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National Vital Statistics Reports, Vol. 64, No. 1, January 15, 2015 Births: Final Data for 2013 Supplemental tables Table I–1. Mean age of mother, by live-birth order and race and Hispanic origin of mother: United States, 1980–2013 Table I–2. Births and seasonally adjusted birth rates, by month: United States, 2013 Table I–5. Births, by weight gain of mother during pregnancy, plurality, gestational age, and race and Hispanic origin of mother: Table I–6. Selected risk factors, obstetric procedures, characteristics of labor and delivery, and congenital anomalies, by age and race and Table I–11. Twin and triplet or higher-order multiple births, by state: United States and each state, 2011–2013 Table I–12. Births occurring at home, by state: United States, 2013 Table I–3. Births, by day of week and method of delivery: United States, 2013 Table I–4. Births to unmarried women, by race and Hispanic origin of mother: United States, each state and territory, 2013 United States, 2013 Hispanic origin of mother: United States, 2013 Table I–7. Cesarean delivery, by race and Hispanic origin of mother: United States, each state and territory, 2013 Table I–8. Preterm births, by race and Hispanic origin of mother: United States, each state and territory, 2013 Table I–9. Low birthweight births, by race and Hispanic origin of mother: United States, each state and territory, 2013 Table I–10. Very low birthweight births, by race and Hispanic origin of mother: United States, each state and territory, 2013

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Page 1: National Vital Statistics Reports, Vol. January Births: Final ......National Vital Statistics Reports, Vol. 64, No. 1, January 15, 2015 Births: Final Data for 2013 Supplemental tables

National Vital Statistics Reports, Vol. 64, No. 1, January 15, 2015

Births: Final Data for 2013

Supplemental tables

Table I–1. Mean age of mother, by live-birth order and race and Hispanic origin of mother: United States, 1980–2013

Table I–2. Births and seasonally adjusted birth rates, by month: United States, 2013

Table I–5. Births, by weight gain of mother during pregnancy, plurality, gestational age, and race and Hispanic origin of mother:

Table I–6. Selected risk factors, obstetric procedures, characteristics of labor and delivery, and congenital anomalies, by age and race and

Table I–11. Twin and triplet or higher-order multiple births, by state: United States and each state, 2011–2013

Table I–12. Births occurring at home, by state: United States, 2013

Table I–3. Births, by day of week and method of delivery: United States, 2013

Table I–4. Births to unmarried women, by race and Hispanic origin of mother: United States, each state and territory, 2013

United States, 2013

Hispanic origin of mother: United States, 2013

Table I–7. Cesarean delivery, by race and Hispanic origin of mother: United States, each state and territory, 2013

Table I–8. Preterm births, by race and Hispanic origin of mother: United States, each state and territory, 2013

Table I–9. Low birthweight births, by race and Hispanic origin of mother: United States, each state and territory, 2013

Table I–10. Very low birthweight births, by race and Hispanic origin of mother: United States, each state and territory, 2013

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National Vital Statistics Reports, Vol. 64, No. 1, January 15, 2015

Table I–1. Mean age of mother, by live-birth order and race and Hispanic origin of mother: United States, 1980–2013 [Mean age at birth is the arithmetic average of the age of mothers at time of birth, computed directly from the frequency of births by age of mother and live-birth order. Live-birth order refers to number of children born alive to mother]

Live-birth order

Year and race and Unknown or Hispanic origin of mother Total 1 2 3 4 5 6 and 7 8 and over not stated

All races1

2013 . . . . . . . . . . . . . . . . . . . . . 28.2 26.0 28.6 29.9 31.0 32.0 33.3 35.7 28.3 2012 . . . . . . . . . . . . . . . . . . . . . 28.0 25.8 28.4 29.8 30.9 31.9 33.2 35.7 27.9 2011 . . . . . . . . . . . . . . . . . . . . . 27.9 25.6 28.3 29.7 30.8 31.8 33.1 35.5 28.2 2010 . . . . . . . . . . . . . . . . . . . . . 27.7 25.4 28.2 29.6 30.7 31.7 33.0 35.7 27.7 2009 . . . . . . . . . . . . . . . . . . . . . 27.5 25.2 28.0 29.5 30.6 31.6 32.9 35.7 27.6 2008 . . . . . . . . . . . . . . . . . . . . . 27.4 25.1 27.9 29.4 30.5 31.5 32.9 35.7 27.7 2007 . . . . . . . . . . . . . . . . . . . . . 27.4 25.0 27.9 29.3 30.4 31.5 32.9 35.7 27.9 2006 . . . . . . . . . . . . . . . . . . . . . 27.4 25.0 27.9 29.3 30.4 31.4 33.0 35.8 28.0 2005 . . . . . . . . . . . . . . . . . . . . . 27.4 25.2 28.0 29.4 30.4 31.4 32.9 35.9 28.0 2004 . . . . . . . . . . . . . . . . . . . . . 27.5 25.2 28.0 29.4 30.4 31.4 32.9 35.9 27.6 2003 . . . . . . . . . . . . . . . . . . . . . 27.4 25.2 28.0 29.3 30.4 31.4 33.0 35.8 27.9 2002 . . . . . . . . . . . . . . . . . . . . . 27.3 25.1 27.9 29.2 30.3 31.4 32.9 35.9 27.7 2001 . . . . . . . . . . . . . . . . . . . . . 27.3 25.0 27.8 29.2 30.3 31.4 32.9 35.9 27.0 2000 . . . . . . . . . . . . . . . . . . . . . 27.2 24.9 27.7 29.2 30.3 31.4 32.9 35.8 27.4 1995 . . . . . . . . . . . . . . . . . . . . . 26.9 24.5 27.5 29.1 30.1 31.2 32.6 35.4 27.1 1990 . . . . . . . . . . . . . . . . . . . . . 26.4 24.2 26.9 28.3 29.4 30.6 32.1 35.1 27.4 1985 . . . . . . . . . . . . . . . . . . . . . 25.8 23.7 26.3 27.9 29.3 30.6 32.5 35.7 26.1 19802 . . . . . . . . . . . . . . . . . . . . . 25.0 22.7 25.4 27.3 29.0 30.6 32.7 36.0 23.9

Non-Hispanic white3

2013 . . . . . . . . . . . . . . . . . . . . . 28.6 26.8 29.1 30.3 31.3 32.3 33.7 36.6 29.0 2012 . . . . . . . . . . . . . . . . . . . . . 28.5 26.6 29.0 30.2 31.2 32.2 33.7 36.5 28.6 2011 . . . . . . . . . . . . . . . . . . . . . 28.4 26.5 29.0 30.2 31.2 32.2 33.7 36.4 29.0 2010 . . . . . . . . . . . . . . . . . . . . . 28.3 26.3 28.9 30.2 31.1 32.2 33.6 36.6 28.7 2009 . . . . . . . . . . . . . . . . . . . . . 28.1 26.1 28.8 30.1 31.1 32.1 33.6 36.7 28.6 2008 . . . . . . . . . . . . . . . . . . . . . 28.1 26.0 28.7 30.1 31.1 32.1 33.6 36.7 28.7 2007 . . . . . . . . . . . . . . . . . . . . . 28.1 26.0 28.7 30.0 31.1 32.1 33.7 36.7 28.8 2006 . . . . . . . . . . . . . . . . . . . . . 28.1 26.0 28.8 30.1 31.1 32.1 33.7 36.7 29.1 2005 . . . . . . . . . . . . . . . . . . . . . 28.2 26.2 28.8 30.1 31.2 32.2 33.8 36.9 29.1 2004 . . . . . . . . . . . . . . . . . . . . . 28.2 26.2 28.8 30.2 31.2 32.2 33.8 36.9 28.7 2003 . . . . . . . . . . . . . . . . . . . . . 28.2 26.2 28.8 30.1 31.2 32.3 33.9 37.0 28.8 2002 . . . . . . . . . . . . . . . . . . . . . 28.2 26.1 28.7 30.1 31.2 32.3 33.9 37.1 28.6 2001 . . . . . . . . . . . . . . . . . . . . . 28.1 26.0 28.6 30.1 31.3 32.4 33.9 37.0 28.2 2000 . . . . . . . . . . . . . . . . . . . . . 28.0 25.9 28.6 30.0 31.3 32.4 34.0 37.0 28.9 1995 . . . . . . . . . . . . . . . . . . . . . 27.6 25.4 28.3 29.9 31.2 32.4 33.9 36.7 28.5 19904 . . . . . . . . . . . . . . . . . . . . . 27.1 25.0 27.6 29.1 30.3 31.6 33.2 36.2 28.5

Non-Hispanic black3

2013 . . . . . . . . . . . . . . . . . . . . . 26.6 23.9 26.8 28.5 29.6 30.6 31.9 34.4 27.1 2012 . . . . . . . . . . . . . . . . . . . . . 26.3 23.6 26.6 28.3 29.5 30.5 31.9 34.2 26.5 2011 . . . . . . . . . . . . . . . . . . . . . 26.1 23.4 26.4 28.2 29.4 30.5 31.8 34.2 26.6 2010 . . . . . . . . . . . . . . . . . . . . . 25.9 23.1 26.3 28.0 29.3 30.3 31.7 34.2 26.5 2009 . . . . . . . . . . . . . . . . . . . . . 25.7 22.9 26.1 27.9 29.1 30.2 31.5 34.3 26.2 2008 . . . . . . . . . . . . . . . . . . . . . 25.6 22.8 26.0 27.8 29.0 30.0 31.5 34.2 26.2 2007 . . . . . . . . . . . . . . . . . . . . . 25.6 22.7 26.0 27.7 28.9 30.0 31.4 34.2 26.1 2006 . . . . . . . . . . . . . . . . . . . . . 25.6 22.7 26.0 27.7 28.8 29.9 31.4 34.1 25.9 2005 . . . . . . . . . . . . . . . . . . . . . 25.6 22.7 26.0 27.6 28.8 29.8 31.3 34.2 25.8 2004 . . . . . . . . . . . . . . . . . . . . . 25.6 22.7 25.9 27.5 28.6 29.8 31.2 34.1 25.7 2003 . . . . . . . . . . . . . . . . . . . . . 25.6 22.7 25.9 27.5 28.6 29.7 31.3 34.0 26.3 2002 . . . . . . . . . . . . . . . . . . . . . 25.4 22.6 25.8 27.3 28.5 29.6 31.2 34.1 26.5 2001 . . . . . . . . . . . . . . . . . . . . . 25.3 22.4 25.7 27.2 28.3 29.6 31.2 34.1 26.4 2000 . . . . . . . . . . . . . . . . . . . . . 25.2 22.3 25.5 27.1 28.2 29.5 31.0 33.9 26.0 1995 . . . . . . . . . . . . . . . . . . . . . 24.8 21.9 25.3 27.0 28.0 29.3 30.8 33.2 25.4 19904 . . . . . . . . . . . . . . . . . . . . . 24.4 21.7 24.6 26.3 27.4 28.7 30.3 33.3 26.0

See footnotes at end of table.

