Prenatal Care - Los Angeles County Department Of Public Health
Prenatal Care
TITLE V INDICATOR TEMPLATE INDICATOR: First Trimester Onset of Prenatal Care (PNC) DEFINITION: The percent of live born infants whose mothers received prenatal care in the first trimester of pregnancy NUMERATOR: The number of live births to women who received prenatal care during the first trimester, by place of residence, in a calendar year DENOMINATOR: The total number of live births, by place of residence, in a calendar year HEALTHY PEOPLE 2010 OBJECTIVE: Increase the proportion of pregnant women who receive prenatal care in the first trimester of pregnancy to 90 percent of live births. (Baseline: 83 percent of live births in 1998) (Objective 16-6a) HEALTHY PEOPLE 2020 OBJECTIVE: Increase the proportion of pregnant women who receive prenatal care in the first trimester of pregnancy to 77.9 percent of live births. (Baseline: 70.8 percent of pregnant women in 2007) (Objective MICH–10.1) RISK FACTORS: For not obtaining early prenatal care Low income; young maternal age/teen pregnancy; low maternal education level; race/ethnicity (African American, Hispanic, American Indian/Alaska Native); high parity; maternal substance abuse; lack of health insurance; lack of obstetric providers California Year First Trimester Prenatal Care Los Angeles County 95% Confidence Interval First Trimester Prenatal Care Denominator: Live Births 95% Confidence Interval Number Percent Lower Upper pp Number Percent Lower Upper pp Year California LA County y 2001 442,936 84.0 83.9 84.1 132,776 86.5 86.3 86.7 2001 527,371 153,523 2002 448,955 84.8 84.7 84.9 132,493 87.6 87.5 87.8 2002 529,245 151,167 2003 464,156 85.8 85.7 85.9 136,609 89.8 89.6 89.9 2003 540,827 152,192 2004 466,463 85.6 85.5 85.7 136,144 89.9 89.7 90.0 2004 544,685 151,504 2005 470,955 85.8 85.7 85.9 136,020 90.5 90.3 90.6 2005 548,700 150,377 2006 478,973 85.2 85.1 85.3 137,077 90.3 90.1 90.4 2006 562,157 151,837 2007 459,188 80.9 80.8 81.0 129,741 85.5 85.3 85.6 2007 567,527 151,813 2008 445,108 80.7 80.6 80.8 123,251 83.5 83.3 83.6 2008 551,567 147,684 2009 428,449 81.3 81.2 81.4 116,717 83.6 83.4 83.8 2009 526,774 139,679 2010 416,759 81.7 81.6 81.8 110,516 83.0 82.8 83.2 2010 509,979 133,160 Note: The decrease in first-trimester entry in 2007 is due at least in part to a recategorization of this data in birth certificates. This measure excludes the prenatal care experiences of all women whose pregnancies did not result in live births. Source: California Department of Public Health, Center for Health Statistics, OHIR Vital Statistics Section, 2001-2010. Page 108
Percent of First Trimester Onset of Prenatal Care California vs. Los Angeles County, 2001-2010 California Los Angeles County Healthy People 2010 Healthy People 2020 95.0 Percent of Total Live Births 90.0 85.0 80.0 75.0 70.0 2001 2002 2003 2004 2005 2006 2007 2008 2009 Year Year 2010 Objective: Increase the proportion of pregnant women who receive prenatal care in the first trimester of pregnancy to 90 percent of live births. Year 2020 Objective: Increase the proportion of pregnant women who receive prenatal care in the first trimester of pregnancy to 77.9 percent of live births. Note: The decrease in first-trimester entry in 2007 is due at least in part to a recategorization of this data in birth certificates. This measure excludes the prenatal care experiences of all women whose pregnancies did not result in live births. Source: California Department of Public Health, Center for Health Statistics, OHIR Vital Statistics Section, 2001-2010. Page 109 2010
