User Guide To The 2014 Fetal Death Public Use File 2014Fetal
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User Guide to the 2014 Fetal Death Public Use File 2014 Fetal Death Data Set User’s Guide ACKNOWLEDGMENTS Preparation of this user’s guide was coordinated by Elizabeth C.W. Gregory and Anne Driscoll of the Division of Vital Statistics (DVS) under the general direction of Joyce A. Martin, Lead Statistician, Reproductive Statistics Branch (RSB), DVS, and Amy Branum, Chief of the Reproductive Statistics Branch (DVS). The vital statistics computer file on which it is based was prepared by DVS staff. The Division of Vital Statistics, Delton Atkinson, Director, manages the Vital Statistics Cooperative Program, through which the vital registration offices of all states, the District of Columbia, New York City, Puerto Rico, Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Mariana Islands, provided the data to the National Center for Health Statistics (NCHS). This Division, and its Data Acquisition, Classification, and Evaluation Branch (DACEB), and Systems, Programming, and Statistical Resources Branch (SPSRB), processed computer edits, designed and programmed the tabulations, reviewed the data, prepared documentation for this publication, and were responsible for receipt and processing of the basic data file. NCHS acknowledges the essential role of the vital registration offices of all states and territories in maintaining the system through which vital statistics data are obtained and their cooperation in providing the information on which this publication is based. Questions on the documentation or substantive questions concerning the data should be directed to the Reproductive Statistics Branch, Division of Vital Statistics, NCHS, 3311 Toledo Road, Hyattsville, MD 20782-2003 (1-800) 232-4636. Department of Health and Human Services Centers for Disease Control and Prevention National Center for Health Statistics Division of Vital Statistics 2014 Fetal Death Data Set Contents Introduction Control count of records List of data elements and locations Record layout and definition of item and codes Documentation tables Table A. 2014 Fetal Deaths: Control Count Totals for Revised Data Items Table B. 39 data items cut from the fetal mortality file beginning with the 2014 data year Table C. Period of gestation and weight minimums at which fetal death reporting is required, by reporting areas: United States, 2014 Table D. Implementation of the 2003 U.S. Standard Report of Fetal Death: Each state and territory, New York City, and the District of Columbia, 2003-2014 Table E. Percent distribution of the OE- and LMP-based measures of gestational age: United States, 2014 External links Fetal and Perinatal Mortality, United States, 2006 http://www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_08.pdf Trends in Fetal and Perinatal Mortality in the United States, 2006-2012 http://www.cdc.gov/nchs/data/databriefs/db169.pdf Fetal and Perinatal Mortality: United States, 2013 http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_08.pdf Births: Final Data for 2014 http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_12.pdf Infant Mortality Statistics from the 2013 Period Linked Birth/Infant Death Data Set http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_09.pdf (the 2014 file is forthcoming) Introduction The User Guide for 2014 continues to be abridged to include only the most important information needed for data analysis. Please see the 2006 Fetal Death User Guide and the Guide to Completing the Facility Worksheets for the Certificate of Live Birth and the Report of Fetal Death (2003 Revision) for more detailed information, including detailed Technical Notes on the fetal death data.1,2 Changes to the National Fetal Death File for 2014 The 2014 fetal death file has been redesigned with substantial changes from previous years3 in both content and format. These changes are summarized below: • Data items specific to the 2003 revision of the U.S. Standard Report of Fetal Death4 (revised items) that were not included on the data files for 2007-2013 are included in the 2014 file (see table A). • In an effort to improve data quality, a total of 39 data items have been dropped from the 2014 data file. These items were dropped because they were deemed to be difficult to collect, of poor data quality, not strongly associated with fetal death, collected elsewhere on the Report of Fetal Death, and/or dropped from the Standard Certificate of Live Birth5 (see table B). • The file layout has been redesigned to accommodate these changes (see 2014 fetal death file layout) • Beginning with the 2014 data year, NCHS transitioned to a new standard for estimating the gestational age at delivery for both births and fetal deaths. The new measure – the obstetric estimate of gestation at delivery (OE)-replaces the measure based on the date of the last normal menses (LMP). Accordingly, the OE 1 is now used for all reporting purposes for fetal deaths and the tabulation flag (position 10), which previously identified records with reported gestational ages of 20 weeks or greater based on the LMP, is now based on the OE (see table 1). • Cause of fetal death data (for a subset of revised states with acceptable levels of data quality) are being released for first time for the 2014 data year. These data are scheduled for release in September/October of 2016. Please see: http://www.cdc.gov/nchs/data_access/vitalstatsonline.htm for updates. U.S. fetal death data United States fetal death data represent fetal deaths registered in the 50 states, the District of Columbia, and New York City. The majority of states require reporting fetal deaths of 20 weeks of gestation or more, or 350 grams delivery weight (roughly equivalent to 20 weeks), or some combination of the two (see table C). The Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS) receives these data as electronic files, prepared from individual records processed by each registration area, through the Vital Statistics Cooperative Program. Fetal death data for the U.S. are limited to events occurring within the United States to U.S. residents and nonresidents. Fetal deaths to nonresidents of the United States are excluded from all tabulations by place of residence. Fetal deaths occurring to U.S. citizens outside of the United States are not included in this file. Most of the Documentation Tables included in this User’s Guide are restricted to fetal deaths occurring at 20 weeks of gestation or more. Availability of geographic detail 2 Beginning with the 2005 data year, the U.S. micro-data fetal death file no longer includes geographic detail (e.g., mother’s state of residence). Tabulations of fetal death data by geographic items will be available soon using the WONDER web application available at: http://wonder.cdc.gov/. Certain geographic level data may also be available upon request: See “NCHS Data Release and Access Policy for Micro-data and Compressed Vital Statistics Files,” available at: http://www.cdc.gov/nchs/nvss/dvs_data_release.htm . The 2014 territories file includes data on fetal deaths occurring in American Samoa, Guam, the Northern Marianas, and Puerto Rico (the Virgin Islands did not report data for 2014). It includes limited geographical data such as information identifying individual territories and counties (or their equivalent) with populations of 100,000 or more by place of occurrence and residence. Downloadable files Fetal death public use data files from 1982 to 2014, including User Guides, U.S. Fetal Death Data, and U.S. Territories Fetal Death Data are available for downloading directly from the NCHS website at: http://www.cdc.gov/nchs/data_access/Vitalstatsonline.htm . The 1989 and 2003 Revisions of the U.S. Report of Fetal Death This data file includes data based on both the 1989 revision of the U.S. Standard Report of Fetal Death (unrevised) and the 2003 revision of the U.S. Standard Report of Fetal Death (revised). The 2003 revision is described in detail elsewhere. (See the 2003 Revision website at: http://www.cdc.gov/nchs/nvss/vital_certificate_revisions.htm). 3 Forty-one states, the District of Columbia, New York City, Guam, and the Northern Marianas implemented the revised fetal death report as of January 1, 2014 (see table D). The 41 revised states are: Alabama, Arizona, Arkansas, California, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Washington, Wisconsin, and Wyoming. Together, the revised reporting areas represent 87.4 percent of all U.S. fetal deaths of 20 weeks and over. Additionally, Alaska and Virginia implemented the revised fetal death report in 2014, but after January 1. Revised data are combined with unrevised data from the remaining areas to create US data. Incomplete national reporting: The use of reporting flags The 2014 national fetal death file includes items that are not reported by all vital statistics jurisdictions (e.g., items specific to the 2003 revision of the US Standard Report of Fetal Death). Reporting flags were developed to help the user more readily identify the correct number of fetal deaths for items with less than full national reporting. Reporting flags are available for many items in the file, and positions for reporting flags are noted along with each data item in the file layout. Translating “blanks” In the 2014 fetal death file, for data items which are not reported by all states, fetal deaths to residents of a revised state occurring in an unrevised state, and fetal deaths to residents in an unrevised state occurring in a revised state, are represented by “blanks.” 