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National Vital Statistics Reports, Vol. 64, No. 1, January 15, 2015

Table I–1. Mean age of mother, by live-birth order and race and Hispanic origin of mother: United States, 1980–2013—Con. [Mean age at birth is the arithmetic average of the age of mothers at time of birth, computed directly from the frequency of births by age of mother and live-birth order. Live-birth order refers to number of children born alive to mother]

Live-birth order

Year and race and Unknown or Hispanic origin of mother Total 1 2 3 4 5 6 and 7 8 and over not stated

Hispanic5

2013 . . . . . . . . . . . . . . . . . . . . . 27.3 24.0 27.2 29.4 31.1 32.3 33.6 35.2 27.9 2012 . . . . . . . . . . . . . . . . . . . . . 27.1 23.8 27.0 29.3 31.0 32.2 33.5 35.1 27.6 2011 . . . . . . . . . . . . . . . . . . . . . 27.0 23.7 26.9 29.2 30.9 32.1 33.3 35.0 28.0 2010 . . . . . . . . . . . . . . . . . . . . . 26.8 23.4 26.7 29.0 30.7 32.0 33.3 35.3 27.2 2009 . . . . . . . . . . . . . . . . . . . . . 26.5 23.3 26.5 28.9 30.5 31.8 33.1 35.3 26.8 2008 . . . . . . . . . . . . . . . . . . . . . 26.4 23.1 26.4 28.7 30.4 31.6 33.2 35.3 26.7 2007 . . . . . . . . . . . . . . . . . . . . . 26.3 23.1 26.3 28.6 30.3 31.6 33.1 35.3 26.7 2006 . . . . . . . . . . . . . . . . . . . . . 26.2 23.1 26.2 28.6 30.2 31.5 33.2 35.5 26.6 2005 . . . . . . . . . . . . . . . . . . . . . 26.2 23.1 26.2 28.5 30.1 31.4 33.2 35.6 26.5 2004 . . . . . . . . . . . . . . . . . . . . . 26.2 23.1 26.2 28.5 30.1 31.5 33.1 35.5 25.8 2003 . . . . . . . . . . . . . . . . . . . . . 26.1 23.1 26.1 28.4 30.0 31.4 33.1 35.4 25.8 2002 . . . . . . . . . . . . . . . . . . . . . 26.0 23.0 26.0 28.3 29.9 31.4 33.1 35.7 25.7 2001 . . . . . . . . . . . . . . . . . . . . . 25.9 22.8 25.9 28.2 29.9 31.4 33.1 35.7 24.4 2000 . . . . . . . . . . . . . . . . . . . . . 25.7 22.7 25.8 28.1 29.8 31.3 33.0 35.5 24.2 1995 . . . . . . . . . . . . . . . . . . . . . 25.4 22.4 25.5 27.8 29.6 31.1 32.8 35.5 24.2 19904 . . . . . . . . . . . . . . . . . . . . . 25.3 22.4 25.2 27.4 29.1 30.6 32.3 35.3 26.1

1Includes races other than white and black and origin not stated. 2Based on 100% of births in selected states and a 50% sample of births in all other states; see reference 11. 3Race and Hispanic origin are reported separately on birth certificates. Persons of Hispanic origin may be of any race. Race categories are consistent with the 1977 Office of Management and Budget standards. Forty-four states and the District of Columbia reported multiple-race data for 2013 that were bridged to single-race categories for comparability with other states; see reference 11. Multiple-race reporting areas vary for 2003–2013; see Technical Notes. 4Excludes data for New Hampshire and Oklahoma, which did not report Hispanic origin. 5Includes all persons of Hispanic origin of any race.

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National Vital Statistics Reports, Vol. 64, No. 1, January 15, 2015

Table I–2. Births and seasonally adjusted birth rates, by month: United States, 2013 [Rates on an annual basis per 1,000 population for specified month. Birth rates are births per 1,000 total population. Fertility rates are births per 1,000 women aged 15–44. Monthly populations estimated as of the first of each month]

Observed Seasonally adjusted1

Month Number Birth rate Fertility rate Birth rate Fertility rate

Total . . . . . . . . . . . . . . . . . . . . . . . . . . 3,932,181 12.4 62.5 . . . . . .

January . . . . . . . . . . . . . . . . . . . . . . . . 323,691 12.1 60.7 13.7 66.5 February . . . . . . . . . . . . . . . . . . . . . . . . 291,748 12.1 60.5 13.7 66.3 March . . . . . . . . . . . . . . . . . . . . . . . . . 320,529 12.0 60.0 13.7 66.2 April . . . . . . . . . . . . . . . . . . . . . . . . . . 311,645 12.0 60.3 13.6 66.1 May . . . . . . . . . . . . . . . . . . . . . . . . . . 329,520 12.3 61.7 13.7 66.3 June . . . . . . . . . . . . . . . . . . . . . . . . . . 319,779 12.3 61.8 13.6 66.1 July. . . . . . . . . . . . . . . . . . . . . . . . . . . 349,158 13.0 65.3 13.7 66.3 August . . . . . . . . . . . . . . . . . . . . . . . . . 353,485 13.2 66.1 13.6 66.2 September. . . . . . . . . . . . . . . . . . . . . . . 338,008 13.0 65.3 13.6 65.9 October . . . . . . . . . . . . . . . . . . . . . . . . 340,562 12.7 63.7 13.6 66.1 November . . . . . . . . . . . . . . . . . . . . . . . 318,482 12.2 61.5 13.4 65.4 December . . . . . . . . . . . . . . . . . . . . . . . 335,574 12.5 62.7 13.6 66.0

. . . Category not applicable. 1Method of seasonal adjustment developed by the U.S. Census Bureau (Shiskin J, Young AH, Musgrave JC. The X11 variant of the census method II seasonal adjustment program. Technical Paper no. 15. Washington, DC: U.S. Census Bureau. 1967. Available from: http://www.census.gov/ts/papers/ShiskinYoungMusgrave1967.pdf).

NOTE: Monthly population estimates for 2013 were provided by the U.S. Census Bureau (U.S. Census Bureau. Monthly postcensal resident population, by single year of age, sex, race, and Hispanic origin. Population division. 2014. Available from: http://www.census.gov/popest/data/national/asrh/2013/2013-nat-res.html).

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National Vital Statistics Reports, Vol. 64, No. 1, January 15, 2015

Table I–3. Births, by day of week and method of delivery: United States, 2013

Index of occurrence1

Average number

Method of delivery

Day of week of births Total2 Vaginal Cesarean

Total . . . . . . . . . . . . . . . . . . . . . . . . . . 10,773 100.0 100.0 100.0

Sunday . . . . . . . . . . . . . . . . . . . . . . . . 7,188 66.7 75.9 47.8 Monday . . . . . . . . . . . . . . . . . . . . . . . . 11,609 107.8 102.1 119.4 Tuesday . . . . . . . . . . . . . . . . . . . . . . . . 12,323 114.4 110.8 121.7 Wednesday . . . . . . . . . . . . . . . . . . . . . . 12,037 111.7 109.7 115.8 Thursday . . . . . . . . . . . . . . . . . . . . . . . 12,064 112.0 110.0 116.1 Friday . . . . . . . . . . . . . . . . . . . . . . . . . 12,010 111.5 106.5 121.8 Saturday . . . . . . . . . . . . . . . . . . . . . . . . 8,151 75.7 84.8 56.9

1Ratio of the average number of births by a specified method of delivery on a given day of the week to the average daily number of births by a specified method of delivery for the year, multiplied by 100. 2Includes method of delivery not stated.

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National Vital Statistics Reports, Vol. 64, No. 1, January 15, 2015

Table I–4. Births to unmarried women, by race and Hispanic origin of mother: United States, each state and territory, 2013 [By place of residence]

Births to unmarried women Percent unmarried

All Non-Hispanic

All Non-Hispanic

Area races1 White2 Black2 Hispanic3 races1 White2 Black2 Hispanic3

United States4 . . . . . . . . . . . . . . . . 1,595,873 623,645 417,291 479,751 40.6 29.3 71.5 53.2 Alabama . . . . . . . . . . . . . . . . . . . 24,550 9,994 13,299 1,044 42.2 28.5 74.3 26.1 Alaska . . . . . . . . . . . . . . . . . . . . 3,951 1,542 182 271 34.5 23.3 40.8 32.0 Arizona . . . . . . . . . . . . . . . . . . . . 38,875 11,752 2,806 19,420 45.4 30.6 63.2 57.3 Arkansas . . . . . . . . . . . . . . . . . . . 17,034 8,842 5,793 1,885 45.0 35.0 79.7 49.2 California. . . . . . . . . . . . . . . . . . . 196,299 34,671 19,500 126,733 39.7 24.2 67.4 53.1 Colorado . . . . . . . . . . . . . . . . . . . 15,005 6,787 1,349 6,148 23.1 17.0 41.8 34.5 Connecticut . . . . . . . . . . . . . . . . . 13,768 5,082 3,091 5,354 38.2 24.5 67.1 65.2 Delaware. . . . . . . . . . . . . . . . . . . 5,180 2,160 2,115 839 47.8 36.4 71.4 62.2 District of Columbia . . . . . . . . . . . . 4,715 152 3,773 745 50.8 5.5 78.6 59.7 Florida . . . . . . . . . . . . . . . . . . . . 103,386 37,063 34,149 30,316 48.0 37.6 69.5 51.2