Percent of Total Live Births by Birthweight and by Mother's Trimester Prenatal Care (PNC) Began Los Angeles County, 2010 Macrosomia Percent of Total Live Births by Birthweight in Each Trimester PNC Began 100% 90% Normal Birthweight Moderately Low Birthweight 1.2% 5.6% 5.9% 1.2% 0.3% 6.4% 5.3% Very Low BModeratelyNormal Bir Macrosom Unknown 13.7% No Prenatal C 5.6% 13.7% 76.9% 3.8% #REF! 80% First Trimeste 1.2% 5.9% 85.9% 7.0% #REF! 70% Second Trime 1.2% 6.4% 85.8% 6.6% #REF! Third Trimest 0.3% 5.3% 88.5% 5.9% #REF! Unknown 2.7% 8.5% 82.2% 6.6% #REF! 60% 85.9% 85.8% 88.5% 3.8% 7.0% 6.6% 5.9% No Prenatal Care First Trimester Second Trimester Third Trimester 50% 40% Very Low Birthweight 76.9% 30% 20% 10% 0% Mother's Trimester Prenatal Care Began Los Angeles County, 2010 Mother's Trimester Prenatal Care Began Very Low Birthweight Moderately Low Birthweight Normal Birthweight Macrosomia 0 to 1,499 grams 1,500 to 2,499 grams 2,500 to 3,999 grams 4,000 grams Number No Prenatal Care First Second Third Unknown Total Percent Number Percent Number Percent Number Total Live Births Percent 22 5.6 54 13.7 303 76.9 15 3.8 394 1,346 1.2 6,497 5.9 94,883 85.9 7,790 7.0 110,516 163 1.2 892 6.4 12,035 85.8 932 6.6 14,022 8 0.3 167 5.3 2,772 88.5 185 5.9 3,132 140 2.7 432 8.5 4,187 82.2 337 6.6 5,096 1,679 1.3 8,042 6.0 114,180 85.7 9,259 7.0 133,160 Note: "Trimester Prenatal Care Began" excludes the prenatal care experiences of all women whose pregnancies did not result in a live birth. Source: California Department of Public Health, Center for Health Statistics, OHIR Vital Statistics Section, 2010 Page 110
Percent of Total Live Births by Mother's Trimester Prenatal Care (PNC) Began and by Source of Payment for Prenatal Care (PNC) Los Angeles County, 2010 Unknown First Trimester Second Trimester No PrenataFirst Trime Second TriThird TrimeUnknown 1.2% 100.0% #VALUE! #VALUE! 1.5%#VALUE! #VALUE! 3.0% #VALUE! 88.3% 6.9% 1.2% 3.6% #VALUE! 90.2% 5.9% 1.5% 2.4% 5.9% #VALUE! 79.8% 13.5% 3.0% 3.6% 6.9% #VALUE! 71.9% 10.2% 7.5% 10.4% 100% Percent of Total Live Births by Mother's Trimester PNC Began in Each Payer Category 98% 96% 94% Third Trimester 7.5% 92% 13.5% 90% 88% 10.2% 86% 90.2% 88.3% 84% 82% 79.8% 71.9% 80% Private Insurance Other Govt Programs Medi-Cal Self Pay Source of Payment for Prenatal Care Los Angeles County, 2010 Source of Payment for Prenatal Care Mother's Trimester Prenatal Care Began No Prenatal Care Number First Percent Number Percent Number Percent Number Total Live Births Unknown Third Second Percent Number Percent No Prenatal Care 394 100.0 5 N/C 5 N/C 5 N/C 5 N/C 394 Private Insurance 5 N/C 47,090 88.3 3,696 6.9 616 1.2 1,947 3.6 53,349 Other Govt Programs 5 N/C 1,908 90.2 124 5.9 32 1.5 51 2.4 2,115 Medi-Cal 5 N/C 56,983 79.8 9,637 13.5 2,173 3.0 2,604 3.6 71,397 Self Pay 5 N/C 2,507 71.9 357 10.2 261 7.5 364 10.4 3,489 Other/Unknown 5 N/C 2,028 83.9 208 8.6 50 2.1 130 5.4 2,416 394 0.3 110,516 83.0 14,022 10.5 3,132 2.4 5,096 3.8 133,160 Total Note: "Trimester Prenatal Care Began" excludes the prenatal care experiences of all women whose pregnancies did not result in a live birth. Numbers fewer than 5 are shown as " 5". Rates are not calculated (N/C) if number is fewer than five. Source: California Department of Public Health, Center for Health Statistics, OHIR Vital Statistics Section, 2010 Page 111
Percent of Total Live Births by Birthweight and by Source of Payment for Prenatal Care (PNC) Los Angeles County, 2010 Macrosomia Moderately Low Birthweight 1.2% 100% 80% 70% 60% 1.7% Very Low BModerately Normal BirMacrosomia 6.1% 7.5% 5.6% 90% Percent of Total Live Births by Birthweight in Each Payer Category Normal Birthweight No Prenatal C 13.7% Private Insura 5.6% 13.7% 76.9% 1.2% 6.1% 85.1% 7.6% Other Govt P 1.7% 7.5% 84.3% 6.5% 1.2% 0.9% 5.9% 5.5% 86.3% 88.0% 3.8% Medi-Cal 1.2% 5.9% 86.3% 6.5% Self Pay 0.9% 5.5% 85.1% 88.0% 5.6% 50% Very Low Birthweight 84.3% 76.9% 40% 30% 20% 10% 3.8% 7.6% 6.5% 6.5% 5.6% No Prenatal Care Private Insurance Other Govt Programs Medi-Cal Self Pay 0% Source of Payment for Prenatal Care Los Angeles County, 2010 Source of Payment for Prenatal Care Very Low Birthweight Moderately Low Birthweight Normal Birthweight 0 to 1,499 grams 1,500 to 2,499 grams 2,500 to 3,999 grams Number Percent Number Percent Number Percent Macrosomia Total Live Births 4,000 grams Number Percent No Prenatal Care 22 5.6 54 13.7 303 76.9 15 3.8 394 Private Insurance 649 1.2 3,253 6.1 45,381 85.1 4,066 7.6 53,349 Other Govt Programs 37 1.7 158 7.5 1,783 84.3 137 6.5 2,115 Medi-Cal 886 1.2 4,240 5.9 61,617 86.3 4,654 6.5 71,397 Self Pay 31 0.9 193 5.5 3,070 88.0 195 5.6 3,489 Other/Unknown 54 2.2 144 6.0 2,026 83.9 192 7.9 2,416 1,679 1.3 8,042 6.0 114,180 85.7 9,259 7.0 133,160 Total Note: "Trimester Prenatal Care Began" excludes the prenatal care experiences of all women whose pregnancies did not result in a live birth. Source: California Department of Public Health, Center for Health Statistics, OHIR Vital Statistics Section, 2010 Page 112