4 Blanks should be treated as “unknowns” for tabulations. In sum, the correct use of reporting flags and translation of blanks will result in an accurate tally of fetal deaths for items with incomplete national reporting. For an example of SAS code that may be used to incorporate the correct use of reporting flags and the translation of blanks, see below. Example of SAS code using reporting flags (and translating blanks) The example below is for the item “mother’s education,” which is reported by the revised reporting area (41 states, New York City and the District of Columbia in 2014). Sample SAS program 01 02 03 DATA work; INFILE ‘c:fet14us.dat’ LRECL=3050; INPUT 04 oe_tabflg 10 05 restatus 131 06 meduc 145 07 f_meduc 372; 08 09 /*Include if 20 weeks gestation or more*/ 10 IF oe_tabflg EQ 2; 11 /*Exclude foreign residents*/ 12 IF restatus NE 4; 13 /*Select reporting area*/ 14 IF f_meducr=1; 15 /*Convert blanks to unknown*/ 16 IF meduc=. THEN meduc=9; 17 5 18 PROC FREQ; 19 20 TABLE meduc; RUN; In this example, “oe_tabflg” is used to select fetal deaths of 20 weeks gestation or more. Also, “restatus” is used to exclude fetal deaths to foreign residents (this is standard practice for all NCHS tabulations). As well in this example, blanks are represented by numeric values SAS code = (.). However, for some items in the file, e.g., pregnancy risk factors, blanks are represented by character values for which the SAS code is empty quotes (‘ ’). Changes in reporting requirements for 2014 Arkansas - As of January 1, 2014, Arkansas amended its fetal death reporting requirements. Arkansas now reports fetal deaths with a weight of 350 grams or more, or if weight is unknown, when the gestational age is 20 completed weeks or more. Prior to January 1, 2014, Arkansas state law required the reporting of fetal deaths of all periods of gestation, although only data for fetal deaths of 20 weeks of gestation or more were provided to NCHS. New Mexico - As of January 1, 2014, New Mexico amended its fetal death reporting requirements. New Mexico now reports fetal deaths of 20 weeks of gestation or more, or if gestational age is unknown, when the fetus weighs 350 grams or more. Prior to January 1, 2014, New Mexico only reported fetal deaths with birthweights of 500 grams or more (roughly equivalent to 22 weeks of gestation). 6 Changes to gestational age measurement Beginning with the 2014 data year, NCHS transitioned to the use of the obstetric estimate of gestation at delivery (OE) as the standard measure for estimating gestational age.6 The OE replaces the measure based on the date of the last normal menses (LMP).6 This transition was made because of the increasing evidence of the greater validity of the OE compared with the LMP-based measure6,7. Accordingly, beginning with the 2014 data year, gestational age data (including the tabulation flag) presented in this User Guide and in future reports are based on the OE. Gestational age estimates differ somewhat between the OE- and LMP-based measures and LMP-based data are presented for comparison purposes in Table E and Documentation table 1. Note that national data based on the OE are available only from data year 2007 forward. Impact of change on gestational age measurement Tabulation flag- To maximize the comparability of data by year and by state, most of the tables on fetal deaths published by NCHS are based on fetal deaths occurring at gestations of 20 weeks or more. These tabulations also include fetal deaths for which gestation is not stated for those states requiring reporting at 20 weeks of gestation or more only. Fetal deaths of not-stated gestation are excluded for states requiring reporting of all products of conception, except for those with a stated birthweight of 350 grams or more1. In 2014, this rule was applied to the following states: Colorado, Georgia, Hawaii, New York (including New York City), Pennsylvania, Rhode Island, Virginia (see Table C). The tabulation flag is used to generate the total number of records with a stated or presumed period of gestation of 20 weeks or more based on these rules described above. For 2014, use of the OE-based tabulation flag resulted in 23,980 records with a 7 stated or presumed period of gestation of 20 weeks or more. This compares with 23,999 records with a stated or presumed period of gestation of 20 weeks or more based on use of the LMP-based tabulation flag (Documentation table 1 and Table E). In sum, use of the different gestational age measures resulted in only a small difference (19) in the number of total fetal deaths at 20 and greater weeks for 2014. Total, early, and late fetal mortality- the OE compared with the LMP - For 2014, the OE-based total U.S. fetal mortality rate was 5.98 fetal deaths at 20 weeks of gestation or more per 1,000 live births and fetal deaths, the same as the LMP-based rate (Documentation table 1). The OE-based early fetal mortality rate (3.16) was higher than the LMP-based rate (2.99). Conversely, the OE-based late fetal mortality rate (2.83) was lower than the LMP-based rate (3.01) (Documentation table 1). For the numbers and distribution of fetal deaths by single week of gestational age based on the OE and the LMP see Table E. 8 References 1. National Center for Health Statistics. User guide for the 2006 fetal death public use file. Hyattsville, MD. Available from: ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/DVS/fetald eath/2006FetalUserGuide.pdf 2. National Center for Health Statistics. Guide to completing the facility worksheets for the certificate of live birth and report of fetal death (2003 revision). 2016 update. 3. National Center for Health Statistics. User guide for the 2013 fetal death public use file. Hyattsville, MD. Available from: ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/DVS/fetald eath/2013FetalUserGuide.pdf 4. National Center for Health Statistics. 2003 revisions of the U.S. Standard Certificates of Live Birth and Death and the fetal death report. 2003. Available from: http://www.cdc.gov/nchs/nvss/vital_certificate_revisions.htm. 5. Horon I. Birth Data Quality Workgroup: Fetal Death Data Quality Subgroup. Presented at: 2015 Joint Meeting of National Association for Public Health Statistics and Information Systems and the Vital Statistics Cooperative Program. Pittsburgh, PA. May 31-June 3, 2015. 6. MacDorman MF, Gregory ECW: Fetal and perinatal mortality: United States, 2013. National vital statistics reports; vol 64 no 8. Hyattsville, MD: National Center for Health Statistics. 2015. 7. Martin JA, Osterman MJK, Kirmeyer SE, Gregory ECW. Measuring gestational age in vital statistics data: Transitioning to the obstetric estimate. National vital statistics reports; vol 64 no 5. Hyattsville, MD: National Center for Health Statistics. 2015. 9 Control Count of Records File Characteristics: Fetal Public Use File 2014 All files: Record format: Code scheme: Record length: Blocked, Fixed, Format Numeric/Alphabetic/Blank 3050 Record counts U.S. file record count: Counts of all fetal deaths: Record count 52,872 By occurrence 52,872 By residence 52,775 To foreign residents 97 Counts of 20 weeks or more: Record count 24,032 By occurrence 24,032 By residence 23,980 To foreign residents 52 Counts of less than 20 weeks: Record count 28,840 By occurrence 28,840 By residence 28,795 To foreign residents 45 U.S. territories file record count: Counts of all fetal deaths: Record count 478 By occurrence 478 By residence 471 To foreign residents 7 Counts of 20 weeks or more: Record count 478 By occurrence 478 By residence 471 To foreign residents 7 Counts of less than 20 weeks: Record count By occurrence By residence To foreign residents - 2014 LIST OF DATA ELEMENTS AND LOCATIONS Data Items Locations 1. General a) Tabulation flags (gestational age) b) Data year c) Resident status 10 11-14 131 2. Prenatal Care a) Month began 202-203 3. Fetus a) Sex b) Plurality c) Weight at delivery d) Gestational age e) Month/year of delivery f) Time of delivery g) Day of week of delivery 316 301 349-355 340-344(NCHS Standard item), 331-335 11-16 21-24 25 4. Mother a) Age b) Race c) Education d) Hispanic origin 86-90 132-137 145 139-144 5. Pregnancy History a) Live birth order b) Birth interval 187 197-201 6. Father a) Age 177-180 7. Other Items a) Attendant at delivery b) Place of delivery c) WIC receipt 283 34-35, 52 229 8. Medical and Health Data a) Method of delivery b) Medical risk factors c) Other risk factors i. Tobacco ii. Mother’s pre-pregnancy body mass index (BMI) d) Complications of labor and delivery e) Maternal morbidity 274-280 257-267, 269-272 230-238 245-249 273 281-282 9. Residence reporting flags 372-439 2014 Fetal Death Public Use Record Layout Position Len Field 1-6 6 FILLER 7 1 VERSION Description Reporting Flag Position Version Vers* Values Definition A,S A S State used the 2003 version of the US Standard Report of Fetal Death (Revised) State used the 1989 version of the US Standard Report of Fetal Death (Unrevised) 8-9 2 FILLER 10 1 OE_TABFLG Obstetric Estimate Tabulation Flag (Use with NCHS Standard item) A,S 1 2 Under 20 weeks (exclude) 20 weeks or more (include) 11-14 4 DOD_YY Delivery Year A,S 2014 Year of delivery 15-16 2 DOD_MM Delivery Month A,S 01 02 03 04 05 06 07 08 09 10 11 12 January February March April May June July August September October November December 17-20 4 FILLER 21-24 4 DOD_TT Delivery Time 25 1 DOD_WK Weekday c372 A A,S 0000-2359 Time of Birth 9999 Not Stated 1 2 3 Sunday Monday Tuesday * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 2 Position 26-27 Len 2 Field OSTATE Description Reporting Flag Position Vers* 2 FILLER 30-32 3 OCNTYFIPS 4 5 6 7 Wednesday Thursday Friday Saturday AS GU MP PR VI American Samoa Guam Northern Marianas Puerto Rico Virgin Islands Territory of Occurrence A,S (This item is available in the territory file only, geographic codes are not available in the U.S. file) Territories 28-29 Values Definition Occurrence FIPS County A,S (This item is available in the territory file only, geographic codes are not available in the U.S. file) Data are suppressed if population < 100,000 000 No county level geography 001-998 County of Occurrence (See Geographic Table) 999 County of less than 100,000 33 1 OCNTYPOP Occurrence Territory County Population A,S (This item is available in the territory file only, geographic codes are not available in the U.S. file) 0 1 2 3 County of 1,000,000 or more County of 500,000 to 1,000,000 County of 250,000 to 500,000 County of 100,000 to 250,000 * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 3 Position Len Field Description Reporting Flag Position Vers* Values Definition 9 34 1 BFACIL 35 1 UBFACIL 36-51 16 FILLER 52 1 BFACIL3 53-83 31 FILLER 84 1 1 85 Delivery Place (Revised) 409 A County less than 100,000 1 2 3 4 5 6 7 9 Hospital Freestanding Birth Center Home (intended) Home (not intended) Home (unknown if intended) Clinic/Doctor’s Office Other Unknown Delivery Place A,S 1 2 3 4 5 9 Hospital Freestanding Birthing Center Clinic / Doctor’s Office Residence Other Unknown Delivery Place Recode A,S 1 2 3 In Hospital Not in Hospital Unknown/not stated MAGE_IMPFLG Mother’s Age Imputed A,S Blank 1 Age not imputed Age imputed MAGE_REPFLG Reported Age of Mother Flag A,S Blank Reported age not used * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 4 Position 86-87 Len 2 Field MAGER Description Reporting Flag Position Mother’s Single Year of Age 432 Vers* A,S Values Definition 1 Reported