Georgia . . . . . . . . . . . . . . . . . . . 58,447 16,659 31,292 8,555 45.4 28.1 70.5 50.3 Hawaii . . . . . . . . . . . . . . . . . . . . 7,078 1,180 121 1,378 37.3 23.9 22.3 45.9 Idaho . . . . . . . . . . . . . . . . . . . . . 6,063 4,133 61 1,550 27.1 23.0 31.8 45.3 Illinois . . . . . . . . . . . . . . . . . . . . 63,332 22,943 21,433 17,652 40.4 26.7 80.0 52.8 Indiana . . . . . . . . . . . . . . . . . . . . 35,977 24,020 7,881 3,715 43.3 37.6 78.7 54.3 Iowa . . . . . . . . . . . . . . . . . . . . . 13,459 9,965 1,519 1,569 34.4 30.8 71.8 49.4 Kansas . . . . . . . . . . . . . . . . . . . . 14,068 8,624 1,930 3,118 36.2 30.5 69.1 50.8 Kentucky . . . . . . . . . . . . . . . . . . . 23,342 17,777 3,939 1,431 41.9 38.1 75.5 53.1 Louisiana. . . . . . . . . . . . . . . . . . . 33,504 11,783 19,141 2,109 53.0 35.1 79.7 54.1 Maine. . . . . . . . . . . . . . . . . . . . . 5,237 4,881 129 72 41.0 41.5 29.1 41.9

Maryland . . . . . . . . . . . . . . . . . . . 29,045 8,208 14,496 5,717 40.4 25.2 62.1 54.4 Massachusetts . . . . . . . . . . . . . . . 24,027 11,281 3,911 7,627 33.5 25.0 55.1 61.6 Michigan . . . . . . . . . . . . . . . . . . . 48,129 25,686 17,798 3,736 42.4 32.5 80.7 51.1 Minnesota . . . . . . . . . . . . . . . . . . 22,755 12,703 4,307 2,542 32.9 25.3 58.4 54.4 Mississippi . . . . . . . . . . . . . . . . . . 21,041 6,438 13,516 797 54.5 32.6 81.1 53.3 Missouri . . . . . . . . . . . . . . . . . . . 30,372 18,935 8,837 1,966 40.3 33.0 77.6 50.0 Montana . . . . . . . . . . . . . . . . . . . 4,635 3,181 39 230 37.4 31.3 45.3 48.3 Nebraska. . . . . . . . . . . . . . . . . . . 8,688 5,071 1,193 1,994 33.3 26.4 67.3 51.2 Nevada. . . . . . . . . . . . . . . . . . . . 15,865 4,984 2,835 6,797 45.3 33.3 72.5 53.4 New Hampshire. . . . . . . . . . . . . . . 4,242 3,793 101 268 34.2 34.3 47.0 52.2

New Jersey . . . . . . . . . . . . . . . . . 36,510 9,010 10,573 16,261 35.6 18.8 67.9 59.7 New Mexico . . . . . . . . . . . . . . . . . 13,712 2,236 247 8,391 52.0 30.1 57.2 58.3 New York . . . . . . . . . . . . . . . . . . 95,218 29,200 25,715 35,482 40.2 25.3 68.4 64.7 North Carolina. . . . . . . . . . . . . . . . 49,299 17,749 20,819 9,046 41.4 26.8 71.9 51.7 North Dakota . . . . . . . . . . . . . . . . 3,436 2,218 162 210 32.4 26.0 48.4 48.2 Ohio . . . . . . . . . . . . . . . . . . . . . 60,778 37,354 18,606 3,942 43.7 35.9 78.3 60.6 Oklahoma . . . . . . . . . . . . . . . . . . 22,511 12,062 3,449 3,573 42.2 35.5 71.4 49.6 Oregon . . . . . . . . . . . . . . . . . . . . 16,232 10,304 717 4,164 35.9 32.2 60.4 49.3 Pennsylvania . . . . . . . . . . . . . . . . 58,603 31,710 16,060 9,326 41.6 32.1 77.9 65.8 Rhode Island . . . . . . . . . . . . . . . . 4,817 2,332 599 1,571 44.6 35.5 64.0 64.0

South Carolina . . . . . . . . . . . . . . . 26,879 10,245 13,878 2,309 47.3 31.0 77.9 52.3 South Dakota . . . . . . . . . . . . . . . . 4,679 2,502 138 292 38.2 27.4 43.7 56.0 Tennessee . . . . . . . . . . . . . . . . . . 35,221 18,254 13,132 3,518 44.0 33.6 78.1 51.3 Texas . . . . . . . . . . . . . . . . . . . . . 163,635 37,351 29,694 94,367 42.2 27.3 64.8 50.9 Utah . . . . . . . . . . . . . . . . . . . . . 9,656 5,318 240 3,247 18.9 13.5 42.9 42.1 Vermont . . . . . . . . . . . . . . . . . . . 2,403 2,285 41 36 40.2 40.8 38.0 39.1 Virginia . . . . . . . . . . . . . . . . . . . . 35,297 13,860 14,254 6,383 34.6 23.4 65.0 48.8 Washington . . . . . . . . . . . . . . . . . 28,355 15,001 2,201 7,921 32.8 27.4 48.7 50.9 West Virginia . . . . . . . . . . . . . . . . 9,408 8,664 569 95 45.2 44.3 76.3 43.4 Wisconsin . . . . . . . . . . . . . . . . . . 24,657 13,951 5,618 3,572 37.0 28.3 83.8 55.8 Wyoming . . . . . . . . . . . . . . . . . . . 2,498 1,749 43 467 32.7 28.5 41.7 50.4

Puerto Rico . . . . . . . . . . . . . . . . . 24,639 1,745 200 22,682 67.5 66.0 72.5 67.6 Virgin Islands . . . . . . . . . . . . . . . . - - ­ - - ­ - - ­ - - ­ - - ­ - - ­ - - ­ - - ­Guam. . . . . . . . . . . . . . . . . . . . . 2,027 20 6 7 61.7 11.8 * * American Samoa . . . . . . . . . . . . . . 436 - - ­ - - ­ - - ­ 40.5 - - ­ - - ­ - - ­Northern Marianas . . . . . . . . . . . . . 456 2 – – 66.5 * * *

- - - Data not available. * Figure does not meet standards of reliability or precision; based on fewer than 20 births in the numerator. – Quantity zero. 1Includes races other than white and black and origin not stated. 2Race and Hispanic origin are reported separately on birth certificates. Persons of Hispanic origin may be of any race. Race categories are consistent with 1977 Office of Management and Budget standards. Forty-four states and the District of Columbia reported multiple-race data for 2013 that were bridged to single-race categories for comparability with other states; see Technical Notes. 3Includes all persons of Hispanic origin of any race. 4Excludes data for the territories.

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Table I–5. Births, by weight gain of mother during pregnancy, plurality, gestational age, and race and Hispanic origin of mother: United States, 2013

Weight gain during pregnancy

Plurality, period of gestation,1 and race All Less than 11–20 21–30 31–40 41–98 Not and Hispanic origin of mother births 11 pounds pounds pounds pounds pounds stated

All pluralities Number

All gestational ages:2

All races3 . . . . . . . . . . . . . . . . . 3,932,181 322,170 617,689 1,069,657 939,080 793,193 190,392 Non-Hispanic white4 . . . . . . . . . . . 2,129,196 144,497 281,081 568,848 557,042 486,304 91,424 Non-Hispanic black4 . . . . . . . . . . . 583,834 70,767 103,353 139,704 112,013 115,931 42,066 Hispanic total5 . . . . . . . . . . . . . . 901,033 85,495 180,206 262,661 192,157 143,312 37,202

Under 37 weeks: All races3 . . . . . . . . . . . . . . . . . 447,361 53,745 88,655 115,543 84,518 77,218 27,682 Non-Hispanic white4 . . . . . . . . . . . 216,449 21,235 37,534 56,266 45,609 43,773 12,032 Non-Hispanic black4 . . . . . . . . . . . 94,869 15,421 19,931 21,691 14,808 15,054 7,964 Hispanic total5 . . . . . . . . . . . . . . 101,839 13,516 23,928 27,706 17,599 13,969 5,121

37 weeks and over: All races3 . . . . . . . . . . . . . . . . . 3,481,140 267,969 528,684 953,695 854,254 715,656 160,882 Non-Hispanic white4 . . . . . . . . . . . 1,911,178 123,048 243,396 512,363 511,240 442,355 78,776 Non-Hispanic black4 . . . . . . . . . . . 488,326 55,229 83,353 117,949 97,158 100,804 33,833 Hispanic total5 . . . . . . . . . . . . . . 798,565 71,895 156,177 234,862 174,510 129,295 31,826

Live births in singleton deliveries

All gestational ages:2

All races3 . . . . . . . . . . . . . . . . . 3,795,157 313,966 603,732 1,043,985 908,250 742,976 182,248 Non-Hispanic white4 . . . . . . . . . . . 2,047,990 140,686 274,214 554,745 538,120 453,286 86,939 Non-Hispanic black4 . . . . . . . . . . . 560,865 68,391 100,160 135,278 107,851 109,025 40,160 Hispanic total5 . . . . . . . . . . . . . . 878,879 83,962 177,453 257,697 187,205 136,396 36,166

Under 37 weeks: All races3 . . . . . . . . . . . . . . . . . 368,182 48,035 79,075 99,207 67,119 51,931 22,815 Non-Hispanic white4 . . . . . . . . . . . 170,047 18,621 32,768 47,197 34,874 27,265 9,322 Non-Hispanic black4 . . . . . . . . . . . 80,772 13,718 17,715 18,837 12,326 11,384 6,792 Hispanic total5 . . . . . . . . . . . . . . 88,964 12,475 22,086 24,675 14,844 10,379 4,505