Percent of Total Live Births by Adequacy of Prenatal Care Utilization Index and by Mother's Trimester Prenatal Care (PNC) Began Los Angeles County, 2010 Adequate 1.4% 100% IM Intermediate 2.5% 80% 70% Inadequate IA 0.0% 1.3% 95.6% 49.9% 0.0% 44.9% 0.0% 0.5% 90% Percent of Total Live Births by APNCU Index in Each Trimester PNC Began A 0.0% 2.5% 3.8% 0.0% 0.0% 100.0% 0.5% 44.9% 98.7% 0.0% Unknown 1.3% 0.0% 1.4% 1.3% 1.3% 100.0% Unknown 60% 50% 100.0% 3.8% 95.6% 98.7% 40% 30% 49.9% 20% 10% 0% First Second Third Unknown Mother's Trimester Prenatal Care Began Los Angeles County, 2010 Adequacy of Prenatal Care Utilization Index Mother's Trimester Prenatal Care Began Adequate Number No Prenatal Care First Second Intermediate Percent Number Percent Number Total Live Births Unknown Inadequate Percent Number Percent 5 N/C 5 N/C 394 100.0 5 N/C 394 105,628 95.6 2,754 2.5 535 0.5 1,599 1.4 110,516 14,022 7,003 49.9 538 3.8 6,302 44.9 179 1.3 Third 5 N/C 5 N/C 3,091 98.7 41 1.3 3,132 Unknown 5 N/C 5 N/C 5 N/C 5,096 100.0 5,096 112,631 84.6 3,292 2.5 10,322 7.8 6,915 5.2 133,160 Total Note: "Trimester Prenatal Care Began" excludes the prenatal care experiences of all women whose pregnancies did not result in a live birth. Numbers fewer than 5 are shown as " 5". Rates are not calculated (N/C) if number is fewer than five. Source: California Department of Public Health, Center for Health Statistics, OHIR Vital Statistics Section, 2010 Page 113
Percent of Total Live Births by Adequacy of Prenatal Care Utilization Index and by Source of Payment for Prenatal Care (PNC) Los Angeles County, 2010 Adequate 100% #VALUE! 88.9% 89.8% 82.2% 71.8% 5.1% 3.9% 90% 2.0% Percent of Total Live Births by APNCU Index in Each Payer Category Intermediate A 80% 70% IM IA 4.1% #VALUE! 4.2% 2.0% 1.8% 1.8% 2.8% 3.3% Inadequate 100.0% 3.9% 4.2% 10.0% 13.6% Unknown Unknown #VALUE! 5.0% 5.1% 10.0% 4.1% 2.8% 5.0% 11.3% 11.3% 13.6% 3.3% 60% 50% 89.8% 88.9% 82.2% 40% 71.8% 30% 20% 10% 0% Private Insurance Other Govt Programs Medi-Cal Self Pay Source of Payment for Prenatal Care Los Angeles County, 2010 Adequacy of Prenatal Care Utilization Index Source of Payment for Prenatal Care Adequate Number Intermediate Percent Number Percent Number Total Live Births Unknown Inadequate Percent Number Percent No Prenatal Care 5 N/C 5 N/C 394 100.0 5 N/C 394 Private Insurance 47,439 88.9 1,088 2.0 2,090 3.9 2,732 5.1 53,349 Other Govt Programs 1,900 89.8 39 1.8 89 4.2 87 4.1 2,115 Medi-Cal 58,705 82.2 2,008 2.8 7,125 10.0 3,559 5.0 71,397 Self Pay 2,505 71.8 114 3.3 474 13.6 396 11.3 3,489 Other/Unknown 2,082 86.2 43 1.8 150 6.2 141 5.8 2,416 112,631 84.6 3,292 2.5 10,322 7.8 6,915 5.2 133,160 Total Note: Numbers fewer than 5 are shown as " 5". Rates are not calculated (N/C) if number is fewer than five. Source: California Department of Public Health, Center for Health Statistics, OHIR Vital Statistics Section, 2010 Page 114
TITLE V INDICATOR TEMPLATE INDICATOR: Percent of Total Live Births by Adequacy of Prenatal Care Utilization (APNCU) Index DEFINITION: The percent of live born infants whose mothers received adequate prenatal care as defined by the Adequacy of Prenatal Care Utilization Index (APNCU) developed by Milton Kotelchuck. This index does not assess the quality of the prenatal care that is delivered. NUMERATOR: The number of live births to women who received adequate care, as defined by the APNCU criteria, by place of residence, in a calendar year DENOMINATOR: The total number of live births, by place of residence, in a calendar year HEALTHY PEOPLE 2010 OBJECTIVE: Increase the proportion of all pregnant women who receive early and adequate prenatal care to 90 percent of live births. (Baseline: 74 percent of live births in 1998) (Objective 16-6b) HEALTHY PEOPLE 2020 OBJECTIVE: Increase the proportion of pregnant