age used 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 12 years and under 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years 23 years 24 years 25 years 26 years 27 years 28 years 29 years 30 years 31 years 32 years 33 years 34 years 35 years 36 years 37 years 38 years 39 years 40 years 41 years 42 years 43 years 44 years 45 years 46 years 47 years 48 years 49 years 50 years and over * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 5 Position Len Field Description 88-89 2 MAGER14 Mother’s Age Recode 14 90 1 MAGER9 Mother’s Age Recode 9 91-92 2 MBCNTRY Mother’s Birth Country c372 (This item is available in the territory file only, geographic codes are not available in the U.S. file) 93-96 4 FILLER 97 98-101 1 4 MBSTATE_REC Mother’s Birth State Recode Reporting Flag Position Vers* Values Definition 432 A,S 01 03 04 05 06 07 08 09 10 11 12 13 14 Under 15 Years 15 years 16 years 17 years 18 years 19 years 20-24 years 25-29 years 30-34 years 35-39 years 40-44 years 45-49 years 50-54 years 432 A,S 1 2 3 4 5 6 7 8 9 Under 15 years 15-19 years 20-24 years 25-29 years 30-34 years 35-39 years 40-44 years 45-49 years 50-54 years c372 A A AA-ZZ 1 2 3 See Geographic Documentation Native born (50 U.S. States) Foreign born (includes territories) Unknown or Not Stated FILLER * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 6 Position Len Field Description Reporting Flag Position 102-103 2 MRSTATEPSTL Mother’s Residence Postal State A,S (This item is available in the territory file only, geographic codes are not available in the U.S. file) United States Vers* Values Definition AK AL AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK Alaska Alabama Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 7 Position Len Field Description Reporting Flag Position Vers* Values Definition OR PA RI SC SD TN TX UT VA VT WA WI WV WY Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Territories AS GU MP PR VI American Samoa Guam Northern Marianas Puerto Rico Virgin Islands Canadian Provinces AB BC MB NB NF NT NS NU ON PE QC SK YT Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory XX ZZ Foreign (Rest of world) Not Classifiable Foreign * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 8 Position Len Field Description Reporting Flag Position 104-106 3 MRCNTYFIPS Mother’s FIPS County of Residence A,s (This item is available in the territory file only, geographic codes are not available in the U.S. file) Data are suppressed if population < 100,000 107-111 5 FILLER 112 1 RCNTY_POP Population of Residence County (This item is available in the territory file only, geographic codes are not available in the U.S. file) 113-129 17 FILLER 130 1 RECTYPE Vers* Values Definition 000 No county level geography 001-998 County of residence (See Geographic Table) 999 County of less than 100,000 A,S 0 1 2 3 9 Z County of 1,000,000 or more County of 500,000 to 1,000,000 County of 250,000 to 500,000 County of 100,000 to 250,000 County less than 100,000 Foreign resident 1 RESIDENT: State and county of occurrence and residence are the same. NONRESIDENT: State and county of occurrence and residence are different. Record Type A,S (This item is available in the territory file only, geographic codes are not available in the U.S. file) 2 131 1 RESTATUS Residence Status United States A,S 1 2 RESIDENT: State and county of occurrence and residence are the same. INTRASTATE NONRESIDENT: State of occurrence and residence are the same but county is different. * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 9 Position Len Field Description Reporting Flag Position Vers* Values Definition 3 4 Territories 1 2 3 4 132-133 2 MRACE31 Mother’s Race Recode 31 425 INTERSTATE NONRESIDENT: State of occurrence and residence are different but both are one of the 50 US states or District of Columbia. FOREIGN RESIDENT: The state of residence is not one of the 50 US states or District of Columbia. RESIDENT: State and county of occurrence and residence are the same. (Unique to Guam, all US residents are considered residents of Guam and thus are assigned 1.) INTRATERRITORY NONRESIDENT: Territory of occurrence and residence are the same but county is different. INTERTERRITORY RESIDENT: Territory of occurrence and residence are different but both are US Territories. FOREIGN RESIDENT: The residence is not a US Territory. A 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 White (alone) Black (alone) AIAN (American Indian or Alaskan Native) (alone) Asian (alone) NHOPI (Native Hawaiian or Other Pacific Islander) (alone) Black And White Black and AIAN Black and Asian Black and NHOPI AIAN and White AIAN and Asian AIAN and NHOPI Asian and White Asian and NHOPI NHOPI and White Black, AIAN, and White Black, AIAN, and Asian Black, AIAN, and NHOPI Black, Asian, and White Black, Asian, and NHOPI Black, NHOPI, and White AIAN, Asian, and White AIAN, NHOPI, and White AIAN, Asian, and NHOPI * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 10 Position 134 135-136 137 Len 1 2 1 Field MRACE6 MRACE15 MRACEREC Description Mother’s Race Recode 6 Mother’s Race Recode 15 Reporting Flag Position 425 Vers* Values Definition 25 26 27 28 29 30 31 Asian, NHOPI, and White Black, AIAN, Asian, and White Black, AIAN, Asian, and NHOPI Black, AIAN, NHOPI, and White Black, Asian, NHOPI, and White AIAN, Asian, NHOPI, and White Black, AIAN, Asian, NHOPI, and White 1 2 3 4 5 6 White (alone) Black (alone) AIAN (alone) Asian (alone) NHOPI (alone) More than one race 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 White (alone) Black (alone) AIAN (alone) Asian Indian (alone) Chinese (alone) Filipino (alone) Japanese (alone) Korean (alone) Vietnamese (alone) Other Asian (alone) Hawaiian (alone) Guamanian (alone) Samoan (alone) Other Pacific Islander (alone) More than one race A,S 1 2 3 4 White Black American Indian or Alaskan Native Asian or Pacific Islander A 425 A Mother’s Bridged Race Recode 439 United States and non-Puerto Rican Territories * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 11 Position Len Field Description 138 1 MRACEIMP Mother’s Race Imputed 139-141 3 FILLER 142 1 UMHISP Reporting Flag Position 144 1 1 MRACEHISP Values Definition A,S Blank 1 2 Mother’s race not imputed Unknown race imputed All other races, formerly coded 09, imputed. A,S 0 1 2 3 4 5 9 Non-Hispanic Mexican Puerto Rican Cuban Central or South American Other and Unknown Hispanic Origin unknown or not stated A,S 1 2 3 4 5 6 7 8 9 Mexican Puerto Rican Cuban Central or South American Other and Unknown Hispanic Non-Hispanic White Non-Hispanic Black Non-Hispanic Other Races Origin unknown or not stated 1 2 3 4 5 6 7 8 Non-Hispanic White (alone) Non-Hispanic Black (alone) Non-Hispanic AIAN (alone) Non-Hispanic Asian (alone) Non-Hispanic NHOPI (alone) Non-Hispanic more than one race Hispanic Origin unknown or not stated Mother’s Hispanic Origin 424 143 Vers* Mother’s Bridged Race/Hispanic Origin 424 SR_MRACEHISP Mother’s Race/Hispanic Origin c425 A * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 12 Position Len Field 145 1 MEDUC 146-171 26 Description Reporting Flag Position Mother’s Educ-Revised Vers* 372 Values Definition 9 8th grade or less 9th through 12th grade with no diploma High school graduate or GED completed Some college credit, but not a degree Associate degree (AA, AS) Bachelor’s degree (BA, AB, BS) Master’s degree (MA, MS, MEng, Med, MSW, MBA) Doctorate (PhD, EdD) or Professional degree (MD, DDS, DVM, LLB, JD) Unknown Blank 1 Father’s reported age not used Father’s reported age used 09-98 99 Father’s combined age in years Unknown or not stated A,S 01 02 03 04 05 06 07 08 09 10 11 Under 15 years 15-19 years 20-24 years 25-29 years 30-34 years 35-39 years 40-44 years 45-49 years 50-54 years 55-98 years Not stated A,S 00-30 Number of children still living from previous live births. A 1 2 3 4 5 6 7 8 FILLER 172 1 FAGERPT_FLG Father’s Reported Age Used 173-176 4 FILLER 177-178 2 FAGECOMB Father’s Combined Age 179-180 2 FAGEREC11 Father’s Age Recode 11 181-182 2 PRIORLIVE Prior Births Now Living A,S 426 A,S 426 * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 13 Position 183-184 Len 2 Field PRIORDEAD 185-186 2 FILLER 187 1 LBO_REC 188-196 9 FILLER 197-199 3 200-201 202-203 Description Reporting Flag Position Prior Births Now Dead Vers* A,S Values Definition 99 Unknown or not stated 00-30 99 Number of children dead from previous live births. Unknown or not stated Live Birth Order Recode A,S 0-7 8 9 Number of live birth order. 8 or more live births Unknown or not stated ILLB_R Interval Since Last Live Birth Recode 427 A 000-003 004-300 888 999 Plural delivery Months since last live birth Not applicable Unknown or not stated 2 ILLB_R11 Interval Since Last Live Birth Recode 11 427 A 00 01 02 03 04 05 06 07 08 88 99 Zero to 3 months (plural delivery) 4 to 11 months 12 to 17 months 18 to 23 months 24 to 35 months 36 to 47 months 48 to 59 months 60 to 71 months 72 months and over Not applicable Unknown or not stated 2 PRECARE Month Prenatal Care Began (Revised) 403 A 00 01-10 99 No prenatal care Month prenatal care began Unknown or not stated * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 14 Position Len Field Description 204 1 PRECARE_REC Month Prenatal Care Began Recode (Revised) A 403 1 2 3 4 5 1st to 3rd month 4th to 6th month 7th to final month No prenatal care Unknown or not stated 205-228 24 FILLER 229 1 WIC WIC A Y N U Yes No Unknown or not stated 230-231 2 CIG_0 Cigarettes Before Pregnancy A 00-97 98 99 Number of cigarettes daily 98 or more cigarettes daily Unknown or not stated 232-233 2 CIG_1 Cigarettes 1st Trimester 406 A 00-97 98 99 Number of cigarettes daily 98 or more cigarettes daily Unknown or not stated 234-235 2 CIG_2 Cigarettes 2nd Trimester 407 A 00-97 98 99 Number of cigarettes daily 98 or more cigarettes daily Unknown or not stated 236-237 2 CIG_3 Cigarettes 3rd Trimester 408 A 00-97 98 99 Number of cigarettes daily 98 or more cigarettes daily Unknown or not stated 238 1 CIG_REC Cigarette Recode (Revised) 374 A Y N U Yes No Unknown or not stated 4 FILLER 239-242 Reporting Flag Position 377 405 Vers* Values Definition * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 15 Position Len Field Description 243-244 2 M_Ht_In 245-248 4 249 Vers* Values Definition Mother’s Height in Inches 375 A 30-78 99 BMI BMI (prepregnancy) 375 A 13.0-69.9 Body Mass Index 99.9 Unknown or not stated 1 BMI_R Body Mass Index Recode (prepregnancy) 375 A 1 2 3 4 5 6 9 250-252 3 FILLER 253-255 3 PWgt_R A 075-375 Weight in pounds 999 Unknown or not