37 weeks and over: All races3 . . . . . . . . . . . . . . . . . 3,423,387 265,495 524,313 944,365 840,832 690,742 157,640 Non-Hispanic white4 . . . . . . . . . . . 1,876,422 121,859 241,298 507,331 503,059 425,853 77,022 Non-Hispanic black4 . . . . . . . . . . . 479,477 54,562 82,378 116,378 95,481 97,570 33,108 Hispanic total5 . . . . . . . . . . . . . . 789,296 71,407 155,267 232,930 172,313 125,971 31,408

All pluralities Percent distribution

All gestational ages:2

All races3 . . . . . . . . . . . . . . . . . 100.0 8.6 16.5 28.6 25.1 21.2 - - ­Non-Hispanic white4 . . . . . . . . . . . 100.0 7.1 13.8 27.9 27.3 23.9 - - ­Non-Hispanic black4 . . . . . . . . . . . 100.0 13.1 19.1 25.8 20.7 21.4 - - ­Hispanic total5 . . . . . . . . . . . . . . 100.0 9.9 20.9 30.4 22.2 16.6 - - ­

Under 37 weeks: All races3 . . . . . . . . . . . . . . . . . 100.0 12.8 21.1 27.5 20.1 18.4 - - ­Non-Hispanic white4 . . . . . . . . . . . 100.0 10.4 18.4 27.5 22.3 21.4 - - ­Non-Hispanic black4 . . . . . . . . . . . 100.0 17.7 22.9 25.0 17.0 17.3 - - ­Hispanic total5 . . . . . . . . . . . . . . 100.0 14.0 24.7 28.6 18.2 14.4 - - ­

37 weeks and over: All races3 . . . . . . . . . . . . . . . . . 100.0 8.1 15.9 28.7 25.7 21.6 - - ­Non-Hispanic white4 . . . . . . . . . . . 100.0 6.7 13.3 28.0 27.9 24.1 - - ­Non-Hispanic black4 . . . . . . . . . . . 100.0 12.2 18.3 26.0 21.4 22.2 - - ­Hispanic total5 . . . . . . . . . . . . . . 100.0 9.4 20.4 30.6 22.8 16.9 - - ­

See footnotes at end of table.

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Table I–5. Births, by weight gain of mother during pregnancy, plurality, gestational age, and race and Hispanic origin of mother: United States, 2013—Con.

Weight gain during pregnancy

Plurality, period of gestation,1 and race All Less than 11–20 21–30 31–40 41–98 Not and Hispanic origin of mother births 11 pounds pounds pounds pounds pounds stated

Live births in singleton deliveries

All gestational ages:2

All races3 . . . . . . . . . . . . . . . . . 100.0 8.7 16.7 28.9 25.1 20.6 - - ­Non-Hispanic white4 . . . . . . . . . . . 100.0 7.2 14.0 28.3 27.4 23.1 - - ­Non-Hispanic black4 . . . . . . . . . . . 100.0 13.1 19.2 26.0 20.7 20.9 - - ­Hispanic total5 . . . . . . . . . . . . . . 100.0 10.0 21.1 30.6 22.2 16.2 - - ­

Under 37 weeks: All races3 . . . . . . . . . . . . . . . . . 100.0 13.9 22.9 28.7 19.4 15.0 - - ­Non-Hispanic white4 . . . . . . . . . . . 100.0 11.6 20.4 29.4 21.7 17.0 - - ­Non-Hispanic black4 . . . . . . . . . . . 100.0 18.5 23.9 25.5 16.7 15.4 - - ­Hispanic total5 . . . . . . . . . . . . . . 100.0 14.8 26.1 29.2 17.6 12.3 - - ­

37 weeks and over: All races3 . . . . . . . . . . . . . . . . . 100.0 8.1 16.1 28.9 25.7 21.2 - - ­Non-Hispanic white4 . . . . . . . . . . . 100.0 6.8 13.4 28.2 28.0 23.7 - - ­Non-Hispanic black4 . . . . . . . . . . . 100.0 12.2 18.5 26.1 21.4 21.9 - - ­Hispanic total5 . . . . . . . . . . . . . . 100.0 9.4 20.5 30.7 22.7 16.6 - - ­

- - - Category not applicable. 1Shown in completed weeks. 2Includes births with period of gestation not stated. 3Includes races other than white and black and origin not stated. 4Race and Hispanic origin are reported separately on birth certificates. Persons of Hispanic origin may be of any race. Race categories are consistent with 1977 Office of Management and Budget standards. Forty-four states and the District of Columbia reported multiple-race data for 2013 that were bridged to single-race categories for comparability with other states; see Technical Notes. 5Includes all persons of Hispanic origin of any race.

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Table I–6. Selected risk factors, obstetric procedures, characteristics of labor and delivery, and congenital anomalies, by age and race and Hispanic origin of mother: United States, 2013 [Rates are number of live births with specified risk factors, procedures, or anomaly per 1,000 live births in specified group; congenital anomalies are per 100,000 live births]

Age group (years)

Risk factor, characteristic, All Factor All Not procedure, and anomaly births1 reported ages Under 20 20–24 25–29 30–34 35–39 40–54 stated2

All races3

Risk factors in this pregnancy: Diabetes . . . . . . . . . . . . . . . . . . . . 3,932,181 235,484 60.0 20.3 33.9 53.5 72.9 101.3 130.7 8,798 Hypertension, pregnancy-associated . . . . 3,932,181 189,441 48.3 51.0 46.6 47.0 46.8 51.5 67.2 8,798 Hypertension, chronic . . . . . . . . . . . . . 3,932,181 60,391 15.4 5.6 8.9 13.3 18.0 26.4 39.7 8,798

Obstetric procedures and characteristics of labor or delivery: Induction of labor . . . . . . . . . . . . . . . 3,932,181 903,638 230.1 264.9 249.0 234.1 215.1 203.3 209.0 5,134 Breech or malpresentation . . . . . . . . . . 3,932,181 221,071 57.7 45.7 47.9 54.4 62.1 73.0 92.8 103,701 Precipitous labor. . . . . . . . . . . . . . . . 3,932,181 119,022 30.4 21.1 26.8 30.5 33.6 34.7 31.8 11,628

Congenital anomalies: Anencephaly . . . . . . . . . . . . . . . . . . 3,932,181 426 10.9 14.9 11.2 10.1 9.8 11.4 * 15,084 Meningomyelocele or spina bifida. . . . . . 3,932,181 629 16.1 18.2 17.2 16.5 15.2 13.9 * 15,084 Omphalocele or gastroschisis . . . . . . . . 3,932,181 1,477 37.7 93.8 65.8 30.0 18.7 13.7 31.6 15,084 Cleft lip or palate . . . . . . . . . . . . . . . 3,932,181 2,831 72.3 75.2 77.6 75.0 63.4 73.0 74.3 15,084 Down syndrome . . . . . . . . . . . . . . . . 3,932,181 1,990 50.8 32.4 26.2 27.9 44.6 103.1 339.0 15,084

Non-Hispanic white4

Risk factors in this pregnancy: Diabetes . . . . . . . . . . . . . . . . . . . . 2,129,196 115,403 54.3 23.4 35.2 48.6 60.9 83.4 108.1 4,044 Hypertension, pregnancy-associated . . . . 2,129,196 110,564 52.0 56.1 51.4 52.1 49.7 52.7 69.3 4,044 Hypertension, chronic . . . . . . . . . . . . . 2,129,196 30,416 14.3 5.5 8.5 12.4 16.3 22.6 33.9 4,044

Obstetric procedures and characteristics of labor or delivery: Induction of labor . . . . . . . . . . . . . . . 2,129,196 553,364 260.2 329.0 293.4 265.2 237.7 225.2 233.0 2,138 Breech or malpresentation . . . . . . . . . . 2,129,196 117,617 56.5 43.1 45.3 53.0 60.9 70.8 90.8 48,335 Precipitous labor. . . . . . . . . . . . . . . . 2,129,196 64,481 30.4 18.8 24.8 29.7 34.1 36.3 32.4 4,924

Congenital anomalies: Anencephaly . . . . . . . . . . . . . . . . . . 2,129,196 241 11.4 * 12.5 9.4 10.5 11.9 * 5,951 Meningomyelocele or spina bifida. . . . . . 2,129,196 408 19.2 22.2 21.1 20.0 18.4 16.0 * 5,951 Omphalocele or gastroschisis . . . . . . . . 2,129,196 895 42.2 110.8 84.3 34.7 20.2 16.0 37.6 5,951 Cleft lip or palate . . . . . . . . . . . . . . . 2,129,196 1,776 83.6 88.6 99.4 86.8 71.1 79.4 76.9 5,951 Down syndrome . . . . . . . . . . . . . . . . 2,129,196 1,176 55.4 38.8 30.7 31.0 48.9 111.4 332.3 5,951

Non-Hispanic black4

Risk factors in this pregnancy: Diabetes . . . . . . . . . . . . . . . . . . . . 583,834 31,210 53.7 17.4 29.7 52.2 80.6 105.0 132.5 2,533 Hypertension, pregnancy-associated . . . . 583,834 34,240 58.9 60.4 53.7 55.8 62.1 70.8 82.9 2,533 Hypertension, chronic . . . . . . . . . . . . . 583,834 18,111 31.2 9.3 15.3 28.5 46.4 69.5 94.6 2,533

Obstetric procedures and characteristics of labor or delivery: Induction of labor . . . . . . . . . . . . . . . 583,834 129,303 222.1 253.7 229.0 216.0 208.5 210.4 208.0 1,561 Breech or malpresentation . . . . . . . . . . 583,834 33,213 58.9 46.1 50.6 58.1 66.2 79.4 96.7 19,828 Precipitous labor. . . . . . . . . . . . . . . . 583,834 19,336 33.3 26.6 32.0 34.8 36.0 35.0 36.3 3,593

Congenital anomalies: Anencephaly . . . . . . . . . . . . . . . . . . 583,834 53 9.2 * * * * * * 5,219 Meningomyelocele or spina bifida. . . . . . 583,834 70 12.1 * 14.1 * * * * 5,219 Omphalocele or gastroschisis . . . . . . . . 583,834 217 37.5 65.5 49.4 28.8 19.7 * * 5,219 Cleft lip or palate . . . . . . . . . . . . . . . 583,834 274 47.4 51.2 45.6 38.7 51.9 60.4 * 5,219 Down syndrome . . . . . . . . . . . . . . . . 583,834 199 34.4 * 15.2 24.9 32.2 88.6 256.7 5,219

See footnotes at end of table.