women who receive early and adequate prenatal care to 77.6 percent of live births. (Baseline: 70.5 percent of pregnant women in 2007) (Objective MICH–10.2) Inadequate Prenatal Care Low income; young maternal age/teen pregnancy; low maternal education level; race/ethnicity (African American, Hispanic, American Indian/Alaskan Native); high parity; maternal substance abuse; lack of health insurance; lack of obstetric providers RISK FACTORS: California Year Adequate Prenatal Care Los Angeles County 95% Confidence Interval Adequate Prenatal Care Denominator: Live Births 95% Confidence Interval Number Percent Lower Upper Number Percent Lower Upper Year California LA County 2001 437,754 83.0 82.9 83.1 129,516 84.4 84.2 84.5 2001 527,371 153,523 2002 442,146 83.5 83.4 83.6 128,984 85.3 85.1 85.5 2002 529,245 151,167 2003 455,424 84.2 84.1 84.3 132,229 86.9 86.7 87.1 2003 540,827 152,192 2004 459,050 84.3 84.2 84.4 132,531 87.5 87.3 87.6 2004 544,685 151,504 2005 469,208 85.5 85.4 85.6 134,611 89.5 89.4 89.7 2005 548,700 150,377 2006 480,255 85.4 85.3 85.5 135,961 89.5 89.4 89.7 2006 562,157 151,837 2007 N/A N/A N/A N/A 130,333 85.9 85.7 86.0 2007 567,527 151,813 2008 N/A N/A N/A N/A 124,381 84.2 84.0 84.4 2008 551,567 147,684 2009 N/A N/A N/A N/A 119,111 85.3 85.1 85.5 2009 526,774 139,679 2010 N/A N/A N/A N/A 112,631 84.6 84.4 84.8 2010 509,979 133,160 Note: The APNCU Index measures prenatal care utilization, which includes consideration of the month prenatal care began and the number of prenatal care visits during the time mothers actually received prenatal care. This utilization index is based on the recommendations established by the American College of Obstetrics and Gynecologists (ACOG). Appendix A contains the specific criteria for timing and number of prenatal care visits that are used to assign adequacy categories. Due to the change in methodology for calculating the Kotelchuck Index, data presented may not be comparable to those published in previous FHOP reports. N/A: 2007 - 2010 data for California not available for retrieval Source: California Department of Public Health, Center for Health Statistics, OHIR Vital Statistics Section, 2001-2010. Page 115
Percent of Total Live Births with "Adequate" Prenatal Care as Rated by Kotelchuck (APNCU) Index California vs. Los Angeles County, 2001-2010 California Los Angeles County Health People 2010 Health People 2020 95.0 Percent of Total Live Births 90.0 85.0 80.0 75.0 70.0 65.0 60.0 2001 2002 2003 2004 2005 2006 2007 2008 2009 Year Year 2010 Objective: Increase the proportion of pregnant women who receive early and adequate prenatal care to 90 percent of live births. Year 2020 Objective: Increase the proportion of pregnant women who receive early and adequate prenatal care to 77.6 percent of live births. Note: The APNCU Index measures prenatal care utilization, which includes consideration of the month prenatal care began and the number of prenatal care visits during the time mothers actually received prenatal care. This utilization index is based on the recommendations established by the American College of Obstetrics and Gynecologists (ACOG). Appendix A contains the specific criteria for timing and number of prenatal care visits that are used to assign adequacy categories. Due to the change in methodology for calculating the Kotelchuck Index, data presented may not be comparable to those published in previous FHOP reports. Source: California Department of Public Health, Center for Health Statistics, OHIR Vital Statistics Section, 2001-2010. Page 116 2010