stated 256 1 FILLER 257-262 6 Risk Factors (Revised) A The checkbox items indented below follow this code structure: 257 258 259 260 261 262 263 Reporting Flag Position Prepregnancy Weight Recode 1 1 1 1 1 1 RF_DIAB RF_GEST RF_PHYP RF_GHYP RF_ECLAM RF_INFTR Prepregnancy Diabetes 378 Gestational Diabetes 379 Prepregnancy Hypertension380 Gestational Hypertension 381 Hypertension Eclampsia 382 Infertility Treatment 383 1 RF_FEDRG Fertility Enhancing Drugs 384 376 A Height in inches Unknown or not stated Underweight <18.5 Normal 18.5-24.9 Overweight 25.0-29.9 Obesity I 30.0-34.9 Obesity II 35.0-39.9 Extreme Obesity III ≥ 40.0 Unknown or not stated Y N U Y N Yes No * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 16 Yes No Unknown or not stated Position Len Field Description Reporting Flag Position Vers* Values Definition X U Not applicable Unknown or not stated 264 1 RF_ARTEC Asst. Reproductive Technology 385 A Y N X U Yes No Not applicable Unknown 265 1 RF_CESAR Previous Cesareans 386 A Y N U Yes No Unknown or not stated 266-267 2 RF_CESARN Previous Cesareans Num 387 A 00 01-30 99 None Number of previous cesareans Unknown or not stated 268 1 FILLER 269-272 4 Risk Factors The checkbox items indented below follow this structure: 1 2 9 Yes No Unknown 1 2 9 Yes No Not stated 1 Cephalic 269 270 271 272 1 1 1 1 273 URF_DIAB URF_CHYPER URF_PHYPER URF_ECLAMP Diabetes 411 Chronic Hypertension 412 Pregnancy Associated Hypertension 413 Eclampsia 414 A,S A,S A,S A,S Complications of Labor & Delivery The checkbox items indented below follow this structure: 273 1 ULD_BREECH 274 6 1 Method of Delivery (Revised) ME_PRES Fetal Presentation 274-277 Breech Delivery 415 A,S 388 A * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 17 Position Len Field Description Reporting Flag Position 275 1 ME_ROUT Route & Method of Delivery 276 1 ME_TRIAL Trial of Labor Attempted 1 RDMETH_REC Delivery Method Recode (Revised) 277 389 390 Vers* Values Definition 2 3 9 Breech Other Unknown or not stated A 1 2 3 4 9 Spontaneous Forceps Vacuum Cesarean Unknown or not stated A Y N X U Yes No Not applicable Unknown or not stated A 1 9 Vaginal (excludes vaginal after previous C section) Vaginal after previous c-section Primary C-section Repeat C-section Vaginal (unknown if previous c-section) (2003 Standard only) C-section (unknown if previous c-section) (2003 Standard only) Not stated 1 2 9 Yes No Unknown or not stated 1 2 9 Vaginal C-section Not stated c389 2 3 4 5 6 278-279 2 Method of Delivery The checkbox items indented below follow this structure: 278 279 280 1 1 UME_FORCP UME_VAC Forceps Vacuum 416 417 A,S A,S 1 DMETH_REC Delivery Method Recode 410 A,S * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 18 Position Len 281-282 2 281 282 Field Description Reporting Flag Position Vers* Maternal Morbidity A The checkbox items indented below follow this structure: Values Definition Y N U Yes No Unknown or not stated A,S 1 2 3 4 5 9 Doctor of Medicine (MD) Doctor of Osteopathy (DO) Certified Nurse Midwife (CNM) Other Midwife Other Unknown or not stated Plurality Recode A,S 1 2 3 4 5 Single Twin Triplet Quadruplet Quintuplet or higher Plurality Imputed A,S Blank 1 Plurality is not imputed Plurality is imputed A 1 2 3 4 5 9 1st 2nd 3rd 4th 5th to 16th Unknown or not stated 1 1 MM_RUPT MM_ICU Ruptured Uterus Admit to Intensive Care 391 392 283 1 ATTEND Attendant 433 284-300 17 301 1 DPLURAL 302 1 FILLER 303 1 IMP_PLUR 304-305 2 FILLER 306 1 SetOrder_R FILLER Set Order Recode c372 * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 19 Position Len Field 307-315 9 FILLER 316 1 SEX 317 1 IMP_SEX Description Reporting Flag Position Vers* Values Definition Sex of Infant A,S M F Male Female Sex Imputed Only where gestation is stated or presumed to be 20 weeks or more A,S Blank 1 Infant Sex not Imputed Infant Sex is Imputed Last Normal Menses Month 429 A,S 01 02 03 04 05 06 07 08 09 10 11 12 99 January February March April May June July August September October November December Unknown or not stated Last Normal Menses Year 431 A,S nnnn 9999 Year of last normal menses Unknown or not stated Gestation 318-319 2 DLMP_MM 320-321 2 FILLER 322-325 4 DLMP_YY 326-328 3 FILLER 329 1 GEST_IMP Gestation Imputed Flag A,S Blank 1 Gestation is not imputed Gestation is imputed 1 OBGEST_FLG Obstetric Estimate of Gestation Used Flag A,S Blank Obstetric Estimate is not used 330 * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 20 Position Len Field Description Reporting Flag Position 404 Vers* Values Definition 1 Obstetric Estimate is used A,S 02-47 99 2nd through 47th week of Gestation Unknown 331-332 2 COMBGEST Gestation – Detail in Weeks 333-334 2 GESTREC12 Gestation Recode 12 404 A,S 01 02 03 04 05 06 07 08 09 10 11 12 Under 16 weeks 16-19 weeks 20-23 weeks 24-27 weeks 28-31 weeks 32-33 weeks 34-36 weeks 37-38 weeks 39-40 weeks 41 weeks 42 weeks and over Unknown 335 1 GESTREC5 Gestation Recode 5 404 A,S 1 2 3 4 5 Under 20 weeks 20-23 weeks 24-27 weeks 28 weeks and over Unknown 336-337 2 OEGest_Unedt Obstetric Gestation 373 A,S 0-98 02-47 99 Range of obstetric estimate of gestation - revised Range of clinical estimate of gestation - unrevised Unknown or not stated 338 1 FILLER 339 1 COMBGEST_USED blank 1 Combined gestation not used Combined gestation used 340-341 2 OEGest_Comb Obstetric Estimate Edited 373 (NCHS Standard item) A,S 02-47 99 Weeks of gestation Not stated 342-343 2 OEGest_R12 Obstetric Estimate Recode12 373 (NCHS Standard item) A,S 01 Under 16 weeks 02 03 16-19 weeks 20-23 weeks Combined Gestation Used Flag A,S * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 21 Position 344 Len 1 Field OEGest_R5 Description Reporting Flag Position Obstetric Estimate Recode 5 373 (NCHS Standard item) Vers* A,S Values Definition 04 05 06 07 08 09 10 11 12 24-27 weeks 28-31 weeks 32-33 weeks 34-36 weeks 37-38 weeks 39-40 weeks 41 weeks 42 weeks and over Unknown 1 Under 20 weeks 2 3 4 5 20-23 weeks 24-27 weeks 28 weeks and over Unknown 345-348 4 FILLER 349-352 4 DBWT Birth Weight – Detail in Grams A,S 0001-8165 Number of grams 9999 Not stated birth weight 353-354 2 BWTR14 Birth Weight Recode 14 A,S 01 02 03 04 05 06 07 08 09 10 11 12 13 0249 grams or less 0250 – 0349 grams 0350 – 0499 grams 0500 – 0999 grams 1000 – 1499 grams 1500 – 1999 grams 2000 – 2499 grams 2500 – 2999 grams 3000 – 3499 grams 3500 – 3999 grams 4000 – 4499 grams 4500 – 4999 grams 5000 – 8165 grams * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 22 Position Len Field 355 1 BWTR4 356 1 FILLER 357 1 358 Description Reporting Flag Position Vers* Values Definition 14 Unknown or Not Stated Birth Weight Recode 4 A,S 1 2 3 4 1499 grams or less 1500 – 2499 grams 2500 - 8165 grams Unknown or not stated ESTOFD Estimated Time of Fetal Death 435 A N L A U At assessment, no labor At assessment, labor Labor, no assessment Unknown 1 AUTOPSY Was Autopsy Performed? 436 A Y N P Yes No Planned 359 1 HISTOPF Was Histological Placental Exam Performed? 437 A Y N P Yes No Planned 360 1 AUTOPF Was Autop/Hist results used in cause? 438 Y N X Yes No Not applicable 361-371 11 FILLER 0 1 Not reporting Reporting 372-438 A Flag File for Reporting Flags The reporting flags indented below follow this coding structure: 372 373 374 375 376 377 1 1 1 1 1 1 F_MEDUC F_CLINEST F_TOBACO F_M_HT F_PWGT F_WIC Education of Mother Obstetric Estimate of Gestation Tobacco Use Mother’s Height Prepregnancy Weight WIC A A,S A A A A * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 23 Position 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393-402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418-423 424 425 426 427 428 429 430 431 432 Len Field Description Reporting Flag Position 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 10 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 6 1 1 1 1 1 1 1 1 1 F_RF_PDIAB Prepregnancy Diabetes F_RF_GDIAB Gestational Diabetes F_RF_PHYPER Prepregnancy Hypertension F_RF_GHYPER Gestational Hypertension F_RF_ECLAMP Hypertension Eclampsia F_RF_INFT Infertility Treatment F_RF_INFT_DRG Fertility Enhance Drug F_RF_INFT_ART Reproductive Technology F_RF_CESAR Previous Cesarean F_RF_NCESAR Number of Previous Cesareans F_MD_PRESENT Fetal Presentation F_MD_ROUTE Final Route and Method of Delivery F_MD_TRIAL Trial of Labor Attempted F_MM_RUPTUR Ruptured Uterus F_MM_ICU Admission to Intensive Care FILLER F_MPCB Month Prenatal Care Began F_CMBGST Combined Gestation F_CIGS_0 Cigarettes Before Pregnancy F_CIGS_1 Cigarettes 1st Trimester F_CIGS_2 Cigarettes 2nd Trimester F_CIGS_3 Cigarettes 3rd Trimester F_FACILITY Facility DelMethRecF Delivery Method Recode Flag F_URF_DIABETES Diabetes Flag F_URF_CHYPER Chron Hyper Flag F_URF_PHYPER Preg Assoc Hyper Flag F_URF_ECLAMP Eclampsia F_ULD_BREECH Breech Flag F_U_FORCEP Forceps Flag F_U_VACUUM Vacuum Flag FILLER F_MORIGIN Mother’s Hispanic origin F_MRACE_R Mother’s Race (Revised) F_FAGE_u Father’s Age F_DLLB_MM Last Live Birth Month (Revised) FILLER F_DLMP_MM Last normal menses month FILLER F_DLMP_YY Last normal menses year F_MAGE Mother’s Age Vers* Values Definition A A A A A A A A A A A A A A A A A,S A A A A A A,S A,S A,S A,S A,S A,S A,S A,S A,S A A,S A A,S A,S A,S * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 24 Position 433 434 435 436 437 438 439 440-3050 2611 3050 Len Field Description Reporting Flag Position Vers* 1 1 1 1 1 1 1 F_ATTENDANT FILLER F_ESTOFD F_AUTOPSY F_HISTOPF F_AUTOPF F_MRACEREC Attendant A,S Estimated Time of Fetal Death (Revised) Autopsy (Revised) Histological Placental Exam (Revised) Autopsy/Histological Exam Used in Cause Mother’s Bridged Race Recode A A A A A,S Values Definition FILLER END OF RECORD * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 25 Table 1. Number of fetal deaths and fetal mortality rates: United States, 1985, 1990, and 1995-2014 Total\2 Fetal deaths 20-27 28 weeks or weeks\3 more\3 Fetal mortality rate\1 20-27 28 weeks or Total\2 weeks\3 more\3 2014\4 23,980 12,652 Obstetric estimate 11,328 5.98 3.16 2.83 2014\5 2013\5 2012\5 2011\5 2010\5 2009\5 2008\5 2007\5 2006\5 2005\5 2004 \5,6 2003 \5,6 2002\5 2001\5 2000\5 1999\5 1998\5 1997\5 1996\5 1995\5 1990\5 1985\5 23,999 23,595 24,073 24,289 24,258 24,872 26,335 26,593 25,972 25,894 26,001 26,004 25,943 26,373 27,003 26,884 26,702 26,486 27,069 27,294 31,386 29,661 11,948 11,874 12,334 12,432 12,388 12,813 13,347 13,822 13,270 13,327 13,068 13,348 13,072 13,122 13,497 13,457 13,229 12,800 12,990 13,043 13,427 10,958 LMP-based gestation 12,051 5.98 11,721 5.96 11,739 6.05 11,857 6.11 11,870 6.03 12,059 5.99 12,988 