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Table I–6. Selected risk factors, obstetric procedures, characteristics of labor and delivery, and congenital anomalies, by age and race and Hispanic origin of mother: United States, 2013—Con. [Rates are number of live births with specified risk factors, procedures, or anomaly per 1,000 live births in specified group; congenital anomalies are per 100,000 live births]

Age group (years)

Risk factor, characteristic, All Factor All Not procedure, and anomaly births1 reported ages Under 20 20–24 25–29 30–34 35–39 40–54 stated2

Hispanic5

Risk factors in this pregnancy: Diabetes . . . . . . . . . . . . . . . . . . . . 901,033 58,491 65.0 18.1 32.5 57.8 89.7 128.3 163.5 1,222 Hypertension, pregnancy-associated . . . . 901,033 33,944 37.7 39.4 34.1 34.1 38.3 46.2 61.5 1,222 Hypertension, chronic . . . . . . . . . . . . . 901,033 8,524 9.5 3.5 5.2 7.7 11.9 19.3 29.9 1,222

Obstetric procedures and characteristics of labor or delivery: Induction of labor . . . . . . . . . . . . . . . 901,033 164,082 182.3 206.0 193.1 178.8 171.4 165.9 176.2 822 Breech or malpresentation . . . . . . . . . . 901,033 52,121 59.6 49.1 51.2 56.8 65.1 76.3 93.8 26,679 Precipitous labor. . . . . . . . . . . . . . . . 901,033 25,260 28.1 19.4 25.4 29.9 31.4 31.3 29.6 1,678

Congenital anomalies: Anencephaly . . . . . . . . . . . . . . . . . . 901,033 99 11.0 * 8.4 14.4 * * * 2,335 Meningomyelocele or spina bifida. . . . . . 901,033 121 13.5 * 12.2 12.3 12.3 * * 2,335 Omphalocele or gastroschisis . . . . . . . . 901,033 279 31.0 92.6 40.1 23.4 15.3 * * 2,335 Cleft lip or palate . . . . . . . . . . . . . . . 901,033 532 59.2 72.4 54.8 63.2 54.6 58.6 * 2,335 Down syndrome . . . . . . . . . . . . . . . . 901,033 470 52.3 35.1 24.0 25.9 41.4 111.4 473.4 2,335

* Figure does not meet standards of reliability or precision; based on fewer than 20 births in the numerator. 1Total number of births to residents of areas reporting risk factors, procedure, or anomaly. 2No response reported for specific item. 3Includes races not shown. 4Race and Hispanic origin are reported separately on birth certificates. Persons of Hispanic origin may be of any race. Race categories are consistent with 1977 Office of Management and Budget standards. Forty-four states and the District of Columbia reported mulitple-race data for 2013 that were bridged to single-race categories for comparability with other states; see Technical Notes. 5Includes all persons of Hispanic origin of any race.

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Table I–7. Cesarean delivery, by race and Hispanic origin of mother: United States, each state and territory, 2013 [By place of residence]

Total cesarean delivery rate1

Non-Hispanic

Area All races2 White3 Black3 Hispanic4

United States5 . . . . . . . . . . . . . . . . 32.7 32.0 35.8 32.2

Alabama . . . . . . . . . . . . . . . . . . . 35.8 36.0 37.5 27.7 Alaska . . . . . . . . . . . . . . . . . . . . 24.0 26.6 26.9 29.2 Arizona . . . . . . . . . . . . . . . . . . . . 27.4 28.0 31.0 26.4 Arkansas . . . . . . . . . . . . . . . . . . . 34.4 34.7 35.9 30.0 California. . . . . . . . . . . . . . . . . . . 33.2 32.3 38.3 32.7 Colorado . . . . . . . . . . . . . . . . . . . 26.0 26.6 27.4 23.7 Connecticut . . . . . . . . . . . . . . . . . 34.8 34.8 37.3 33.0 Delaware. . . . . . . . . . . . . . . . . . . 31.5 31.1 33.7 28.4 District of Columbia . . . . . . . . . . . . 34.2 31.7 37.0 29.9 Florida . . . . . . . . . . . . . . . . . . . . 37.7 34.8 38.6 41.5

Georgia . . . . . . . . . . . . . . . . . . . 34.2 33.9 36.3 29.2 Hawaii . . . . . . . . . . . . . . . . . . . . 25.2 24.1 30.9 26.8 Idaho . . . . . . . . . . . . . . . . . . . . . 24.9 24.1 30.2 27.4 Illinois . . . . . . . . . . . . . . . . . . . . 31.7 32.0 32.5 29.4 Indiana . . . . . . . . . . . . . . . . . . . . 30.5 30.5 32.1 27.9 Iowa . . . . . . . . . . . . . . . . . . . . . 30.8 30.9 32.7 29.2 Kansas . . . . . . . . . . . . . . . . . . . . 30.2 30.9 31.9 26.7 Kentucky . . . . . . . . . . . . . . . . . . . 36.6 36.9 37.4 32.3 Louisiana. . . . . . . . . . . . . . . . . . . 38.9 39.7 38.5 35.0 Maine. . . . . . . . . . . . . . . . . . . . . 30.0 30.0 27.4 29.1

Maryland . . . . . . . . . . . . . . . . . . . 35.1 33.0 39.3 31.1 Massachusetts . . . . . . . . . . . . . . . 31.5 31.9 34.4 29.4 Michigan . . . . . . . . . . . . . . . . . . . 32.6 32.7 31.9 30.4 Minnesota . . . . . . . . . . . . . . . . . . 26.9 27.2 29.2 25.9 Mississippi . . . . . . . . . . . . . . . . . . 38.5 38.6 39.1 32.8 Missouri . . . . . . . . . . . . . . . . . . . 31.1 31.0 32.1 29.3 Montana . . . . . . . . . . . . . . . . . . . 29.7 29.2 36.0 29.0 Nebraska. . . . . . . . . . . . . . . . . . . 30.3 31.3 29.4 26.3 Nevada. . . . . . . . . . . . . . . . . . . . 34.9 34.9 41.0 32.1 New Hampshire. . . . . . . . . . . . . . . 30.1 29.8 32.6 32.0

New Jersey . . . . . . . . . . . . . . . . . 38.4 37.4 40.5 38.2 New Mexico . . . . . . . . . . . . . . . . . 24.3 24.5 28.5 24.8 New York . . . . . . . . . . . . . . . . . . 34.3 33.2 38.5 34.3 North Carolina. . . . . . . . . . . . . . . . 30.4 31.1 32.2 24.3 North Dakota . . . . . . . . . . . . . . . . 28.6 27.7 29.0 31.4 Ohio . . . . . . . . . . . . . . . . . . . . . 31.1 30.9 31.9 29.5 Oklahoma . . . . . . . . . . . . . . . . . . 33.8 34.3 36.8 30.0 Oregon . . . . . . . . . . . . . . . . . . . . 28.0 27.8 30.1 26.8 Pennsylvania . . . . . . . . . . . . . . . . 31.3 31.6 30.7 30.1 Rhode Island . . . . . . . . . . . . . . . . 31.3 32.8 32.1 27.6

South Carolina . . . . . . . . . . . . . . . 35.0 34.9 36.9 29.0 South Dakota . . . . . . . . . . . . . . . . 25.5 25.0 31.6 23.0 Tennessee . . . . . . . . . . . . . . . . . . 33.4 33.5 35.2 28.3 Texas . . . . . . . . . . . . . . . . . . . . . 35.2 34.9 38.7 34.5 Utah . . . . . . . . . . . . . . . . . . . . . 22.4 21.9 26.8 23.0 Vermont . . . . . . . . . . . . . . . . . . . 27.3 26.9 30.6 31.5 Virginia . . . . . . . . . . . . . . . . . . . . 33.7 32.6 36.2 31.8 Washington . . . . . . . . . . . . . . . . . 28.3 27.5 33.5 26.8 West Virginia . . . . . . . . . . . . . . . . 35.9 35.8 38.5 30.9 Wisconsin . . . . . . . . . . . . . . . . . . 26.2 26.7 25.4 25.8 Wyoming . . . . . . . . . . . . . . . . . . . 28.9 27.8 34.0 32.5

Puerto Rico . . . . . . . . . . . . . . . . . 48.8 48.2 49.8 48.8 Virgin Islands . . . . . . . . . . . . . . . . - - ­ - - ­ - - ­ - - ­Guam. . . . . . . . . . . . . . . . . . . . . 26.1 25.5 * * American Samoa . . . . . . . . . . . . . . - - ­ - - ­ - - ­ - - ­Northern Marianas . . . . . . . . . . . . . 22.4 * * *

- - - Data not available. * Figure does not meet standards of reliability or precision; based on fewer than 20 births in the numerator. 1Percentage of all live births by cesarean delivery. 2Includes races other than white and black and origin not stated. 3Race and Hispanic origin are reported separately on birth certificates. Persons of Hispanic origin may be of any race. Race categories are consistent with 1977 Office of Management and Budget standards. Forty-four states and the District of Columbia reported multiple-race data for 2013 that were bridged to single-race categories for comparability with other states; see Technical Notes. 4Includes all persons of Hispanic origin of any race. 5Excludes data for the territories.