Los Angeles County - Department of Public Health Number of Live Births by Mothers who had Late Prenatal Care by Zip Code* and Service Planning Area (SPA) Los Angeles County, 2010 93523 93536 93243 93535 93534 93532 1 93551 93591 93552 91384 91390 93544 93510 0 1 35 91 91 3 5 4 93550 91387 8 91 3 91 38 1 2 5 91 3 / 91355 93543 93563 93553 91321 2 92397 91 34 0 91214 90731 1 90 6 0 90603 90604 90631 91748 91 7 1 1 3 91 7 7 91766 91709 91789 91 76 5 91 70 6 91 73 2 91 7 7 92 82 1 92 82 3 90639 90 63 8 90 70 6 90 22 1 90810 90 24 7 90501 91 79 0 2 90 0 3 90012 90 66 0 90044 90061 90003 90047 90 64 0 90062 90011 90036 91 01 0 91 10 7 1 91 3 3 90 24 9 91745 8 76 91 91 7 9 1 91724 91792 91767 7 90715 91 74 4 91740 91 74 0 91722 91723 6 91 7 90278 91741 91 72 4 Page 117 90602 90605 90701 90 70 3 90808 90755 90815 9080490814 90803 91746 0 90732 90806 90813 90802 90712 3 90 74 4 90807 5 1 90 7 90732 0 90 8 90747 90746 7 90606 7 90 6 0 90710 90717 33 91 7 0 65 90 2 90 2 90502 5 50 90 90 27 5 8 90248 5 74 90 9027 7 90274 2 02 90 6 4 90 50 90 50 3 6 90 03 7 6 90 0 90254 91750 91016 91 10 4 06 91 2 91008 91 91106 10 41 5 91101 90 0 91006 08 91 1 91775 2 90 04 91 03 0 91016 91780 91801 91776 91731 91731 90031 91803 5 0 1 - Antelope Valley 2 - San Fernando Valley 3 - San Gabriel 4 - Metro 5 - West 6 - South 7 - East 8 - South Bay 91023 6 90 0 6 04 90 1 90 2 Service Planning Areas (SPAs): 91702 91 74 6 4 91759 91024 7 91 00 91207 91202 91204 91203 91205 8 91 43 6 91 32 4 91 33 5 91325 91 31 6 91502 91506 91201 90 02 7 91602 91 6 91608 04 91001 91020 91208 3 10 91 91 35 6 91306 91606 91607 91601 9 90263 5 91 50 4 90039 90028 90069 90038 90029 90 02 90272 90048 90095 90004 6 90024 90212 90020 90073 90005 33 90035 91754 91755 90019 90006 00 90403 90025 90007 90015 9 64 90402 9 90 0 90034 90 01 6 90 01 8 90404 90021 0 02 3 90232 5 40 90008 90401 90 90 05 8 90201 30 90291 90040 90 2 90043 90270 2 90056 90255 29 0 90302 9 90094 90 20 1 90001 90 24 90301 0 90 90293 90045 9000 2 28 90 2 0 41 90303 90 2 90059 90 2 62 90 24 5 42 90222 90 25 0 90 90260 72 90 3 26 90260 6 4 90 0 90265 91403 91423 7 90290 91411 91401 91352 91 60 5 91 50 1 91302 91301 91 40 5 7 90 0 1 36 91 91364 3 91011 91040 5 91 50 9136 7 6 91 40 3 2 40 91 91307 91303 91 3 4 91 34 5 6 91330 91304 91362 4 34 91 2 91 3 Zip Code Boundary 91042 91342 0 91311 90 0 6 SPA Boundary 90716 Number of Mothers who had Late Prenatal Care 312 - 476 (n 3) 162 - 311 (n 19) 81 - 161 (n 54) 0 - 30 (n 163) 31 - 80 (n 95) n total number of zip codes within range *Los Angeles County zip code boundaries as of April 2007 Total number of live births in Los Angeles County, 2010 133,160 Note: Prenatal care that begins in the second or third trimester is considered late. Zip code 90704 (Catalina Island) is not included. Total number of mothers who had late prenatal care in 90704, 2010 9 Source : California Department of Public Health, Center for Health Statistics, OHIR Vital Statistics Section, 2010.
Los Angeles County - Department of Public Health Percent of Live Births by Mothers who had Late Prenatal Care by Zip Code* and Service Planning Area (SPA) Los Angeles County, 2010 93523 93536 93243 93535 93534 93532 1 93551 93591 93552 91384 91390 93544 93510 0 1 35 91 91 3 5 4 93550 91387 8 91 3 91 38 1 2 5 91 3 / 91355 93543 93563 93553 91321 2 92397 91 34 0 91214 90731 1 90 6 0 90603 90604 90631 91792 91766 91709 91789 91748 92 82 1 8 76 91 91 7 1 1 3 91 7 7 91 7 9 1 91724 91767 91 76 5 91 70 6 91 73 2 91 7 7 92 82 3 90639 90 63 8 90 70 6 90 22 1 90810 90 24 7 90501 91 79 0 2 90 0 3 90012 90 66 0 90044 90061 90003 90047 90 64 0 90062 90011 90036 91 01 0 91 10 7 1 91 3 3 90 24 9 91745 91740 7 90715 91 74 4 91 74 0 91722 91723 6 91 7 90278 91741 91 72 4 Page 118 90602 90605 90701 90 70 3 90808 90755 90815 9080490814 90803 91746 0 90732 90806 90813 90802 90712 3 90 74 4 90807 5 1 90 7 90732 0 90 8 90747 90746 7 90606 7 90 6 0 90710 90717 33 91 7 0 65 90 2 90 2 90502 5 50 90 90 27 5 8 90248 5 74 90 9027 7 90274 2 02 90 6 4 90 50 90 50 3 6 90 03 7 6 90 0 90254 91750 91016 91 10 4 06 91 2 91008 91 91106 10 41 5 91101 90 0 91006 08 91 1 91775 2 90 04 91 03 0 91016 91780 91801 91776 91731 91731 90031 91803 5 0 1 - Antelope Valley 2 - San Fernando Valley 3 - San Gabriel 4 - Metro 5 - West 6 - South 7 - East 8 - South Bay 91023 6 90 0 6 04 90 1 90 2 Service Planning Areas (SPAs): 91702 91 74 6 4 91759 91024 7 91 00 91207 91202 91204 91203 91205 8 91 43 6 91 32 4 91 33 5 91325 91 31 6 91502 91506 91201 90 02 7 91602 91 6 91608 04 91001 91020 91208 3 10 91 91 35 6 91306 91606 91607 91601 9 90263 5 91 50 4 90039 90028 90069 90038 90029 90 02 90272 90048 90095 90004 6 90024 90212 90020 90073 90005 33 90035 91754 91755 90019 90006 00 90403 90025 90007 90015 