6.16 12,771 6.12 12,702 6.05 12,567 6.22 12,933 6.28 12,656 6.32 12,871 6.41 13,251 6.51 13,506 6.61 13,427 6.74 13,473 6.73 13,686 6.78 14,079 6.91 14,251 6.95 17,959 7.49 18,703 7.83 2.99 3.01 3.11 3.13 3.09 3.09 3.13 3.19 3.10 3.21 3.17 3.25 3.24 3.25 3.31 3.39 3.35 3.29 3.33 3.33 3.22 2.91 3.01 2.97 2.96 2.99 2.96 2.91 3.05 2.95 2.97 3.03 3.14 3.08 3.19 3.28 3.32 3.38 3.41 3.51 3.60 3.64 4.30 4.95 \1Rate is number of fetal deaths in specified group per 1,000 live births and fetal deaths. \2Fetal deaths with stated or presumed period of gestation of 20 weeks or more. \3Not stated gestational age proportionally distributed. \4Beginning with the 2014 data year, the obstetric estimate of gestation at delivery replaces the measure based on the date of last normal menses as the standard for measuring gestational age. \5Date of last normal menses was used for measuring gestational age. \6Rates have been revised from those published previously; see Technical notes. NOTE: LMP refers to the dat of the mother's last normal menses. SOURCE: NCHS/CDC/National Vital Statistics System. Table 2. Fetal Deaths by Period of Gestation and Mother's Residence: United States, Each State and Territory, 2014 [Nonresidents of the United States are excluded] State/territory of residence United States 1 Alabama Fetal Deaths with Stated or Presumed Gestation of 20 weeks or More Total 20-27 Weeks 28 Weeks and Over Not stated 23,980 12,579 11,263 138 528 299 228 1 Alaska 64 31 29 4 Arizona 517 244 269 4 Arkansas 218 91 124 3 2,635 1,293 1,323 19 Colorado 350 175 172 3 Connecticut 164 86 77 1 59 24 35 - California Delaware District of 110 63 46 1 Florida 1,607 906 689 12 Georgia 1,046 619 421 6 Hawaii 99 57 41 1 Idaho 112 50 62 - Illinois 905 517 386 2 Indiana 568 284 283 1 Iowa 178 77 101 - Kansas 201 99 101 1 Kentucky 371 186 182 3 Louisiana 344 192 150 2 55 21 33 1 Maryland 567 335 231 1 Massachusetts 360 165 186 9 Michigan 604 321 279 4 Minnesota 375 175 199 1 Mississippi 391 223 164 4 Missouri 392 194 198 - Montana 54 16 38 - Nebraska 157 84 73 - Nevada 207 110 97 - 62 28 34 - 696 440 256 - Maine New Hampshire New Jersey New Mexico 91 25 63 3 New York 654 349 303 2 New York City 980 600 380 - North Carolina 906 445 460 1 North Dakota 59 28 31 - Ohio 881 435 440 6 Oklahoma 269 124 142 3 Oregon 220 95 125 - Pennsylvania 842 447 395 - Rhode Island 54 28 26 - 496 286 210 - South Carolina South Dakota Tennessee Texas Utah 82 39 43 - 581 307 273 1 1,969 955 994 20 289 139 150 - Vermont 24 10 14 - Virginia 584 318 259 7 Washington 527 308 211 8 West Virginia 101 46 53 2 Wisconsin 330 162 167 1 Wyoming 45 28 17 - American Samoa 12 2 9 1 Guam 36 7 28 1 Northern Marianas Puerto Rico Virgin Islands - Quantity zero. 1 Excludes data for the territories. 8 3 3 2 412 261 144 7 3 3 - - Table 3. Fetal Deaths by Period of Gestation and State/Territory of Occurrence: United States, 2014 All Fetal Deaths State / territory Total United States 1 Alabama 52,872 Under 20 20 Weeks and Weeks Over 26,788 23,893 Not stated 2,191 505 - 504 1 Alaska 74 11 59 4 Arizona 516 3 509 4 Arkansas 208 1 204 3 2,631 2 2,610 19 Colorado 390 - 387 3 Connecticut 170 - 169 1 Delaware 62 3 59 - District of 159 - 158 1 Florida 1,620 - 1,608 12 Georgia California 8,449 6,453 1,053 943 Hawaii 792 620 104 68 Idaho 110 2 108 - Illinois 880 - 878 2 Indiana 567 - 565 2 Iowa 172 1 171 - Kansas 195 1 193 1 Kentucky 350 1 348 1 Louisiana 365 27 336 2 55 - 54 1 Maine Maryland 544 - 543 1 Massachusetts 372 6 357 9 Michigan 605 9 592 4 Minnesota 460 76 383 1 Mississippi 403 - 399 4 Missouri 419 8 411 - Montana 52 - 52 - Nebraska 163 - 163 - Nevada 211 6 205 - 55 - 55 - New Jersey 667 1 666 - New Mexico 98 8 87 3 5,572 4,302 601 669 New York City 11,238 10,157 1,046 35 North Carolina 932 - 932 - New Hampshire New York 57 - 57 - Ohio North Dakota 899 3 889 7 Oklahoma 266 2 261 3 Oregon 273 49 224 - Pennsylvania 1,252 399 853 - Rhode Island 695 600 54 41 South Carolina 465 7 458 - South Dakota Tennessee Texas Utah 94 2 92 - 621 4 616 1 2,259 258 1,981 20 295 - 295 - Vermont 24 1 23 - Virginia 4,618 3,749 555 314 541 11 522 8 98 2 94 2 Wisconsin 322 3 318 1 Wyoming 32 - 32 - American Samoa 12 - 11 1 Guam 36 - 35 1 Northern Marianas 11 - 9 2 419 - 412 7 Washington West Virginia Puerto Rico - Quantity zero. 1 Excludes data for the territories. Fetal Death Documentation Table 4A Fetal deaths and percent distribution by month of delivery: United States and each reporting area, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] State TOTAL 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 New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Jan Feb Mar Apr May Jun 1,999 31 10 44 24 218 37 10 5 8 122 82 7 12 84 46 16 18 37 21 2 42 34 52 24 32 37 8 12 21 5 56 7 53 86 69 5 53 27 21 70 8 53 4 48 154 25 50 60 10 35 4 1,846 38 3 31 15 191 19 16 6 12 114 90 6 8 67 62 10 13 30 28 10 41 28 45 35 34 31 2 10 13 2 42 8 53 76 82 5 74 19 17 69 4 29 8 45 160 26 6 40 44 6 20 3 2,028 50 4 53 17 217 25 13 7 6 123 89 9 11 81 53 15 15 40 34 5 41 26 60 29 26 36 6 17 19 4 60 3 53 71 70 5 75 14 14 78 5 51 4 51 172 21 1 65 46 8 28 2 2,022 36 7 45 21 216 24 16 4 5 133 95 9 8 75 43 11 8 26 35 5 52 26 43 29 32 33 2 15 17 5 62 5 57 79 89 3 78 17 18 76 7 33 7 34 193 22 6 63 45 12 33 7 2,108 49 6 47 14 239 28 11 7 6 147 80 4 8 77 61 20 30 21 41 5 60 28 49 22 26 25 2 21 14 6 69 11 55 92 77 7 87 17 23 79 5 41 5 59 170 23 2 40 45 6 38 3 1,941 47 8 41 14 217 32 16 4 6 130 85 9 9 65 37 16 16 42 26 5 37 23 46 32 36 39 3 18 17 12 47 6 54 89 77 5 78 21 18 59 4 33 8 52 164 31 2 41 35 8 17 4 Jul Number 2,160 58 2 42 19 241 40 11 2 9 117 90 16 10 72 55 25 20 27 24 2 66 38 58 21 28 40 7 12 20 3 83 8 54 99 84 3 71 33 24 78 2 46 8 41 182 27 55 43 5 34 5 Aug Sep Oct Nov Dec Total 2,052 54 3 43 19 228 36 18 6 11 154 85 7 11 73 40 11 15 31 32 4 46 28 46 45 37 34 8 10 17 6 51 9 70 77 78 3 88 18 23 59 3 46 6 59 163 19 2 44 38 10 22 6 2,021 40 6 38 25 194 29 12 4 13 142 102 5 3 84 41 13 14 29 26 10 52 36 49 32 42 33 3 13 15 3 60 9 42 80 82 9 65 24 15 68 1 41 10 53 183 22 60 49 11 26 3 1,992 42 6 46 12 214 26 16 4 9 157 82 3 8 70 45 13 21 32 28 3 44 33 63 40 27 28 4 10 16 5 61 11 62 85 67 5 66 25 11 64 6 42 5 52 162 30 1 48 37 11 28 6 1,812 43 6 39 20 234 21 10 3 10 106 76 11 13 73 39 10 14 23 22 1 34 30 53 31 32 25 4 9 13 5 50 8 48 80 79 5 67 24 18 70 3 43 8 35 133 20 1 34 38 6 30 2 1,999 40 3 48 18 226 33 15 7 15 162 90 13 11 84 46 18 17 33 27 3 52 30 40 35 39 31 5 10 25 6 55 6 53 66 52 4 79 30 18 72 6 38 9 52 133 23 3 44 47 8 19 - 23,980 528 64 517 218 2,635 350 164 59 110 1,607 1,046 99 112 905 568 178 201 371 344 55 567 360 604 375 391 392 54 157 207 62 696 91 654 980 906 59 881 269 220 842 54 496 82 581 1,969 289 24 584 527 101 330 45 State TOTAL 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 New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Jan 8.3 5.9 * 8.5 11.0 8.3 10.6 * * * 7.6 7.8 * * 9.3 8.1 * * 10.0 6.1 * 7.4 9.4 8.6 6.4 8.2 9.4 * * 10.1 * 8.0 * 8.1 8.8 7.6 * 6.0 10.0 9.5 8.3 * 10.7 * 8.3 7.8 8.7 * 8.6 11.4 * 10.6 * Feb 7.7 7.2 * 6.0 * 7.2 * * * * 7.1 8.6 * * 7.4 10.9 * * 8.1 8.1 * 7.2 7.8 7.5 9.3 8.7 7.9 * * * * 6.0 * 8.1 7.8 9.1 * 8.4 * * 8.2 * 5.8 * 7.7 8.1 9.0 * 6.8 8.3 * 6.1 * Mar 8.5 9.5 * 10.3 * 8.2 7.1 * * * 7.7 8.5 * * 9.0 9.3 * * 10.8 9.9 * 7.2 7.2 9.9 7.7 6.6 9.2 * * * * 8.6 * 8.1 7.2 7.7 * 8.5 * * 9.3 * 10.3 * 8.8 8.7 7.3 * 11.1 8.7 * 8.5 * Apr 8.4 6.8 * 8.7 9.6 8.2 6.9 * * * 8.3 9.1 * * 8.3 7.6 * * 7.0 10.2 * 9.2 7.2 7.1 7.7 8.2 8.4 * * * * 8.9 * 8.7 8.1 9.8 * 8.9 * * 9.0 * 6.7 * 5.9 9.8 7.6 * 10.8 8.5 * 10.0 * May 8.8 9.3 * 9.1 * 9.1 8.0 * * * 9.1 7.6 * * 8.5 10.7 11.2 14.9 5.7 11.9 * 10.6 7.8 8.1 5.9 6.6 6.4 * 13.4 * * 9.9 * 8.4 9.4 8.5 * 9.9 * 10.5 9.4 * 8.3 * 10.2 8.6 8.0 * 6.8 8.5 * 11.5 * Jun 8.1 8.9 * 7.9 * 8.2 9.1 * * * 8.1 8.1 * * 7.2 6.5 * * 11.3 7.6 * 6.5 6.4 7.6 8.5 9.2 9.9 * * * * 6.8 * 8.3 9.1 8.5 * 8.9 7.8 * 7.0 * 6.7 * 9.0 8.3 10.7 * 7.0 6.6 * * * Jul Percent 9.0 11.0 * 8.1 * 9.1 11.4 * * * 7.3 8.6 * * 8.0 9.7 14.0 10.0 7.3 7.0 * 11.6 10.6 9.6 5.6 7.2 10.2 * * 9.7 * 11.9 * 8.3 10.1 9.3 * 8.1 12.3 10.9 9.3 * 9.3 * 7.1 9.2 9.3 * 9.4 8.2 * 10.3 * Aug 8.6 10.2 * 8.3 * 8.7 10.3 * * * 9.6 8.1 * * 8.1 7.0 * * 8.4 9.3 * 8.1 7.8 7.6 12.0 9.5 8.7 * * * * 7.3 * 10.7 7.9 8.6 * 10.0 * 10.5 7.0 * 9.3 * 10.2 8.3 * * 7.5 7.2 * 6.7 * * Figure does not meet standards of reliability or precision; based on fewer than 20 events in the numerator. – Quantity zero. Sep 8.4 7.6 * 7.4 11.5 7.4 8.3 * * * 8.8 9.8 * * 9.3 7.2 * * 7.8 7.6 * 9.2 10.0 8.1 8.5 10.7 8.4 * * * * 8.6 * 6.4 8.2 9.1 * 7.4 8.9 * 8.1 * 8.3 * 9.1 9.3 7.6 * 10.3 9.3 * 7.9 * Oct 8.3 8.0 * 8.9 * 8.1 7.4 * * * 9.8 7.8 * * 7.7 7.9 * 10.4 8.6 8.1 * 7.8 9.2 10.4 10.7 6.9 7.1 * * * * 8.8 * 9.5 8.7 7.4 * 7.5 9.3 * 7.6 * 8.5 * 9.0 8.2 10.4 * 8.2 7.0 * 8.5 * Nov 7.6 8.1 * 7.5 9.2 8.9 6.0 * * * 6.6 7.3 * * 8.1 6.9 * * 6.2 6.4 * 6.0 8.3 8.8 8.3 8.2 6.4 * * * * 7.2 * 7.3 8.2 8.7 * 7.6 8.9 * 8.3 * 8.7 * 6.0 6.8 6.9 * 5.8 7.2 * 9.1 * Dec 8.3 7.6 * 9.3 * 8.6 9.4 * * * 10.1 8.6 * * 9.3 8.1 * * 8.9 7.8 * 9.2 8.3 6.6 9.3 10.0 7.9 * * 12.1 * 7.9 * 8.1 6.7 5.7 * 9.0 11.2 * 8.6 * 7.7 * 9.0 6.8 8.0 * 7.5 8.9 * * * Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Fetal Death Documentation Table 4B Fetal deaths by month of delivery: U.S. territories, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] Territory TOTAL American Samoa Guam Northern Marianas Puerto Rico Virgin Islands – Quantity zero. Jan 36 3 1 2 30 - Feb 27 1 1 1 24 - Mar 38 2 2 34 - Apr 35 1 3 1 28 2 May 34 1 2 30 1 Jun 43 3 1 39 - Jul 48 1 2 1 44 - Aug 46 1 2 1 42 - Sep 41 5 36 - Oct 47 1 6 1 39 - Nov 33 3 30 - Dec 43 1 6 36 - Total 471 12 36 8 412 3 Fetal Death Documentation Table 5A Fetal deaths and percent distribution by race of mother: United States and each reporting area, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] State TOTAL 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 New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming White 15,492 253 32 394 136 1,907 303 121 29 21 936 434 28 105 559 447 149 160 311 150 48 227 222 406 260 138 296 39 123 150 57 401 69 495 455 497 45 606 184 182 584 49 226 51 367 1,447 270 21 355 393 93 222 39 Black 6,881 269 4 52 73 374 30 34 30 80 629 583 5 2 307 108 24 28 55 184 6 305 109 172 66 246 85 24 40 3 230 4 146 408 379 4 260 45 11 221 4 264 3 198 429 5 3 194 52 8 83 3 American Indian or Alaska native Number 296 18 49 3 17 5 3 3 1 2 1 2 2 1 2 16 2 1 15 5 1 1 17 2 8 10 2 27 3 4 1 27 1 4 1 3 28 8 - Asian or Pacific Islander 1,311 6 10 22 6 337 12 9 9 39 29 66 2 38 11 4 13 5 8 1 33 28 24 33 5 10 5 16 2 64 1 13 115 