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National Vital Statistics Reports, Vol. 64, No. 1, January 15, 2015

Table I–8. Preterm births, by race and Hispanic origin of mother: United States, each state and territory, 2013 [By place of residence. Preterm is under 37 completed weeks of gestation]

Number Percent

All Non-Hispanic

All Non-Hispanic

Area races1 White2 Black2 Hispanic3 races1 White2 Black2 Hispanic3

United States4 . . . . . . . . . . . . . . . . 447,361 216,449 94,869 101,839 11.39 10.17 16.27 11.31 Alabama . . . . . . . . . . . . . . . . . . . 8,780 4,562 3,486 587 15.10 13.00 19.48 14.68 Alaska . . . . . . . . . . . . . . . . . . . . 1,146 585 40 77 10.03 8.85 8.97 9.11 Arizona . . . . . . . . . . . . . . . . . . . . 9,959 3,937 699 4,143 11.64 10.27 15.76 12.23 Arkansas . . . . . . . . . . . . . . . . . . . 4,801 2,947 1,227 420 12.71 11.67 16.92 10.97 California. . . . . . . . . . . . . . . . . . . 43,627 11,390 3,618 21,260 8.83 7.94 12.52 8.92 Colorado . . . . . . . . . . . . . . . . . . . 6,669 3,773 472 1,982 10.26 9.47 14.64 11.13 Connecticut . . . . . . . . . . . . . . . . . 3,545 1,822 617 878 9.83 8.80 13.40 10.70 Delaware. . . . . . . . . . . . . . . . . . . 1,343 662 478 154 12.41 11.15 16.15 11.42 District of Columbia . . . . . . . . . . . . 1,232 222 812 160 13.32 7.99 17.04 12.85 Florida . . . . . . . . . . . . . . . . . . . . 29,174 10,981 8,492 8,334 13.55 11.15 17.30 14.08 Georgia . . . . . . . . . . . . . . . . . . . 16,319 6,334 7,125 1,967 12.71 10.68 16.11 11.61 Hawaii . . . . . . . . . . . . . . . . . . . . 2,382 452 94 432 12.55 9.15 17.34 14.39 Idaho . . . . . . . . . . . . . . . . . . . . . 2,340 1,797 25 405 10.46 10.02 13.02 11.84 Illinois . . . . . . . . . . . . . . . . . . . . 18,426 8,784 4,478 4,016 11.75 10.23 16.72 12.01 Indiana . . . . . . . . . . . . . . . . . . . . 9,132 6,618 1,506 765 10.99 10.37 15.05 11.20 Iowa . . . . . . . . . . . . . . . . . . . . . 4,322 3,446 341 351 11.06 10.67 16.12 11.06 Kansas . . . . . . . . . . . . . . . . . . . . 4,199 2,899 459 672 10.81 10.25 16.43 10.95 Kentucky . . . . . . . . . . . . . . . . . . . 7,031 5,710 879 315 12.63 12.25 16.86 11.70 Louisiana. . . . . . . . . . . . . . . . . . . 9,542 4,133 4,708 486 15.10 12.31 19.61 12.47 Maine. . . . . . . . . . . . . . . . . . . . . 1,190 1,089 45 15 9.32 9.26 10.16 * Maryland . . . . . . . . . . . . . . . . . . . 8,536 3,156 3,530 1,245 11.88 9.70 15.14 11.85 Massachusetts . . . . . . . . . . . . . . . 7,158 4,257 908 1,355 10.01 9.47 12.80 10.96 Michigan . . . . . . . . . . . . . . . . . . . 13,211 8,098 3,722 863 11.65 10.24 16.89 11.80 Minnesota . . . . . . . . . . . . . . . . . . 6,806 4,565 955 498 9.85 9.09 12.94 10.68 Mississippi . . . . . . . . . . . . . . . . . . 6,397 2,633 3,490 186 16.57 13.35 20.95 12.43 Missouri . . . . . . . . . . . . . . . . . . . 8,514 5,858 1,921 456 11.33 10.23 16.90 11.64 Montana . . . . . . . . . . . . . . . . . . . 1,304 960 10 46 10.55 9.45 * 9.68 Nebraska. . . . . . . . . . . . . . . . . . . 2,756 1,843 282 480 10.57 9.58 15.91 12.32 Nevada. . . . . . . . . . . . . . . . . . . . 4,410 1,621 693 1,637 12.60 10.85 17.76 12.88 New Hampshire. . . . . . . . . . . . . . . 1,115 985 30 51 9.01 8.91 14.02 9.96 New Jersey . . . . . . . . . . . . . . . . . 11,802 4,738 2,464 3,377 11.51 9.87 15.83 12.39 New Mexico . . . . . . . . . . . . . . . . . 3,062 789 70 1,700 11.63 10.63 16.24 11.81 New York . . . . . . . . . . . . . . . . . . 25,378 10,751 5,512 6,279 10.72 9.31 14.66 11.45 North Carolina. . . . . . . . . . . . . . . . 14,286 6,844 4,726 1,978 12.01 10.32 16.34 11.31 North Dakota . . . . . . . . . . . . . . . . 1,049 777 39 41 9.90 9.11 11.64 9.40 Ohio . . . . . . . . . . . . . . . . . . . . . 16,727 11,314 4,063 817 12.06 10.89 17.13 12.60 Oklahoma . . . . . . . . . . . . . . . . . . 6,819 4,084 867 920 12.79 12.03 17.97 12.77 Oregon . . . . . . . . . . . . . . . . . . . . 4,212 2,739 140 939 9.33 8.56 11.79 11.12 Pennsylvania . . . . . . . . . . . . . . . . 15,040 9,517 3,081 1,650 10.71 9.67 14.97 11.69 Rhode Island . . . . . . . . . . . . . . . . 1,101 580 137 295 10.20 8.83 14.64 12.03 South Carolina . . . . . . . . . . . . . . . 7,806 3,842 3,218 548 13.75 11.61 18.07 12.43 South Dakota . . . . . . . . . . . . . . . . 1,324 883 46 75 10.82 9.68 14.60 14.42 Tennessee . . . . . . . . . . . . . . . . . . 10,076 6,152 2,921 788 12.61 11.33 17.40 11.51 Texas . . . . . . . . . . . . . . . . . . . . . 47,611 14,822 7,328 23,177 12.29 10.85 16.00 12.50 Utah . . . . . . . . . . . . . . . . . . . . . 5,180 3,803 83 909 10.17 9.65 14.85 11.80 Vermont . . . . . . . . . . . . . . . . . . . 485 447 13 8 8.12 7.99 * * Virginia . . . . . . . . . . . . . . . . . . . . 11,249 5,758 3,175 1,577 11.02 9.72 14.50 12.07 Washington . . . . . . . . . . . . . . . . . 8,399 4,826 571 1,687 9.72 8.82 12.65 10.84 West Virginia . . . . . . . . . . . . . . . . 2,597 2,388 150 23 12.48 12.22 20.11 10.50 Wisconsin . . . . . . . . . . . . . . . . . . 6,908 4,604 1,108 700 10.37 9.33 16.54 10.95 Wyoming . . . . . . . . . . . . . . . . . . . 884 672 15 115 11.57 10.95 * 12.42 Puerto Rico . . . . . . . . . . . . . . . . . 5,519 403 60 5,051 15.14 15.25 21.74 15.07 Virgin Islands . . . . . . . . . . . . . . . . - - ­ - - ­ - - ­ - - ­ - - ­ - - ­ - - ­ - - ­Guam. . . . . . . . . . . . . . . . . . . . . 560 9 3 3 17.19 * * * American Samoa . . . . . . . . . . . . . . - - ­ - - ­ - - ­ - - ­ - - ­ - - ­ - - ­ - - ­Northern Marianas . . . . . . . . . . . . . 87 – – – 12.81 * * *

* Figure does not meet standards of reliability or precision; based on fewer than 20 births in the numerator. - - - Data not available. – Quantity zero. 1Includes races other than white and black and origin not stated. 2Race and Hispanic origin are reported separately on birth certificates. Persons of Hispanic origin may be of any race. Race categories are consistent with 1977 Office of Management and Budget standards. Forty-four states and the District of Columbia reported mulitple-race data for 2013 that were bridged to single-race categories for comparability with other states; see Technical Notes. 3Includes all persons of Hispanic origin of any race. 4Excludes data for the territories.

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Table I–9. Low birthweight births, by race and Hispanic origin of mother: United States, each state and territory, 2013 [By place of residence. Low birthweight is less than 2,500 grams (5 pounds, 8 ounces)]

Number Percent

All Non-Hispanic

All Non-Hispanic

Area races1 White2 Black2 Hispanic3 races1 White2 Black2 Hispanic3

United States4 . . . . . . . . . . . . . . . . 315,099 148,390 76,195 63,832 8.0 7.0 13.1 7.1

Alabama . . . . . . . . . . . . . . . . . . . 5,805 2,837 2,608 260 10.0 8.1 14.6 6.5 Alaska . . . . . . . . . . . . . . . . . . . . 658 367 29 56 5.8 5.5 6.5 6.6 Arizona . . . . . . . . . . . . . . . . . . . . 5,897 2,470 497 2,263 6.9 6.4 11.2 6.7 Arkansas . . . . . . . . . . . . . . . . . . . 3,312 1,946 1,014 225 8.8 7.7 14.0 5.9 California. . . . . . . . . . . . . . . . . . . 33,753 8,657 3,295 15,212 6.8 6.0 11.4 6.4 Colorado . . . . . . . . . . . . . . . . . . . 5,718 3,304 469 1,551 8.8 8.3 14.6 8.7 Connecticut . . . . . . . . . . . . . . . . . 2,820 1,362 562 662 7.8 6.6 12.2 8.1 Delaware. . . . . . . . . . . . . . . . . . . 900 403 375 75 8.3 6.8 12.7 5.6 District of Columbia . . . . . . . . . . . . 875 160 591 94 9.4 5.8 12.3 7.5 Florida . . . . . . . . . . . . . . . . . . . . 18,346 7,053 6,298 4,212 8.5 7.2 12.8 7.1

Georgia . . . . . . . . . . . . . . . . . . . 12,064 4,299 5,893 1,139 9.5 7.3 13.4 6.8 Hawaii . . . . . . . . . . . . . . . . . . . . 1,562 290 78 282 8.2 5.9 14.5 9.4 Idaho . . . . . . . . . . . . . . . . . . . . . 1,545 1,222 15 239 6.9 6.8 * 7.0 Illinois . . . . . . . . . . . . . . . . . . . . 12,898 5,797 3,702 2,384 8.2 6.8 13.8 7.1 Indiana . . . . . . . . . . . . . . . . . . . . 6,569 4,630 1,281 457 7.9 7.3 12.8 6.7 Iowa . . . . . . . . . . . . . . . . . . . . . 2,561 2,045 230 169 6.6 6.3 10.9 5.3 Kansas . . . . . . . . . . . . . . . . . . . . 2,721 1,895 352 353 7.0 6.7 12.6 5.8 Kentucky . . . . . . . . . . . . . . . . . . . 4,845 3,898 683 170 8.7 8.4 13.1 6.3 Louisiana. . . . . . . . . . . . . . . . . . . 6,901 2,723 3,742 283 10.9 8.1 15.6 7.3 Maine. . . . . . . . . . . . . . . . . . . . . 911 830 37 9 7.1 7.1 8.4 *

