy-WomenPolicy-InfantsPolicy-ChildrenClinical Care-WomenClinical Care-InfantsClinical Care-ChildrenOutcomes-WomenOutcomes-InfantsOutcomes-ChildrenSupplemental MeasuresState Summaries
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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
United StatesAppendixData Sources and Measures- WomenData Sources and Measures- InfantsData Sources and Measures- ChildrenData Sources and Measures- SupplementalThe Team
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingUnited StatesAppendixData Sources and Measures- WomenData Sources and Measures- InfantsData Sources and Measures- ChildrenData Sources and Measures- SupplementalThe TeamBehaviors
Breastfed
Percentage of infants exclusively breastfed for six months
Breastfeeding Report Card, 2015
Drinking Before Pregnancy
Percentage of women with a recent live birth who consumed alcohol during the three months before pregnancy
Pregnancy Risk Assessment Monitoring System or equivalent, 2017
Sleep Position
Percentage of women with a recent live birth who reported their infants are usually placed on their backs to sleep
Pregnancy Risk Assessment Monitoring System or equivalent, 2017
Tobacco Use During Pregnancy
Percentage of mothers who used tobacco during pregnancy
CDC WONDER Natality data, 2017
Community & Environment
Household Smoke
Percentage of children ages 0-17 who live in households in which someone uses cigarettes, cigars or pipe tobacco
National Survey of Children's Health, 2016-2017
Infant Child Care Cost
Average cost for center-based infant care as a percentage of married couple’s median income
Child Care Aware, The U.S. and the High Cost of Child Care: 2018
Policy
Baby-Friendly Facility
Percentage of live births occurring at facilities that adhere to 10 Steps to Successful Breastfeeding and are designated baby-friendly by Baby-Friendly USA
2018 Breastfeeding Report Card, 2018
mPINC*
Maternity Practices in Infant and Nutrition Care survey score based on seven birth facility policies and practices with higher scores denoting better maternity care policies and practices
2016 Breastfeeding Report Card, 2016
Clinical Care
Low-Risk Cesarean Delivery
Percentage of singleton, head first, term (37 or more completed weeks first births that were cesarean deliveries
CDC WONDER Natality data, 2017
Prenatal Care Before Third Trimester
Percentage of live births in which the mother began prenatal care between the First and sixth month of pregnancy
CDC WONDER Natality data, 2017
Well-Baby Check
Percentage of babies ages 0-2 who had a well-baby checkup in the past 12 months
National Survey of Children's Health, 2016-2017
Outcomes
Infant Mortality
Number of infant deaths (before age 1) per 1,000 live births
CDC WONDER Linked Birth/Infant Death data, 2015-2016
Low Birthweight
Percentage of infants weighing less than 2,500 grams (5 pounds, 8 ounces) at birth
CDC WONDER Natality data, 2017
Neonatal Mortality
Number of deaths during first 28 days of life (0-27 days) per 1,000 live births
CDC WONDER Mortality data, 2016-2017
Preterm Birth
Percentage of live births before 37 weeks gestation
CDC WONDER Natality data, 2017