9 64 90402 9 90 0 90034 90 01 6 90 01 8 90404 90021 0 02 3 90232 5 40 90008 90401 90 90 05 8 90201 30 90291 90040 90 2 90043 90270 2 90056 90255 29 0 90302 9 90094 90 20 1 90001 90 24 90301 0 90 90293 90045 9000 2 28 90 2 0 41 90303 90 2 90059 90 2 62 90 24 5 42 90222 90 25 0 90 90260 72 90 3 26 90260 6 4 90 0 90265 91403 91423 7 90290 91411 91401 91352 91 60 5 91 50 1 91302 91301 91 40 5 7 90 0 1 36 91 91364 3 91011 91040 5 91 50 9136 7 6 91 40 3 2 40 91 91307 91303 91 3 4 91 34 5 6 91330 91304 91362 4 34 91 2 91 3 Zip Code Boundary 91042 91342 0 91311 90 0 6 SPA Boundary 90716 Percent of Mothers who had Late Prenatal Care 24.70 - 66.67 (n 8) 14.58 - 24.69 (n 68) 9.02 - 14.57 3.64 - 9.01 0.00 - 3.63 (n 117) (n 84) (n 57) n total number of zip codes within range *Los Angeles County zip code boundaries as of April 2007 Total number of live births in Los Angeles County, 2010 133,160 Note: Prenatal care that begins in the second or third trimester is considered late. Zip code 90704 (Catalina Island) is not included. Percent of mothers who had late prenatal care in 90704, 2010 19.57 Source : California Department of Public Health, Center for Health Statistics, OHIR Vital Statistics Section, 2010.
Los Angeles County - Department of Public Health Number of Live Births by Mothers who had No Prenatal Care by Zip Code* and Service Planning Area (SPA) Los Angeles County, 2010 93523 93536 93243 93535 93534 93532 1 91384 93551 93591 93552 91390 93544 93510 0 1 35 91 91 3 5 4 93550 91387 8 91 3 91 38 1 2 5 91 3 / 91355 93543 93563 93553 91321 2 92397 91 34 0 90731 91 7 1 1 3 91 7 7 91709 91710 91748 91 76 5 90 6 0 90623 90715 90716 90 63 8 90 70 6 91766 91789 1 90 64 0 90 66 0 90810 91 79 0 91 7 7 0 91 73 2 90 0 3 3 90 0 6 90 22 1 90 24 7 90061 90044 90012 90011 90062 90047 90003 90036 90 24 9 90278 90501 3 7 Page 119 1 90 7 0 90 8 90802 90804 90840 90814 90822 90803 8 76 91 92 82 3 92 82 1 0 0 90813 91 7 9 1 91724 91792 91767 7 7 90 6 0 65 90 2 90 2 90 74 4 91740 91 74 0 91722 91723 6 91 7 1 90732 7 90846 90808 90806 90806 90755 90815 91 74 6 0 90 0 90710 5 50 90 90732 90712 90746 5 74 90 9027 7 90 27 5 8 90502 90717 2 02 90 6 90274 6 90 03 7 6 90 0 90 50 3 91741 91 72 4 5 0 Service Planning Areas (SPAs): 91 70 6 90 0 6 90 02 7 6 04 90 1 90 2 90263 6 90 0 4 91750 91016 91 10 4 06 91 2 91008 91 91106 10 41 5 91101 90 0 91006 08 91 1 91775 2 90 04 91 03 0 91016 91780 91801 91776 91731 91731 90031 91803 90095 9021190048 90024 90212 3 90073 54 33 90035 03 90019 90006 91 7 90 91 7 90025 90015 91755 64 91 90402 90 0 90034 90 01 6 90 01 8 90007 74 90404 90021 90 0 4 90403 91746 23 90232 90401 0 40 5 90008 9 90 05 8 90201 0 91745 3 90291 90 2 90056 90043 90270 90040 2 29 90255 90606 90 90094 90302 90302 90602 90 20 1 90 24 90631 90605 90301 90305 0 90 9000 2 28 90 2 90293 90045 90603 0 41 90304 90303 90604 90 2 90059 90 2 90304 62 42 90 24 5 90222 90 25 0 90639 90 72 3 90 90260 26 90260 6 90248 4 05 90701 90 70 3 90 50 90254 90 8 90747 9 90265 90069 90039 90028 90038 90029 90 02 90004 6 90020 90005 91023 7 91 00 91502 91207 91506 91201 91202 91203 91602 91522 91204 91 6 0 4 91608 91205 91702 91 10 7 91606 91001 91020 91208 91607 91601 8 91403 91423 7 90272 1 - Antelope Valley 2 - San Fernando Valley 3 - San Gabriel 4 - Metro 5 - West 6 - South 7 - East 8 - South Bay 91214 1 91 50 4 91759 91024 2 91 43 6 91 31 6 91 3 3 91325 91 32 4 91 33 5 91411 91401 4 90 0 90290 3 91011 3 10 91 91 35 6 91352 91 60 5 91 40 5 91 50 1 91306 91040 5 91 50 91302 6 91 40 3 7 90 0 5 91364 91 3 4 2 40 91 9136 7 91301 91330 91 34 5 91307 91303 1 36 91 4 34 91 91304 91362 6 91311 2 91 3 Zip Code Boundary 91042 91342 91 01 0 SPA Boundary Number of Mothers who had No Prenatal Care 9 - 16 (n 1) 6-8 (n 12) 2-3 (n 63) 4-5 0-1 (n 24) (n 234) n total number of zip codes within range *Los Angeles County zip code boundaries as of April 2007 Total number of live births in Los Angeles County, 2010 133,160 Zip code 90704 (Catalina Island) is not included. Total number of mothers who had no prenatal care in 90704, 2010 0 Source: California Department of Public Health, Center for Health Statistics, OHIR Vital Statistics Section, 2010.