Maryland . . . . . . . . . . . . . . . . . . . 6,088 2,139 2,785 706 8.5 6.6 11.9 6.7 Massachusetts . . . . . . . . . . . . . . . 5,505 3,159 754 1,011 7.7 7.0 10.7 8.2 Michigan . . . . . . . . . . . . . . . . . . . 9,331 5,530 2,881 528 8.2 7.0 13.1 7.2 Minnesota . . . . . . . . . . . . . . . . . . 4,398 2,850 716 307 6.4 5.7 9.7 6.6 Mississippi . . . . . . . . . . . . . . . . . . 4,458 1,618 2,681 112 11.5 8.2 16.1 7.5 Missouri . . . . . . . . . . . . . . . . . . . 6,033 4,019 1,546 264 8.0 7.0 13.6 6.7 Montana . . . . . . . . . . . . . . . . . . . 913 706 11 30 7.4 6.9 * 6.3 Nebraska. . . . . . . . . . . . . . . . . . . 1,682 1,153 204 242 6.4 6.0 11.5 6.2 Nevada. . . . . . . . . . . . . . . . . . . . 2,810 1,108 497 873 8.0 7.4 12.7 6.9 New Hampshire. . . . . . . . . . . . . . . 841 739 29 31 6.8 6.7 13.5 6.0

New Jersey . . . . . . . . . . . . . . . . . 8,469 3,354 1,956 2,038 8.3 7.0 12.6 7.5 New Mexico . . . . . . . . . . . . . . . . . 2,333 660 55 1,291 8.9 8.9 12.8 9.0 New York . . . . . . . . . . . . . . . . . . 18,847 7,588 4,646 4,228 8.0 6.6 12.4 7.7 North Carolina. . . . . . . . . . . . . . . . 10,432 4,824 3,830 1,184 8.8 7.3 13.2 6.8 North Dakota . . . . . . . . . . . . . . . . 679 522 35 25 6.4 6.1 10.4 5.7 Ohio . . . . . . . . . . . . . . . . . . . . . 11,808 7,700 3,163 526 8.5 7.4 13.3 8.1 Oklahoma . . . . . . . . . . . . . . . . . . 4,297 2,652 642 455 8.1 7.8 13.3 6.3 Oregon . . . . . . . . . . . . . . . . . . . . 2,841 1,893 109 541 6.3 5.9 9.2 6.4 Pennsylvania . . . . . . . . . . . . . . . . 11,219 6,726 2,601 1,187 8.0 6.8 12.7 8.4 Rhode Island . . . . . . . . . . . . . . . . 746 379 110 188 6.9 5.8 11.8 7.7

South Carolina . . . . . . . . . . . . . . . 5,496 2,509 2,548 301 9.7 7.6 14.3 6.8 South Dakota . . . . . . . . . . . . . . . . 766 543 25 44 6.3 6.0 8.0 8.4 Tennessee . . . . . . . . . . . . . . . . . . 7,307 4,304 2,361 474 9.1 7.9 14.0 6.9 Texas . . . . . . . . . . . . . . . . . . . . . 32,159 10,047 5,989 14,189 8.3 7.4 13.1 7.7 Utah . . . . . . . . . . . . . . . . . . . . . 3,567 2,648 49 582 7.0 6.7 8.8 7.6 Vermont . . . . . . . . . . . . . . . . . . . 401 367 6 9 6.7 6.6 * * Virginia . . . . . . . . . . . . . . . . . . . . 8,182 3,966 2,702 881 8.0 6.7 12.3 6.7 Washington . . . . . . . . . . . . . . . . . 5,547 3,209 457 958 6.4 5.9 10.1 6.2 West Virginia . . . . . . . . . . . . . . . . 1,955 1,792 114 16 9.4 9.2 15.3 * Wisconsin . . . . . . . . . . . . . . . . . . 4,668 2,984 930 431 7.0 6.0 13.9 6.7 Wyoming . . . . . . . . . . . . . . . . . . . 660 514 12 85 8.6 8.4 * 9.2

Puerto Rico . . . . . . . . . . . . . . . . . 3,846 288 44 3,507 10.5 10.9 15.9 10.5 Virgin Islands . . . . . . . . . . . . . . . . - - ­ - - ­ - - ­ - - ­ - - ­ - - ­ - - ­ - - ­Guam. . . . . . . . . . . . . . . . . . . . . 290 6 2 - 9.0 * * * American Samoa . . . . . . . . . . . . . . 36 - - ­ - - ­ - - ­ 3.3 - - ­ - - ­ - - ­Northern Marianas . . . . . . . . . . . . . 53 – – – 7.8 * * *

* Figure does not meet standards of reliability or precision; based on fewer than 20 births in the numerator. - - - Data not available. – Quantity zero. 1Includes races other than white and black and origin not stated. 2Race and Hispanic origin are reported separately on birth certificates. Persons of Hispanic origin may be of any race. Race categories are consistent with 1977 Office of Management and Budget standards. Forty-four states and the District of Columbia reported multiple-race data for 2013 that were bridged to single-race categories for comparability with other states; see Technical Notes. 3Includes all persons of Hispanic origin of any race. 4Excludes data for the territories.

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Table I–10. Very low birthweight births, by race and Hispanic origin of mother: United States, each state and territory, 2013 [By place of residence. Very low birthweight is less than 1,500 grams (3 pounds, 4 ounces)]

Number Percent

All Non-Hispanic

All Non-Hispanic

Area races1 White2 Black2 Hispanic3 races1 White2 Black2 Hispanic3

United States4 . . . . . . . . . . . . . . . . 55,458 23,600 16,890 10,933 1.4 1.1 2.9 1.2

Alabama . . . . . . . . . . . . . . . . . . . 1,215 534 608 54 2.1 1.5 3.4 1.4 Alaska . . . . . . . . . . . . . . . . . . . . 110 53 6 6 1.0 0.8 * * Arizona . . . . . . . . . . . . . . . . . . . . 919 374 84 368 1.1 1.0 1.9 1.1 Arkansas . . . . . . . . . . . . . . . . . . . 608 331 217 35 1.6 1.3 3.0 0.9 California. . . . . . . . . . . . . . . . . . . 5,683 1,321 699 2,684 1.1 0.9 2.4 1.1 Colorado . . . . . . . . . . . . . . . . . . . 844 472 68 255 1.3 1.2 2.1 1.4 Connecticut . . . . . . . . . . . . . . . . . 514 231 111 144 1.4 1.1 2.4 1.8 Delaware. . . . . . . . . . . . . . . . . . . 181 68 92 11 1.7 1.1 3.1 * District of Columbia . . . . . . . . . . . . 225 29 164 26 2.4 1.0 3.4 2.1 Florida . . . . . . . . . . . . . . . . . . . . 3,266 1,062 1,403 662 1.5 1.1 2.9 1.1

Georgia . . . . . . . . . . . . . . . . . . . 2,350 685 1,357 203 1.8 1.2 3.1 1.2 Hawaii . . . . . . . . . . . . . . . . . . . . 263 53 16 54 1.4 1.1 * 1.8 Idaho . . . . . . . . . . . . . . . . . . . . . 243 189 2 36 1.1 1.1 * 1.1 Illinois . . . . . . . . . . . . . . . . . . . . 2,319 943 761 451 1.5 1.1 2.8 1.3 Indiana . . . . . . . . . . . . . . . . . . . . 1,157 755 294 79 1.4 1.2 2.9 1.2 Iowa . . . . . . . . . . . . . . . . . . . . . 451 339 51 43 1.2 1.0 2.4 1.4 Kansas . . . . . . . . . . . . . . . . . . . . 484 326 84 55 1.2 1.2 3.0 0.9 Kentucky . . . . . . . . . . . . . . . . . . . 833 645 141 35 1.5 1.4 2.7 1.3 Louisiana. . . . . . . . . . . . . . . . . . . 1,302 423 806 43 2.1 1.3 3.4 1.1 Maine. . . . . . . . . . . . . . . . . . . . . 152 138 9 1 1.2 1.2 * *

Maryland . . . . . . . . . . . . . . . . . . . 1,156 330 643 112 1.6 1.0 2.8 1.1 Massachusetts . . . . . . . . . . . . . . . 944 511 165 173 1.3 1.1 2.3 1.4 Michigan . . . . . . . . . . . . . . . . . . . 1,794 941 696 94 1.6 1.2 3.2 1.3 Minnesota . . . . . . . . . . . . . . . . . . 792 492 154 55 1.1 1.0 2.1 1.2 Mississippi . . . . . . . . . . . . . . . . . . 827 240 565 15 2.1 1.2 3.4 * Missouri . . . . . . . . . . . . . . . . . . . 1,019 617 325 43 1.4 1.1 2.9 1.1 Montana . . . . . . . . . . . . . . . . . . . 110 88 1 3 0.9 0.9 * * Nebraska. . . . . . . . . . . . . . . . . . . 294 192 45 42 1.1 1.0 2.5 1.1 Nevada. . . . . . . . . . . . . . . . . . . . 445 158 103 134 1.3 1.1 2.6 1.1 New Hampshire. . . . . . . . . . . . . . . 141 122 7 6 1.1 1.1 * *

