Expanded health data from the new birth certificate, 2005.
OBJECTIVE
This report presents data for 2005 on checkbox items exclusive to the 2003 U.S. Standard Certificate of Live Birth. Information is shown for checkboxes in the following categories: Risk factors in this pregnancy, Obstetric procedures, Characteristics of labor and delivery, Method of delivery, Abnormal conditions of the newborn, and Congenital anomalies of the newborn. These categories are included on both the 1989 and the 2003 U.S. Standard Certificate of Live Birth; however, many of the specific checkbox items were modified, or are new to the 2003 certificate. Data on selected new checkbox items are presented in this report.


METHODS
Descriptive tabulations are presented on births occurring in 2005 to residents of the 12 states (Florida, Idaho, Kansas, Kentucky, Nebraska, New Hampshire, New York (excluding New York City), Pennsylvania, South Carolina, Tennessee, Texas, and Washington), which implemented the 2003 U.S. Standard Certificate of Live Birth as of January 1, 2005.


RESULTS
There were 1,268,502 births to residents of the 12-state area in 2005 (31 percent of all U.S. births). Gestational and prepregnancy diabetes were reported at rates of 39.3 and 6.9 per 1,000. Infants of women with diabetes, especially prepregnancy diabetes, were more likely to be high birthweight and to be admitted to a neonatal intensive care unit (NICU) than infants of women without diabetes. The rate of cervical cerclage was 3.7 per 1,000; this procedure was used more frequently in twin and higher order births than in singleton births. Almost all attempts at forceps or vacuum delivery (almost 99 percent) were successful. Almost one-third of all women who had a cesarean delivery had attempted a trial of labor. Antibiotics were given to 17 percent of women during labor. Steroids (glucocorticoids) for fetal lung maturation were received prior to delivery by 1 percent of all mothers. Surfactant replacement therapy was received by newborns at a rate of 3.7 per 1,000; rates were higher for infants delivered very preterm (less than 32 weeks of gestation). Large differences by race and Hispanic origin were seen for the receipt of steroids and for surfactant replacement therapy. More than 6 percent of all infants were admitted to a NICU. Nearly one-half of all singleton infants admitted to a NICU were delivered at term. Cyanotic congenital heart disease (56.9 per 100,000 infants) and hypospadias (126.2 per 100,000 male births only) were among the most frequently reported congenital anomalies.
Menacker
Fay
F
Division of Vital Statistics, Centers for Disease Control and Prevention, National Center for Health Statistics, Hyattsville, MD 20782, USA.
Martin
Joyce A
JA
D001719:Birth Certificates; D003625:Data Collection; D005260:Female; D006304:Health Status; D006801:Humans; D007229:Infant Welfare; D007231:Infant, Newborn; D008429:Maternal Welfare; D036801:Parturition; D011247:Pregnancy; D011256:Pregnancy Outcome; D012307:Risk Factors; D014481:United States; D014798:Vital Statistics