Los Angeles County - Department of Public Health Percent of Live Births by Mothers who had No Prenatal Care by Zip Code* and Service Planning Area (SPA) Los Angeles County, 2010 93523 93536 93243 93535 93534 93532 1 93551 93591 93552 91384 91390 93544 93510 0 1 35 91 91 3 5 4 93550 91387 8 91 3 91 38 1 2 5 91 3 / 91355 93543 93563 93553 91321 2 92397 91 34 0 91214 90731 1 90 6 0 90603 90604 90631 91792 91766 91709 91789 91748 92 82 1 8 76 91 91 7 1 1 3 91 7 7 91 7 9 1 91724 91767 91 76 5 91 70 6 91 73 2 91 7 7 92 82 3 90639 90 63 8 90 70 6 90 22 1 90810 90 24 7 90501 91 79 0 2 90 0 3 90012 90 66 0 90044 90061 90003 90047 90 64 0 90062 90011 90036 91 01 0 91 10 7 1 91 3 3 90 24 9 91745 91740 7 90715 91 74 4 91 74 0 91722 91723 6 91 7 90278 91741 91 72 4 Page 120 90602 90605 90701 90 70 3 90808 90755 90815 9080490814 90803 91746 0 90732 90806 90813 90802 90712 3 90 74 4 90807 5 1 90 7 90732 0 90 8 90747 90746 7 90606 7 90 6 0 90710 90717 33 91 7 0 65 90 2 90 2 90502 5 50 90 90 27 5 8 90248 5 74 90 9027 7 90274 2 02 90 6 4 90 50 90 50 3 6 90 03 7 6 90 0 90254 91750 91016 91 10 4 06 91 2 91008 91 91106 10 41 5 91101 90 0 91006 08 91 1 91775 2 90 04 91 03 0 91016 91780 91801 91776 91731 91731 90031 91803 5 0 1 - Antelope Valley 2 - San Fernando Valley 3 - San Gabriel 4 - Metro 5 - West 6 - South 7 - East 8 - South Bay 91023 6 90 0 6 04 90 1 90 2 Service Planning Areas (SPAs): 91702 91 74 6 4 91759 91024 7 91 00 91207 91202 91204 91203 91205 8 91 43 6 91 32 4 91 33 5 91325 91 31 6 91502 91506 91201 90 02 7 91602 91 6 91608 04 91001 91020 91208 3 10 91 91 35 6 91306 91606 91607 91601 9 90263 5 91 50 4 90039 90028 90069 90038 90029 90 02 90272 90048 90095 90004 6 90024 90212 90020 90073 90005 33 90035 91754 91755 90019 90006 00 90403 90025 90007 90015 9 64 90402 9 90 0 90034 90 01 6 90 01 8 90404 90021 0 02 3 90232 5 40 90008 90401 90 90 05 8 90201 30 90291 90040 90 2 90043 90270 2 90056 90255 29 0 90302 9 90094 90 20 1 90001 90 24 90301 0 90 90293 90045 9000 2 28 90 2 0 41 90303 90 2 90059 90 2 62 90 24 5 42 90222 90 25 0 90 90260 72 90 3 26 90260 6 4 90 0 90265 91403 91423 7 90290 91411 91401 91352 91 60 5 91 50 1 91302 91301 91 40 5 7 90 0 1 36 91 91364 3 91011 91040 5 91 50 9136 7 6 91 40 3 2 40 91 91307 91303 91 3 4 91 34 5 6 91330 91304 91362 4 34 91 2 91 3 Zip Code Boundary 91042 91342 0 91311 90 0 6 SPA Boundary 90716 Percent of Mothers who had No Prenatal Care 3.46 - 11.11 (n 1) 1.39 - 3.45 (n 2) 0.68 - 1.38 (n 24) 0.21 - 0.67 (n 119) 0.00 - 0.20 (n 188) n total number of zip codes within range *Los Angeles County zip code boundaries as of April 2007 Total number of live births in Los Angeles County, 2010 133,160 Zip code 90704 (Catalina Island) is not included. Percent of mothers who had no prenatal care in 90704, 2010 0.00% Source : California Department of Public Health, Center for Health Statistics, OHIR Vital Statistics Section, 2010.