New Jersey . . . . . . . . . . . . . . . . . 1,571 556 484 376 1.5 1.2 3.1 1.4 New Mexico . . . . . . . . . . . . . . . . . 346 93 13 187 1.3 1.3 * 1.3 New York . . . . . . . . . . . . . . . . . . 3,210 1,097 1,046 748 1.4 1.0 2.8 1.4 North Carolina. . . . . . . . . . . . . . . . 2,001 807 893 212 1.7 1.2 3.1 1.2 North Dakota . . . . . . . . . . . . . . . . 126 93 11 3 1.2 1.1 * * Ohio . . . . . . . . . . . . . . . . . . . . . 2,207 1,333 698 108 1.6 1.3 2.9 1.7 Oklahoma . . . . . . . . . . . . . . . . . . 732 425 143 86 1.4 1.3 3.0 1.2 Oregon . . . . . . . . . . . . . . . . . . . . 442 288 29 77 1.0 0.9 2.4 0.9 Pennsylvania . . . . . . . . . . . . . . . . 2,006 1,070 569 218 1.4 1.1 2.8 1.5 Rhode Island . . . . . . . . . . . . . . . . 142 68 30 32 1.3 1.0 3.2 1.3

South Carolina . . . . . . . . . . . . . . . 1,057 400 573 62 1.9 1.2 3.2 1.4 South Dakota . . . . . . . . . . . . . . . . 120 84 3 4 1.0 0.9 * * Tennessee . . . . . . . . . . . . . . . . . . 1,320 686 523 85 1.7 1.3 3.1 1.2 Texas . . . . . . . . . . . . . . . . . . . . . 5,322 1,540 1,244 2,292 1.4 1.1 2.7 1.2 Utah . . . . . . . . . . . . . . . . . . . . . 507 366 11 78 1.0 0.9 * 1.0 Vermont . . . . . . . . . . . . . . . . . . . 52 45 3 1 0.9 0.8 * * Virginia . . . . . . . . . . . . . . . . . . . . 1,559 662 632 186 1.5 1.1 2.9 1.4 Washington . . . . . . . . . . . . . . . . . 908 518 96 167 1.0 0.9 2.1 1.1 West Virginia . . . . . . . . . . . . . . . . 254 230 19 1 1.2 1.2 * * Wisconsin . . . . . . . . . . . . . . . . . . 846 509 191 76 1.3 1.0 2.9 1.2 Wyoming . . . . . . . . . . . . . . . . . . . 89 68 2 12 1.2 1.1 * *

Puerto Rico . . . . . . . . . . . . . . . . . 471 34 7 429 1.3 1.3 * 1.3 Virgin Islands . . . . . . . . . . . . . . . . - - ­ - - ­ - - ­ - - ­ - - ­ - - ­ - - ­ - - ­Guam. . . . . . . . . . . . . . . . . . . . . 39 2 1 - 1.2 * * * American Samoa . . . . . . . . . . . . . . 5 - - ­ - - ­ - - ­ * - - ­ - - ­ - - ­Northern Marianas . . . . . . . . . . . . . 6 – – – * * * *

* Figure does not meet standards of reliability or precision; based on fewer than 20 births in the numerator. - - - Data not available. – Quantity zero. 1Includes races other than white and black and origin not stated. 2Race and Hispanic origin are reported separately on birth certificates. Persons of Hispanic origin may be of any race. Race categories are consistent with 1977 Office of Management and Budget standards. Forty-four states and the District of Columbia reported multiple-race data for 2013 that were bridged to single-race categories for comparability with other states; see Technical Notes. 3Includes all persons of Hispanic origin of any race. 4Excludes data for the territories.

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National Vital Statistics Reports, Vol. 64, No. 1, January 15, 2015

Table I–11. Twin and triplet or higher-order multiple births, by state: United States and each state, 2011–2013 [By place of residence]

Twin Triplet or higher order1

Rate per Rate per 1,000 live 100,000

Area Number births Area Number live births

United States . . . . . . . . . . . . . . . .

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 . . . . . . . . . . . . . . . . . . .

394,617 33.3

5,683 32.3 973 28.5

7,126 27.7 3,398 29.6

46,162 30.8 6,260 32.1 4,391 40.0 1,036 31.3

981 35.1 20,205 31.5

12,897 32.9 1,812 31.8 2,043 30.2

17,893 37.5 8,087 32.3 3,883 33.5 3,881 32.7 5,356 32.1 6,335 33.7 1,266 33.1

8,098 37.2 9,403 43.3

11,966 35.1 7,159 34.7 3,896 33.3 7,777 34.3 1,095 29.9 2,532 32.6 3,164 30.1 1,481 39.4

13,838 44.3 2,030 25.2

27,227 37.9 11,972 33.3

927 30.7 14,172 34.1

4,697 29.7 4,365 32.2

14,674 34.4 1,153 35.3

5,843 34.1 1,039 28.7 7,372 30.7

35,545 31.0 4,836 31.5

523 29.0 10,883 35.4

8,089 31.0 1,845 29.6 6,680 33.1

668 29.5

United States . . . . . . . . . . . . . . . 15,036 127.0

Alabama . . . . . . . . . . . . . . . . . . 297 168.8 Alaska. . . . . . . . . . . . . . . . . . . . 10 * Arizona . . . . . . . . . . . . . . . . . . . 269 104.4 Arkansas . . . . . . . . . . . . . . . . . . 99 86.2 California . . . . . . . . . . . . . . . . . . 1,618 107.8 Colorado . . . . . . . . . . . . . . . . . . 169 86.6 Connecticut. . . . . . . . . . . . . . . . . 192 174.7 Delaware . . . . . . . . . . . . . . . . . . 23 69.5 District of Columbia . . . . . . . . . . . . 25 89.3 Florida . . . . . . . . . . . . . . . . . . . 797 124.1

Georgia . . . . . . . . . . . . . . . . . . . 507 129.5 Hawaii. . . . . . . . . . . . . . . . . . . . 67 117.7 Idaho . . . . . . . . . . . . . . . . . . . . 94 138.9 Illinois . . . . . . . . . . . . . . . . . . . . 673 141.0 Indiana . . . . . . . . . . . . . . . . . . . 334 133.6 Iowa . . . . . . . . . . . . . . . . . . . . . 135 116.4 Kansas . . . . . . . . . . . . . . . . . . . 144 121.2 Kentucky . . . . . . . . . . . . . . . . . . 221 132.5 Louisiana . . . . . . . . . . . . . . . . . . 286 152.3 Maine . . . . . . . . . . . . . . . . . . . . 36 94.0

Maryland . . . . . . . . . . . . . . . . . . 260 119.3 Massachusetts . . . . . . . . . . . . . . . 284 130.6 Michigan . . . . . . . . . . . . . . . . . . 519 152.4 Minnesota . . . . . . . . . . . . . . . . . 243 117.8 Mississippi . . . . . . . . . . . . . . . . . 116 99.0 Missouri. . . . . . . . . . . . . . . . . . . 288 127.0 Montana . . . . . . . . . . . . . . . . . . 38 103.9 Nebraska . . . . . . . . . . . . . . . . . . 137 176.2 Nevada . . . . . . . . . . . . . . . . . . . 133 126.4 New Hampshire . . . . . . . . . . . . . . 36 95.7

New Jersey . . . . . . . . . . . . . . . . 547 174.9 New Mexico . . . . . . . . . . . . . . . . 59 73.1 New York . . . . . . . . . . . . . . . . . . 1,130 157.1 North Carolina . . . . . . . . . . . . . . . 426 118.6 North Dakota. . . . . . . . . . . . . . . . 46 152.2 Ohio . . . . . . . . . . . . . . . . . . . . . 692 166.6 Oklahoma. . . . . . . . . . . . . . . . . . 183 115.5 Oregon . . . . . . . . . . . . . . . . . . . 104 76.8 Pennsylvania . . . . . . . . . . . . . . . . 587 137.6 Rhode Island. . . . . . . . . . . . . . . . 45 137.6

South Carolina . . . . . . . . . . . . . . . 210 122.6 South Dakota . . . . . . . . . . . . . . . 31 85.6 Tennessee . . . . . . . . . . . . . . . . . 239 99.6 Texas . . . . . . . . . . . . . . . . . . . . 1,479 128.9 Utah . . . . . . . . . . . . . . . . . . . . . 222 144.5 Vermont. . . . . . . . . . . . . . . . . . . 11 * Virginia . . . . . . . . . . . . . . . . . . . 401 130.3 Washington. . . . . . . . . . . . . . . . . 260 99.6 West Virginia . . . . . . . . . . . . . . . . 58 93.0 Wisconsin. . . . . . . . . . . . . . . . . . 244 120.9 Wyoming . . . . . . . . . . . . . . . . . . 12 *

* Figure does not meet standards of reliability or precision; based on fewer than 20 births in the numerator. 1Includes triplet, quadruplet, and other higher-order multiple births.

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National Vital Statistics Reports, Vol. 64, No. 1, January 15, 2015

Table I-12. Births occurring at home, by state: United States, 2013 [By place of residence]

Area Number Percent

United States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36,080 0.9

Alabama . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172 0.3 Alaska . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198 1.7 Arizona . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 672 0.8 Arkansas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 396 1.0 California . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,527 0.7 Colorado. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 980 1.5 Connecticut . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203 0.6 Delaware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 0.7 District of Columbia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 0.3 Florida . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,734 0.8

Georgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 663 0.5 Hawaii . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 316 1.7 Idaho. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 447 2.0 Illinois . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 851 0.5 Indiana. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,376 1.7 Iowa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 472 1.2 Kansas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 394 1.0 Kentucky. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 629 1.1 Louisiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177 0.3 Maine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 242 1.9

Maryland. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 390 0.5 Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 389 0.5 Michigan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,019 0.9 Minnesota . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 783 1.1 Mississippi. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 0.3 Missouri . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,094 1.5 Montana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 306 2.5 Nebraska . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 0.3 Nevada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 549 1.6 New Hampshire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137 1.1

New Jersey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 349 0.3 New Mexico. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 371 1.4 New York . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,212 0.9 North Carolina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 648 0.5 North Dakota . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113 1.1 Ohio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,500 1.1 Oklahoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 383 0.7 Oregon. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,027 2.3 Pennsylvania . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,537 1.8 Rhode Island . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 0.4

South Carolina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 307 0.5 South Dakota . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 0.6 Tennessee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 731 0.9 Texas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,011 0.5 Utah . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,076 2.1 Vermont . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129 2.2 Virginia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 746 0.7 Washington . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,856 2.1 West Virginia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114 0.5 Wisconsin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,305 2.0 Wyoming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118 1.5