Los Angeles County - Department of Public Health Entry Into Prenatal Care (PNC) By Zip Code* Los Angeles County, 2010 Mother's Residential Zip Code Missing 90001 90002 90003 90004 90005 90006 90007 90008 90009 90010 90011 90012 90013 90014 90015 90016 90017 90018 90019 90020 90021 90022 90023 90024 90025 90026 90027 90028 90029 90030 90031 90032 90033 90034 90035 90036 90037 90038 90039 90040 90041 90042 90043 90044 90045 90046 90047 90048 90049 90050 90051 90055 90056 90057 90058 90059 90060 90061 90062 90063 90064 No Prenatal Care Number Percent 5 ** 5 ** 5 ** 6 0.4 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 0.7 5 ** 5 ** 5 ** 6 0.5 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 0.6 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 8 0.5 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 5 ** 6 1.2 5 ** 5 ** Mother's Trimester Prenatal Care Began First Trimester Second Trimester Third Trimester Number Percent Number Percent Number Percent 5 ** 5 ** 5 ** 958 79.7 149 12.4 31 2.6 913 80.0 139 12.2 37 3.2 1,168 76.4 201 13.2 57 3.7 706 87.3 52 6.4 17 2.1 460 89.5 28 5.5 7 1.4 845 83.9 106 10.5 29 2.9 355 81.4 47 10.8 14 3.2 318 75.0 52 12.3 15 3.5 5 ** 5 ** 5 ** 27 96.4 5 ** 5 ** 1,685 73.1 341 14.8 109 4.7 197 88.7 12 5.4 5 ** 35 76.1 5 ** 5 ** 26 81.3 5 ** 5 ** 208 77.0 38 14.1 9 3.3 539 78.0 75 10.9 18 2.6 339 84.5 42 10.5 9 2.2 601 80.9 83 11.2 20 2.7 692 81.5 67 7.9 13 1.5 448 87.0 41 8.0 8 1.6 20 69.0 5 ** 5 ** 876 77.8 133 11.8 16 1.4 680 76.1 87 9.7 16 1.8 260 88.7 10 3.4 5 ** 458 89.3 19 3.7 5 ** 680 79.9 105 12.3 23 2.7 384 88.1 34 7.8 6 1.4 166 83.8 16 8.1 5 ** 390 86.5 40 8.9 5 1.1 5 ** 5 ** 5 ** 454 82.1 52 9.4 11 2.0 504 79.3 67 10.5 20 3.1 629 74.5 88 10.4 9 1.1 678 85.1 53 6.7 10 1.3 359 81.4 15 3.4 5 ** 365 79.4 25 5.4 5 1.1 946 76.2 161 13.0 58 4.7 292 85.4 25 7.3 9 2.6 261 87.0 21 7.0 5 ** 149 78.8 23 12.2 5 2.7 227 89.4 23 9.1 5 ** 730 83.2 105 12.0 24 2.7 425 76.2 78 14.0 20 3.6 1,322 76.9 242 14.1 69 4.0 405 89.0 24 5.3 5 ** 290 84.3 14 4.1 5
Prenatal Care 95% Confidence Interval First Trimester Prenatal Care 95% Confidence Interval The percent of live born infants whose mothers received prenatal care in the first trimester of pregnancy Increase the proportion of pregnant women who receive prenatal care in the first trimester of pregnancy to 90 percent of live births.
This booklet explains prenatal screening offered through the California Prenatal Screening Program. Prenatal screening is a way to check on your fetus during pregnancy for birth defects. You decide if you want prenatal screening. Your prenatal care provider should discuss this information and your choice with you early in your pregnancy.
certificate for all sites offering prenatal care, - must screen pregnant women for presumptive eligibility, - must provide comprehensive prenatal care services, consistent with new prenatal care standards, - must bill for prenatal care services using APG rate codes, - will be subject to monitoring and oversight for adherence to new .
This Voter Guide contains information about: STATE BALLOT PROPOSITIONS and about the following non-partisan Los Angeles County Offices: LOS ANGELES COUNTY SHERIFF LOS ANGELES COUNTY ASSESSOR LOS ANGELES COUNTY SUPERIOR COURT JUDGES LOS ANGELES COUNTY SUPERVISOR, DISTRICTS 1 AND 3 On June
Los Angeles County Superior Court of California, Los Angeles 500 West Temple Street, Suite 525 County Kenneth Hahn, Hall of Administration 111 North Hill Street Los Angeles, CA 90012 Los Angeles, CA 90012 Dear Ms. Barrera and Ms. Carter: The State Controller’s Office audited Los Angeles County’s court revenues for the period of
Basic Prenatal Yoga Sequence By Kim MacDonald-Heilandt and Shannon Crow both Certified Prenatal Yoga Teachers and cofounders of the MamaNurture 100-hour prenatal yoga teacher training. _ This is the most common "take-home" flow that we give to prenatal students. The poses are ones that we use often within class.
a chronological sequence of prenatal care that is based on scientific evidence, recommendations of the US Public Health Service, clinical judgment regarding effectiveness of identifying and modifying risk, and the success of medical and psychosocial interventions. The sequence of prenatal care, including History,
FREE ACOG Antepartum Records still available! Prenatal care providers can order materials directly from Genetic Disease Program Coming soon! Prenatal Tdap Action Plan for prenatal care providers . administer Tdap and record and report doses given 6. Must rep
courts interpret laws, adjudicate dis-putes under laws, and at times even strike down laws as violating the fun-damental protections that the Consti-tution guarantees all Americans. At the same time, millions of Americans transact their day-to-day affairs with-out turning to the courts. They, too, rely upon the legal system. The young