22 13 13 24 33 1 5 1 15 89 13 32 54 17 3 Total 23,980 528 64 517 218 2,635 350 164 59 110 1,607 1,046 99 112 905 568 178 201 371 344 55 567 360 604 375 391 392 54 157 207 62 696 91 654 980 906 59 881 269 220 842 54 496 82 581 1,969 289 24 584 527 101 330 45 State TOTAL 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 New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming White 64.6 47.9 50.0 76.2 62.4 72.4 86.6 73.8 49.2 19.1 58.2 41.5 28.3 93.8 61.8 78.7 83.7 79.6 83.8 43.6 87.3 40.0 61.7 67.2 69.3 35.3 75.5 72.2 78.3 72.5 91.9 57.6 75.8 75.7 46.4 54.9 76.3 68.8 68.4 82.7 69.4 90.7 45.6 62.2 63.2 73.5 93.4 87.5 60.8 74.6 92.1 67.3 86.7 American Indian or Black Alaska native Percent 28.7 1.2 50.9 * * * 10.1 9.5 33.5 * 14.2 * 8.6 * 20.7 * 50.8 * 72.7 * 39.1 * 55.7 * * * * * 33.9 * 19.0 * 13.5 * 13.9 * 14.8 * 53.5 * * * 53.8 * 30.3 * 28.5 * 17.6 * 62.9 * 21.7 * * * 15.3 * 19.3 * * * 33.0 * * * 22.3 * 41.6 * 41.8 * * * 29.5 * 16.7 10.0 * * 26.2 * * * 53.2 * * 32.9 34.1 * 21.8 * * * * * 33.2 * 9.9 5.3 * * 25.2 * * * Asian or Pacific Islander 5.5 * * 4.3 * 12.8 * * * * 2.4 2.8 66.7 * 4.2 * * * * * * 5.8 7.8 4.0 8.8 * * * * * * 9.2 * * 11.7 2.4 * * * 10.9 3.9 * * * * 4.5 * * 5.5 10.2 * * * Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 * Figure does not meet standards of reliability or precision; based on fewer than 20 events in the numerator. – Quantity zero. Fetal Death Documentation Table 5B Fetal deaths by race of mother: U.S. territories, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] Territory White American Indian or Alaska native Black Asian or Pacific Islander Total TOTAL1 5 - - 54 59 American Samoa - - - 12 12 Guam 2 - - 34 36 Northern Marianas - - - 8 8 Virgin Islands 3 - - - 3 – Quantity zero. 1 Puerto Rico does not report mother's race. Fetal Death Documentation Table 6A Fetal deaths and percent distribution by race and Hispanic origin of mother: United States and each reporting area, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] Mexican Puerto Rican Cuban Central Other and and South Unknown American Hispanic NonHispanic white NonNonHispanic Hispanic Unknown other races black Total State TOTAL 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 New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming 2,880 14 1 174 7 968 68 2 2 66 51 5 17 115 36 12 23 14 9 12 2 31 18 5 8 1 17 56 36 16 7 31 57 4 15 22 37 13 14 1 21 723 37 13 77 17 5 387 3 1 7 3 15 1 90 6 2 1 13 1 4 21 4 1 1 2 54 11 54 6 12 1 37 3 1 18 1 6 2 4 1 119 2 3 78 5 2 1 1 4 2 1 4 2 2 3 1 2 1 2 2 1 - 660 8 4 4 126 2 11 4 6 86 23 8 4 3 5 4 6 37 35 4 5 6 1 4 9 57 1 24 45 26 5 4 1 6 6 1 5 47 3 21 3 - Number 675 10,629 1 229 28 12 209 1 124 115 664 27 201 2 78 23 8 14 33 591 24 326 1 20 3 82 19 395 6 402 133 4 127 2 290 3 136 45 23 161 149 7 348 231 125 3 279 38 1 101 2 80 1 53 15 245 1 48 57 376 125 151 406 7 39 5 555 3 155 3 141 9 534 4 3 206 1 47 3 337 94 584 13 218 20 29 265 9 285 92 204 35 6,363 264 3 48 73 340 27 30 30 77 570 552 4 2 287 107 20 25 54 180 5 282 75 165 64 244 85 24 38 3 214 3 132 304 368 3 238 42 10 204 248 3 195 412 4 3 176 39 8 77 2 1,430 6 25 59 7 329 15 9 2 40 28 49 5 37 13 5 13 5 8 1 28 26 26 46 7 11 15 10 16 2 61 13 11 91 26 8 15 38 26 37 6 25 16 78 13 33 63 25 2 837 1 7 10 2 83 7 17 2 53 36 18 2 26 5 2 1 4 16 52 19 10 3 1 5 3 10 9 34 177 7 5 36 5 50 9 3 4 11 1 39 48 1 3 - 23,980 528 64 517 218 2,635 350 164 59 110 1,607 1,046 99 112 905 568 178 201 371 344 55 567 360 604 375 391 392 54 157 207 62 696 91 654 980 906 59 881 269 220 842 54 496 82 581 1,969 289 24 584 527 101 330 45 State TOTAL 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 New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Mexican 12.4 * * 34.3 * 37.9 19.8 * * * 4.2 5.0 * * 13.1 6.3 * 11.6 * * * * * 5.3 * * * * * 27.7 * 5.2 * * 3.9 6.3 * * 8.3 16.8 * * * * 3.6 36.9 12.8 * * 16.1 * * * Puerto Rican 1.7 * * * * * * * * * 5.8 * * * * * * * * * * * 6.8 * * * * * * * * 7.9 * * 6.7 * * * * * 4.4 * * * * * * * * * * * * Cuban 0.5 * * * * * * * * * 5.0 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Central Other and and South Unknown American Hispanic 2.9 * * * * 4.9 * * * * 5.5 2.3 * * * * * * * * * 6.7 11.4 * * * * * * * * 8.3 * 3.9 5.6 2.9 * * * * * * * * * 2.4 * * 3.9 * * * * Percent 2.9 * * * * 4.5 7.9 * * * 2.1 2.4 * * * * * * * * * 4.2 * * * * * * * * * * * 9.2 15.6 * * * * * * * * * * 4.8 * * 5.3 * * * * NonHispanic white 45.9 43.5 49.1 41.2 57.4 26.0 58.6 53.1 39.0 * 38.0 32.3 24.7 74.5 44.9 70.8 76.9 63.8 78.4 39.5 88.2 29.2 48.4 59.5 63.3 32.2 71.4 70.4 64.3 39.6 89.8 35.7 58.5 60.6 18.8 45.2 72.2 65.7 58.7 64.1 63.4 * 42.3 59.5 58.4 29.8 75.4 87.0 48.6 59.5 92.0 62.4 77.8 NonNonHispanic Hispanic other races black 27.5 50.1 * 9.5 33.8 13.3 7.9 20.4 50.8 71.3 36.7 54.7 * * 32.7 18.8 11.6 12.6 14.6 52.3 * 51.2 24.4 28.2 17.5 62.9 21.7 * 15.3 18.8 * 31.2 * 21.3 37.9 40.9 * 28.2 15.9 * 24.2 * 50.9 * 33.8 21.0 * * 32.3 8.1 * 23.5 * * Figure does not meet standards of reliability or precision; based on fewer than 20 events in the numerator. – Quantity zero. 6.2 * 43.9 11.6 * 12.9 * * * * 2.6 2.8 60.5 * 4.2 * * * * * * 5.1 8.4 4.4 12.6 * * * * * * 8.9 * * 11.3 2.9 * * 14.4 11.8 4.4 * * 31.6 * 4.0 * * 6.1 13.2 * 7.6 * Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Fetal Death Documentation Table 6B Fetal deaths by race and Hispanic origin of mother: U.S. territories, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] Territory Puerto Rican Mexican Central Other and Nonand South Unknown Hispanic American Hispanic white Cuban TOTAL1 Guam Northern Marianas - - - - Virgin Islands - - - - Number - NonNonHispanic Hispanic black other races Unknown Total 2 2 - - 42 34 8 3 - 47 36 8 - - - 3 3 – Quantity zero. 1 Puerto Rico does not report mother's race and American Samoa and Puerto Rico do not report mother's Hispanic origin. Fetal Death Documentation Table 7A Fetal deaths by age of mother (in years): United States and each reporting area, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] <15 TOTAL 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 New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming – Quantity zero. 15 27 1 3 1 2 1 2 1 1 1 2 1 2 1 1 1 1 5 - 90 2 7 1 1 12 1 3 2 1 1 2 1 2 1 2 1 1 2 1 1 6 5 2 2 2 1 6 2 1 4 10 1 3 - 16 171 5 6 3 13 1 1 4 4 4 1 1 10 6 1 3 3 5 1 1 5 4 3 2 1 1 7 11 11 2 3 4 2 3 23 2 2 6 4 2 - 17 284 8 1 15 5 29 2 2 1 16 17 2 1 11 10 1 5 3 4 3 6 5 2 2 6 3 1 5 4 2 4 6 9 13 2 6 7 14 33 2 5 5 2 3 1 18 499 15 2 8 10 41 9 2 1 23 23 3 23 19 5 7 8 9 11 4 14 3 8 13 1 2 5 10 3 10 20 26 3 10 8 5 20 2 15 2 15 40 5 1 9 13 5 7 1 19 747 24 1 16 3 81 12 2 3 5 58 27 2 1 25 19 8 6 15 14 1 14 4 22 4 17 10 1 1 8 2 20 2 18 12 29 3 38 11 8 22 2 15 2 29 78 11 1 17 7 7 8 1 20-24 5,310 159 10 118 70 509 72 27 17 21 368 266 21 26 169 133 47 39 87 100 19 107 56 123 63 99 106 19 38 38 12 108 29 131 181 214 11 225 79 32 186 7 145 19 148 469 44 7 133 108 22 66 7 25-29 6,284 132 19 132 55 662 74 44 16 27 416 265 24 34 238 158 37 63 116 100 18 129 77 173 116 138 112 18 45 53 16 170 16 171 223 244 14 237 63 59 227 14 131 18 156 517 90 7 145 143 21 96 15 30-34 5,934 115 17 119 44 668 105 44 13 27 386 243 30 34 241 125 46 43 91 73 10 148 122 174 92 78 84 8 39 54 18 198 22 174 262 206 18 203 68 56 209 10 111 26 121 467 66 6 163 136 26 85 10 35-39 3,455 57 9 70 25 462 58 35 6 17 240 152 13 8 143 67 23 31 39 31 4 105 64 69 67 33 44 6 23 35 13 126 11 97 198 116 8 107 27 39 117 10 49 10 73 234 51 2 88 73 13 49 8 40-44 1,081 12 5 31 3 149 11 8 1 7 81 43 4 4 37 26 9 5 7 9 34 23 22 18 5 15 1 4 8 1 51 3 39 59 43 2 34 6 16 39 7 19 5 15 80 14 21 30 1 12 2 45-49 89 8 4 1 3 3 4 4 3 1 4 2 2 5 1 1 6 5 1 1 5 3 13 3 1 3 2 - 50-54 9 3 2 1 1 1 1 - Total 23,980 528 64 517 218 2,635 350 164 59 110 1,607 1,046 99 112 905 568 178 201 371 344 55 567 360 604 375 391 392 54 157 207 62 696 91 654 980 906 59 881 269 220 842 54 496 82 581 1,969 289 24 584 527 101 330 45 Fetal Death Documentation Table 7B Fetal deaths by age of mother: U.S. territories, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] Territory <15 15 16 17 18 19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 Total TOTAL - 2 5 15 20 23 119 114 101 61 11 - - 471 American Samoa - - - - - 1 4 2 2 3 - - - 12 36 Guam - - - - 1 2 8 10 10 4 1 - - Northern Marianas - - - - - - 3 1 2 1 1 - - 8 Puerto Rico - 2 5 15 19 20 104 99 86 53 9 - - 412 Virgin Islands - - - - - - - 2 1 - - - - 3 – Quantity zero. Fetal Death Documentation Table 8A Fetal deaths by age of father (in years) : Total of 49 states and DC and each reporting area, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] State TOTAL1 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 New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Washington West Virginia Wisconsin Wyoming <15 7 1 1 1 2 1 1 - 15-19 614 2 1 24 5 97 11 2 59 9 2 34 30 8 2 11 3 18 6 9 3 17 11 4 21 3 3 8 14 1 39 10 3 28 5 1 3 83 4 15 4 1 - - Quantity zero 1 Virginia does not report father's age. 20-24 2,731 21 6 81 20 383 39 15 8 2 211 62 12 11 122 93 30 30 24 42 11 65 32 83 43 35 50 9 21 7 5 79 5 42 42 82 12 145 48 26 122 3 24 11 58 326 30 5 66 16 9 7 25-29 4,042 47 11 108 34 508 68 31 9 7 319 86 10 24 162 125 43 45 60 53 14 115 43 123 76 64 82 18 33 25 6 116 10 59 64 134 16 199 53 34 178 4 49 14 75 434 70 3 106 22 40 13 30-34 4,557 57 16 116 31 599 86 46 12 7 336 108 14 30 210 131 48 49 60 58 10 113 80 160 84 41 88 6 38 33 10 187 10 62 106 130 9 185 67 49 196 10 68 23 60 441 61 6 121 18 65 6 35-39 3,116 56 6 70 15 456 72 30 8 1 235 67 9 16 150 69 24 32 34 22 6 92 66 88 78 36 55 7 28 25 11 149 11 56 84 101 9 136 23 34 105 7 41 14 51 253 44 3 76 15 33 7 40-44 1,472 13 9 41 3 224 25 17 1 5 120 33 5 6 80 48 6 8 16 13 6 41 27 38 28 21 20 3 11 7 6 78 3 21 50 56 5 49 11 21 53 3 19 7 18 120 20 32 6 14 5 45-49 596 6 1 13 2 94 10 5 2 1 76 14 2 21 16 7 5 7 4 21 12 8 10 3 9 3 6 4 23 1 14 21 21 1 16 5 4 19 4 7 2 4 58 7 16 3 8 - 50-54 223 3 1 2 33 3 3 24 3 3 4 3 4 1 3 4 1 6 8 3 4 1 6 1 2 2 2 9 2 8 8 5 1 1 12 4 3 26 4 10 - 55-98 Unknown 113 5,925 3 320 13 6 55 108 20 221 3 33 14 19 87 11 216 2 661 1 45 21 2 120 3 50 16 1 22 2 163 135 4 4 92 2 84 2 90 2 47 173 2 69 7 14 2 102 22 5 29 48 1 394 7 590 2 358 6 6 101 51 2 46 4 124 1 22 279 10 309 10 217 5 44 7 1 84 17 160 1 6 Total 23,396 528 64 517 218 2,635 350 164 59 110 1,607 1,046 99 112 905 568 178 201 371 344 55 567 360 604 375 391 392 54 157 207 62 696 91 654 980 906 59 881 269 220 842 54 496 82 581 1,969 289 24 527 101 330 45 Fetal Death Documentation Table 8B Fetal deaths by age of father: U.S. territories, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] Territory <15 15-19 20-24 26 25-29 108 87 30-34 35-39 73 40-44 59 45-49 39 50-54 16 55-98 2 Unknown 4 57 Total Total - 471 American Samoa - - - 2 1 - 2 - - - 7 12 Guam - 2 1 3 6 1 1 - - 1 21 36 Northern Marianas - - 1 2 2 2 - 1 - - - 8 Puerto Rico - 24 106 79 64 56 36 15 2 3 27 412 Virgin Islands - - - 1 - - - - - - 2 3 – Quantity zero. Fetal Death Documentation Table 9A Fetal deaths and percent distribution by live birth order: United States and each reporting area, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] State TOTAL 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 New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming 0 9,287 245 19 207 88 1,082 144 66 23 38 612 431 37 39 288 217 67 80 148 134 17 257 175 217 150 170 145 18 57 83 32 326 37 241 460 393 25 279 88 100 318 2 196 25 202 517 95 12 293 213 30 131 18 1 5,307 139 15 125 52 540 83 37 20 23 384 222 22 28 197 143 41 52 88 84 5 141 74 133 94 71 96 14 31 55 19 160 18 138 153 235 20 197 57 56 209 126 18 158 342 63 6 88 116 22 84 13 2 3,827 81 10 90 29 406 44 22 4 16 267 166 21 20 151 103 25 34 62 62 1 82 62 106 54 69 68 12 29 26 5 112 11 98 146 147 7 131 38 29 132 3 86 18 99 310 51 6 111 78 25 57 5 3 2,109 39 7 47 24 250 33 10 9 7 124 92 10 12 90 37 26 12 35 14 3 42 16 57 27 43 40 6 22 23 3 48 12 52 45 73 3 104 29 13 59 47 12 57 202 44 49 47 14 32 7 4 1,005 7 2 20 9 124 17 8 3 66 43 4 6 35 29 10 11 19 21 1 24 7 26 21 18 13 3 8 10 23 8 18 34 34 1 40 19 8 27 20 2 28 108 16 20 14 4 15 1 5 Number 479 7 2 10 4 71 7 2 2 3 34 19 1 4 20 6 2 7 10 10 5 4 13 9 6 12 1 5 4 2 15 1 13 16 7 17 7 6 16 12 3 16 39 10 7 7 2 3 - 6 7 246 4 1 5 2 31 2 1 1 16 11 1 8 8 2 1 1 2 2 4 3 12 6 5 5 1 2 1 4 11 7 2 10 7 3 3 2 7 28 4 8 7 2 3 - 8+ 121 2 1 6 19 3 7 4 1 4 1 1 1 4 4 4 2 3 4 2 2 1 1 3 5 3 1 5 4 4 3 1 2 8 1 2 1 1 - Unknown 177 3 1 6 21 2 1 14 7 1 12 6 3 1 2 2 1 2 7 2 2 2 2 5 7 2 15 1 2 5 4 1 9 15 3 1 2 4 1 1,422 1 6 1 10 91 15 18 19 83 51 3 1 100 18 1 3 3 11 26 6 18 36 4 3 9 2 4 1 7 2 82 103 5 83 19 3 69 49 2 3 400 2 7 41 1 - Total 23,980 528 64 517 218 2,635 350 164 59 110 1,607 1,046 99 112 905 568 178 201 371 344 55 567 360 604 375 391 392 54 157 207 62 696 91 654 980 906 59 881 269 220 842 54 496 82 581 1,969 289 24 584 527 101 330 45 state TOTAL 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 New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming 0 1 41.2 46.5 * 40.1 42.3 42.5 43.0 45.2 39.0 41.8 40.2 43.3 38.5 35.1 35.8 39.5 37.9 40.4 40.2 40.2 * 45.8 51.2 38.2 40.4 43.8 37.9 * 36.8 40.9 52.5 47.3 41.6 42.1 52.5 43.6 42.4 35.0 35.2 46.1 41.1 * 39.5 31.3 34.9 33.0 33.1 * 50.8 43.8 30.0 39.7 * 2 23.5 26.4 * 24.2 25.0 21.2 24.8 25.3 33.9 25.3 25.2 22.3 22.9 25.2 24.5 26.0 23.2 26.3 23.9 25.2 * 25.1 21.6 23.4 25.3 18.3 25.1 * 20.0 27.1 * 23.2 * 24.1 17.4 26.1 33.9 24.7 22.8 25.8 27.0 * 25.4 * 27.3 21.8 22.0 * 15.3 23.9 22.0 25.5 * 3 17.0 15.4 * 17.4 13.9 16.0 13.1 15.1 * * 17.5 16.7 21.9 18.0 18.8 18.7 14.1 17.2 16.8 18.6 * 14.6 18.1 18.7 14.6 17.8 17.8 * 18.7 12.8 * 16.3 * 17.1 16.6 16.3 * 16.4 15.2 13.4 17.1 * 17.3 * 17.1 19.8 17.8 * 19.2 16.0 25.0 17.3 * 4 9.3 7.4 * 9.1 11.5 9.8 9.9 * * * 8.1 9.2 * * 11.2 6.7 14.7 * 9.5 * * 7.5 * 10.0 7.3 11.1 10.4 * 14.2 11.3 * 7.0 * 9.1 5.1 8.1 * 13.0 11.6 * 7.6 * 9.5 * 9.9 12.9 15.3 * 8.5 9.7 * 9.7 * 5 Percent 4.5 * * 3.9 * 4.9 * * * * 4.3 4.3 * * 4.3 5.3 * * * 6.3 * 4.3 * 4.6 5.7 * * * * * * 3.3 * * 3.9 3.8 * 5.0 * * 3.5 * 4.0 * 4.8 6.9 * * 3.5 * * * * 6 2.1 * * * * 2.8 * * * * 2.2 * * * 2.5 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 2.5 * * * * * * * 7 1.1 * * * * 1.2 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 1.8 * * * * * * * * Figure does not meet standards of reliability or precision; based on fewer than 20 events in the numerator. - Quantity zero 8+ 0.5 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Total 0.8 * * * * 0.8 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Fetal Death Documentation Table 9B Fetal deaths and percent distribution by live birth order: U.S. territories, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] Territory TOTAL American Samoa Guam Northern Marianas Puerto Rico Virgin Islands – Quantity zero. 0 1 272 4 10 2 255 1 2 98 1 7 2 88 - 3 53 2 2 47 2 4 23 1 6 1 15 - 5 10 2 3 2 3 - 6 - 7 2 1 1 - 8+ 3 1 2 - 6 4 1 1 - Unknown 4 1 3 - Total 471 12 36 8 412 3 Fetal Death Documentation Table 10A Fetal deaths by sex of child and sex ratio: United States and each reporting area, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] State Total 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 New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming – Quantity zero. Male 12,542 287 30 295 118 1,327 177 77 33 69 848 546 53 58 480 295 101 101 177 173 25 309 181 310 190 212 200 28 74 106 27 377 42 366 551 455 30 469 131 101 409 23 270 45 291 1,039 155 10 321 307 50 168 25 Female 11,438 241 34 222 100 1,308 173 87 26 41 759 500 46 54 425 273 77 100 194 171 30 258 179 294 185 179 192 26 83 101 35 319 49 288 429 451 29 412 138 119 433 31 226 37 290 930 134 14 263 220 51 162 20 Ratio M/F 1,096.5 1,190.9 882.4 1,328.8 1,180.0 1,014.5 1,023.1 885.1 1,269.2 1,682.9 1,117.3 1,092.0 1,152.2 1,074.1 1,129.4 1,080.6 1,311.7 1,010.0 912.4 1,011.7 833.3 1,197.7 1,011.2 1,054.4 1,027.0 1,184.4 1,041.7 1,076.9 891.6 1,049.5 771.4 1,181.8 857.1 1,270.8 1,284.4 1,008.9 1,034.5 1,138.3 949.3 848.7 944.6 741.9 1,194.7 1,216.2 1,003.4 1,117.2 1,156.7 714.3 1,220.5 1,395.5 980.4 1,037.0 1,250.0 Total 23,980 528 64 517 218 2,635 350 164 59 110 1,607 1,046 99 112 905 568 178 201 371 344 55 567 360 604 375 391 392 54 157 207 62 696 91 654 980 906 59 881 269 220 842 54 496 82 581 1,969 289 24 584 527 101 330 45 Fetal Death Documentation Table 10B Fetal deaths by sex of child and sex ratio: U.S. territories, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] Territory Total American Samoa Guam Northern Marianas Puerto Rico Virgin Islands – Quantity zero. Male Female 251 Ratio M/F Total 220 1,140.9 471 9 3 3,000.0 12 23 13 1,769.2 36 3 5 600.0 8 215 197 1,091.4 412 1 2 500.0 3 Fetal Death Documentation Table 11A Fetal deaths by plurality: United States and each reporting area, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] State TOTAL 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 New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming – Quantity zero. Single 21,875 464 62 472 206 2,410 333 141 51 108 1,470 941 89 107 797 527 167 182 334 325 51 527 320 553 338 346 361 52 139 189 54 622 85 589 871 822 55 819 256 205 755 52 470 77 542 1,779 267 23 558 486 91 299 36 Twin 1,942 55 2 37 12 210 16 23 8 2 134 97 10 5 98 39 11 19 37 19 4 38 36 47 34 40 30 2 14 17 5 60 6 59 103 83 3 55 13 14 80 2 26 5 33 168 19 1 26 35 10 31 9 Triplet 148 9 7 13 1 3 7 10 2 2 4 4 3 5 1 4 1 3 10 6 6 1 1 5 7 6 18 3 6 - Quadruplet Quintuplet+ 13 1 1 4 2 1 4 - 2 1 1 - Total 23,980 528 64 517 218 2,635 350 164 59 110 1,607 1,046 99 112 905 568 178 201 371 344 55 567 360 604 375 391 392 54 157 207 62 696 91 654 980 906 59 881 269 220 842 54 496 82 581 1,969 289 24 584 527 101 330 45 Fetal Death Documentation Table 11B Fetal deaths by plurality: U.S. territories, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] Territory Total Single Twin 423 Triplet 48 Quadruplet - Quintuplet+ - Total - 471 American Samoa 12 - - - - 12 Guam 34 2 - - - 36 8 - - - - 8 367 45 - - - 412 2 1 - - - 3 Northern Marianas Puerto Rico Virgin Islands – Quantity zero. Fetal Death Documentation Table 12A Fetal deaths and percent distribution by period of gestation (in weeks): United States and each reporting area, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] State TOTAL 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 New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming 20-27 12,579 299 31 244 91 1,293 175 86 24 63 906 619 57 50 517 284 77 99 186 192 21 335 165 321 175 223 194 16 84 110 28 440 25 349 600 445 28 435 124 95 447 28 286 39 307 955 139 10 318 308 46 162 28 28-31 2,754 63 4 70 26 321 46 17 11 9 185 107 9 8 105 64 24 23 53 37 6 70 46 73 34 37 48 11 10 23 7 59 16 59 86 93 3 108 33 33 110 4 56 8 68 244 33 4 75 53 16 42 4 32-33 1,524 34 3 33 23 175 19 6 2 4 103 50 4 10 50 37 8 11 22 25 5 24 29 40 30 36 18 7 7 13 11 35 8 46 49 70 3 52 25 16 52 4 37 4 32 146 19 1 27 29 8 19 3 34-36 2,916 53 6 73 32 338 42 23 7 12 178 106 16 19 106 79 38 24 43 48 6 60 46 67 49 49 55 3 26 21 7 69 21 82 99 128 12 109 34 26 83 8 45 11 83 262 41 1 67 50 16 36 1 37-38 2,250 50 7 54 29 247 29 17 9 9 128 89 5 10 71 50 14 27 38 25 8 44 31 57 40 28 41 8 15 25 1 45 8 66 80 103 8 96 33 25 86 4 44 13 63 203 30 4 43 42 7 36 5 39-40 1,567 24 6 34 11 203 31 12 4 10 84 58 6 14 52 46 13 13 22 14 5 29 27 41 33 14 33 4 14 11 5 41 10 45 56 53 5 68 15 21 55 6 25 7 24 122 26 4 42 29 5 31 4 41 42 or more 200 4 2 3 2 32 5 2 2 1 7 9 1 1 2 6 3 2 2 1 3 4 4 1 10 2 4 1 1 3 5 5 6 13 4 2 4 8 3 2 12 1 4 8 1 2 - 52 1 2 1 7 1 4 2 1 1 1 2 3 3 1 1 3 2 4 3 1 1 5 1 1 - Unknown 138 1 4 4 3 19 3 1 1 12 6 1 2 1 1 3 2 1 1 9 4 1 4 3 2 1 6 3 1 20 7 8 2 1 - Total 23,980 528 64 517 218 2,635 350 164 59 110 1,607 1,046 99 112 905 568 178 201 371 344 55 567 360 604 375 391 392 54 157 207 62 696 91 654 980 906 59 881 269 220 842 54 496 82 581 1,969 289 24 584 527 101 330 45 State TOTAL 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 New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming 20-27 52.8 56.7 51.7 47.6 42.3 49.4 50.4 52.8 40.7 57.8 56.8 59.5 58.2 44.6 57.3 50.1 43.3 49.5 50.5 56.1 38.9 59.2 47.0 53.5 46.8 57.6 49.5 * 53.5 53.1 45.2 63.2 28.4 53.5 61.2 49.2 47.5 49.7 46.6 43.2 53.1 51.9 57.7 47.6 52.9 49.0 48.1 * 55.1 59.3 46.5 49.2 62.2 28-31 11.6 12.0 * 13.6 12.1 12.3 13.3 * * * 11.6 10.3 * * 11.6 11.3 13.5 11.5 14.4 10.8 * 12.4 13.1 12.2 9.1 9.6 12.2 * * 11.1 * 8.5 * 9.0 8.8 10.3 * 12.3 12.4 15.0 13.1 * 11.3 * 11.7 12.5 11.4 * 13.0 10.2 * 12.8 * 32-33 6.4 6.5 * 6.4 10.7 6.7 * * * * 6.5 4.8 * * 5.5 6.5 * * 6.0 7.3 * 4.2 8.3 6.7 8.0 9.3 * * * * * 5.0 * 7.1 5.0 7.7 * 5.9 9.4 * 6.2 * 7.5 * 5.5 7.5 * * 4.7 5.6 * * * 34-36 12.2 10.1 * 14.2 14.9 12.9 12.1 14.1 * * 11.2 10.2 * * 11.7 13.9 21.3 12.0 11.7 14.0 * 10.6 13.1 11.2 13.1 12.7 14.0 * 16.6 10.1 * 9.9 23.9 12.6 10.1 14.1 * 12.5 12.8 11.8 9.9 * 9.1 * 14.3 13.4 14.2 * 11.6 9.6 * 10.9 * 37-38 Percent 9.4 9.5 * 10.5 13.5 9.4 8.4 * * * 8.0 8.6 * * 7.9 8.8 * 13.5 10.3 7.3 * 7.8 8.8 9.5 10.7 7.2 10.5 * * 12.1 * 6.5 * 10.1 8.2 11.4 * 11.0 12.4 11.4 10.2 * 8.9 * 10.9 10.4 10.4 * 7.5 8.1 * 10.9 * 39-40 41 6.6 4.6 * 6.6 * 7.8 8.9 * * * 5.3 5.6 * * 5.8 8.1 * * 6.0 * * 5.1 7.7 6.8 8.8 * 8.4 * * * * 5.9 * 6.9 5.7 5.9 * 7.8 * 9.5 6.5 * 5.0 * 4.1 6.3 9.0 * 7.3 5.6 * 9.4 * * Figure does not meet standards of reliability or precision; based on fewer than 20 events in the numerator. – Quantity zero. 42 or more 0.8 * * * * 1.2 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 0.2 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Fetal Death Documentation Table 12B Fetal deaths by period of gestation (in weeks): U.S. territories, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] Territory TOTAL American Samoa Guam Northern Marianas Puerto Rico Virgin Islands – Quantity zero. 20-27 276 2 7 3 261 3 28-31 32-33 49 1 9 2 37 - 34-36 21 1 2 1 17 - 37-38 54 3 8 43 - 39-40 43 5 38 - 41 15 3 4 8 - 42 or more Unknown 2 1 1 - - 11 1 1 2 7 - Total 471 12 36 8 412 3 Fetal Death Documentation Table 13A Fetal deaths and percent distribution by birthweight (in grams): United States and each reporting area, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] State Total 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 New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming <0500 8,176 231 18 173 54 838 105 55 10 42 578 365 27 34 334 208 57 57 141 131 11 242 104 220 113 158 137 4 62 71 15 321 19 255 378 295 15 284 73 62 266 15 205 21 219 564 96 6 174 154 27 111 21 05000999 4,193 92 8 91 43 496 47 35 18 17 322 181 9 16 160 93 25 40 65 58 7 103 76 97 51 79 67 14 23 38 8 136 15 61 167 156 13 139 45 41 137 13 94 14 101 382 36 6 80 92 22 56 8 10001499 2,057 39 4 47 22 244 33 15 6 7 139 70 4 7 83 54 19 21 24 30 4 49 31 61 35 27 37 9 7 13 8 50 11 27 56 77 5 74 33 24 65 4 48 11 42 237 20 3 43 39 12 23 4 15001999 1,849 33 4 52 25 237 24 8 4 9 125 73 4 7 64 46 17 22 34 28 3 29 33 40 25 42 33 7 17 19 10 37 9 21 51 80 2 61 33 21 52 7 38 6 59 174 26 1 27 35 6 28 1 20002499 1,800 48 2 44 21 200 37 8 6 8 136 64 6 14 50 41 15 9 31 31 3 39 31 51 34 21 30 6 11 17 6 45 9 21 79 87 7 65 17 19 57 5 34 6 43 172 20 41 20 10 23 - 25002999 1,661 28 4 41 17 203 38 12 5 11 83 59 6 12 48 37 15 22 33 14 3 35 29 37 27 30 22 6 14 20 5 40 9 19 73 79 7 65 15 17 54 3 29 9 49 142 30 3 34 28 5 31 4 30003499 Number 1,319 26 8 30 13 183 13 16 3 6 73 42 7 13 47 36 16 14 17 12 4 26 24 23 32 14 30 3 11 13 1 29 9 13 32 52 6 61 19 21 50 4 21 6 26 116 15 4 24 27 5 22 1 35003999 652 11 5 14 5 74 10 4 4 2 40 21 2 4 23 12 7 8 16 8 5 18 17 16 22 5 14 2 5 9 2 13 4 9 22 31 3 23 7 7 16 10 1 15 53 11 10 13 1 17 1 40004499 275 4 2 8 5 30 2 2 3 1 16 17 1 11 7 1 2 2 3 4 9 3 8 5 1 9 1 6 1 2 11 9 12 1 4 15 4 3 10 21 3 1 3 4 1 4 3 45004999 95 4 2 3 10 1 3 8 2 4 1 1 2 2 1 3 2 2 2 6 1 1 1 2 2 1 2 2 2 9 2 4 2 1 4 - 50008165 73 1 1 13 1 1 5 6 1 1 3 1 1 1 1 3 2 2 1 1 3 3 2 2 2 2 1 4 6 1 1 - Unknow n 1,830 11 9 15 9 107 40 9 5 87 140 34 3 82 27 4 4 6 26 10 13 10 49 26 8 13 7 5 5 19 4 224 106 35 1 94 24 4 126 3 9 4 11 93 29 144 113 11 10 2 Total 23,980 528 64 517 218 2,635 350 164 59 110 1,607 1,046 99 112 905 568 178 201 371 344 55 567 360 604 375 391 392 54 157 207 62 696 91 654 980 906 59 881 269 220 842 54 496 82 581 1,969 289 24 584 527 101 330 45 State Total 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 New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming <0500 36.9 44.7 * 34.5 25.8 33.1 33.9 35.5 * 40.0 38.0 40.3 41.5 31.2 40.6 38.4 32.8 28.9 38.6 41.2 * 43.7 29.7 39.6 32.4 41.3 36.1 * 41.3 35.1 * 47.4 * 59.3 43.2 33.9 * 36.1 29.8 28.7 37.2 * 42.1 26.9 38.4 30.1 36.9 * 39.5 37.2 30.0 34.7 48.8 05000999 18.9 17.8 * 18.1 20.6 19.6 15.2 22.6 * * 21.2 20.0 * * 19.4 17.2 14.4 20.3 17.8 18.2 * 18.6 21.7 17.5 14.6 20.6 17.7 * 15.3 18.8 * 20.1 * 14.2 19.1 17.9 * 17.7 18.4 19.0 19.1 * 19.3 * 17.7 20.4 13.8 * 18.2 22.2 24.4 17.5 * 10001499 9.3 7.5 * 9.4 10.5 9.7 10.6 * * * 9.1 7.7 * * 10.1 10.0 * 10.7 6.6 9.4 * 8.8 8.9 11.0 10.0 7.0 9.8 * * * * 7.4 * 6.3 6.4 8.8 * 9.4 13.5 11.1 9.1 * 9.9 * 7.4 12.6 7.7 * 9.8 9.4 * 7.2 * 15001999 8.3 6.4 * 10.4 12.0 9.4 7.7 * * * 8.2 8.1 * * 7.8 8.5 * 11.2 9.3 8.8 * 5.2 9.4 7.2 7.2 11.0 8.7 * * * * 5.5 * 4.9 5.8 9.2 * 7.8 13.5 9.7 7.3 * 7.8 * 10.4 9.3 10.0 * 6.1 8.5 * 8.8 * 20002499 8.1 9.3 * 8.8 10.0 7.9 11.9 * * * 8.9 7.1 * * 6.1 7.6 * * 8.5 9.7 * 7.0 8.9 9.2 9.7 5.5 7.9 * * * * 6.6 * 4.9 9.0 10.0 * 8.3 * * 8.0 * 7.0 * 7.5 9.2 7.7 * 9.3 4.8 * 7.2 * 250030002999 3499 Percent 7.5 6.0 5.4 5.0 * * 8.2 6.0 * * 8.0 7.2 12.3 * * * * * * * 5.5 4.8 6.5 4.6 * * * * 5.8 5.7 6.8 6.7 * * 11.2 * 9.0 * * * * * 6.3 4.7 8.3 6.9 6.7 4.1 7.7 9.2 7.8 * 5.8 7.9 * * * * 9.9 * * * 5.9 4.3 * * * * 8.4 3.7 9.1 6.0 * * 8.3 7.8 * * * 9.7 7.5 7.0 * * 6.0 4.3 * * 8.6 4.6 7.6 6.2 11.5 * * * 7.7 5.5 6.8 6.5 * * 9.7 6.9 * * 35003999 2.9 * * * * 2.9 * * * * 2.6 2.3 * * 2.8 * * * * * * * * * 6.3 * * * * * * * * * 2.5 3.6 * 2.9 * * * * * * * 2.8 * * * * * * * * Figure does not meet standards of reliability or precision; based on fewer than 20 events in the numerator. – Quantity zero. 40004499 1.2 * * * * 1.2 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 1.1 * * * * * * * 45004999 0.4 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 50008165 0.3 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Fetal Death Documentation Table 13B Fetal deaths by birthweight (in grams): U.S. territories, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] Territory Total American Samoa Guam Northern Marianas Puerto Rico Virgin Islands – Quantity zero. <0500 152 4 3 144 1 05000999 114 4 7 3 100 - 10001499 35 7 28 - 15001999 33 1 4 28 - 20002499 36 1 3 32 - 25002999 23 2 21 - 30003499 30 4 4 1 21 - 35003999 40004499 6 3 3 - 45004999 3 1 1 1 - 50008165 - Unknown Total 2 1 1 - 37 1 1 33 2 471 12 36 8 412 3 Fetal Death Documentation Table 14A Fetal deaths by place of delivery: United States and each reporting area, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] State TOTAL 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 New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming – Quantity zero. Hospital 23,409 515 64 499 215 2,559 336 161 59 110 1,507 1,030 97 108 898 561 175 199 368 341 54 554 353 591 363 381 382 51 155 201 60 683 88 651 963 892 59 856 263 218 815 53 487 79 571 1,937 281 24 572 503 100 322 45 Freestanding Birth Center 57 1 13 3 1 1 2 7 1 1 11 1 3 2 1 8 1 - Clinic or Doctors Office Residence 74 5 29 16 1 1 1 2 1 3 1 13 1 - 251 7 8 2 16 1 17 13 2 2 3 7 2 1 2 1 10 11 9 9 8 3 6 2 16 10 18 3 2 20 7 3 6 12 9 3 - Other Unknown 161 6 1 31 67 2 4 1 1 2 1 2 2 1 1 2 2 1 4 4 2 5 2 3 1 8 2 2 1 - 28 4 3 1 16 1 3 - Total 23,980 528 64 517 218 2,635 350 164 59 110 1,607 1,046 99 112 905 568 178 201 371 344 55 567 360 604 375 391 392 54 157 207 62 696 91 654 980 906 59 881 269 220 842 54 496 82 581 1,969 289 24 584 527 101 330 45 Fetal Death Documentation Table 14B Fetal deaths by place of delivery: U.S. territories, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] Territory TOTAL Freestanding Birth Center Hospital Clinic / Doctors Office Residence Other Unknown Total 458 10 - 1 - 2 471 American Samoa 12 - - - - - 12 Guam 35 - - 1 - - 36 8 - - - - - 8 400 10 - - - 2 412 3 - - - - - 3 Northern Marianas Puerto Rico Virgin Islands – Quantity zero. Fetal Death Documentation Table 15A Fetal deaths by attendant: United States and each reporting area, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] State TOTAL 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 New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming – Quantity zero. Doctor of Medicine 20,981 489 54 433 209 2,320 294 144 42 109 1,477 938 80 91 806 310 133 172 331 335 37 515 332 436 332 358 325 41 144 182 49 689 71 540 920 809 49 735 179 180 613 52 467 70 554 1,802 271 19 577 485 81 268 32 Doctor of Certified Nurse Other Midwife Osteopathy Midwife 1,570 509 27 13 2 4 6 49 17 6 171 32 8 10 7 14 2 1 122 4 28 52 4 6 8 12 1 1 74 1 33 6 34 6 2 19 2 18 13 2 3 13 5 26 25 14 14 114 15 19 10 19 4 2 49 10 1 5 2 9 1 5 1 3 9 3 2 2 14 40 22 6 30 18 36 49 8 2 99 22 3 63 2 17 11 140 55 4 1 7 9 1 4 9 10 108 16 16 2 2 3 3 10 9 12 5 35 20 4 4 - Other Unknown 470 24 8 2 144 16 1 4 24 1 3 17 1 8 4 4 36 10 6 7 6 3 19 1 1 4 1 2 7 5 4 12 29 12 7 6 14 4 12 1 - 423 10 1 3 4 4 7 219 2 5 1 3 4 2 1 45 10 5 17 21 1 1 1 2 29 11 3 2 9 Total 23,980 528 64 517 218 2,635 350 164 59 110 1,607 1,046 99 112 905 568 178 201 371 344 55 567 360 604 375 391 392 54 157 207 62 696 91 654 980 906 59 881 269 220 842 54 496 82 581 1,969 289 24 584 527 101 330 45 Fetal Death Documentation Table 15B Fetal deaths by attendant: U.S. territories, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] Territory Total American Samoa Guam Northern Marianas Puerto Rico Virgin Islands – Quantity zero. Doctor of Medicine 424 11 24 2 384 3 Doctor of Osteopathy Certified Nurse Other Midwife Midwife 9 9 - 8 1 1 6 - - Other Unknown 2 2 - Total 28 28 - 471 12 36 8 412 3 Table 16. Fetal deaths by method of delivery and age of mother: United States, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more.] Method of Delivery Reported Age of mother (years) Method of delivery All fetal deaths1 All ages Under 20 20-24 25-29 30-34 35-39 Not stated2 40-54 Vaginal delivery 23,980 19,159 1,603 4,376 4,981 4,621 2,669 909 1,105 Vaginal with forceps 19,159 180 15 30 37 54 29 15 - Vaginal with vacuum 19,159 234 20 44 59 58 39 14 - 23,980 3,716 145 713 1,013 1,040 599 206 1,105 Total vaginal Cesarean delivery 1 Total for total vaginal and cesarean delivery is the number of fetal deaths to residents of areas reporting respective method of delivery. Total for vaginal with forceps and vaginal with vacuum is the total number of fetal deaths to women delivering vaginally. 2 No response reported for method of delivery. Table 17. Fetal deaths by risk factors: United States and each reporting area, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more. ] State Total Alabama yes 1,736 Diabetes no unknown 20,735 1,509 total 23,980 yes 1,155 Hypertension, chronic no unknown 21,316 1,509 total 23,980 Hypertension, pregnancy-associated yes no unknown total 1,172 21,299 1,509 23,980 30 494 4 528 34 490 4 528 28 496 4 Alaska 8 48 8 64 3 53 8 64 1 55 8 528 64 Arizona 41 465 11 517 16 490 11 517 32 474 11 517 Arkansas 20 195 3 218 13 202 3 218 16 199 3 218 California 164 2,277 194 2,635 54 2,387 194 2,635 90 2,351 194 2,635 Colorado 17 286 47 350 9 294 47 350 8 295 47 350 Connecticut 10 143 11 164 7 146 11 164 5 148 11 164 Delaware 7 52 - 59 2 57 - 59 5 54 - 59 District of Columbia 5 105 - 110 4 106 - 110 2 108 - 110 Florida 115 1,443 49 1,607 115 1,443 49 1,607 76 1,482 49 1,607 Georgia 62 814 170 1,046 66 810 170 1,046 50 826 170 1,046 Hawaii 9 73 17 99 5 77 17 99 2 80 17 99 Idaho 7 103 2 112 6 104 2 112 4 106 2 112 Illinois 66 809 30 905 45 830 30 905 55 820 30 905 Indiana 45 492 31 568 23 514 31 568 35 502 31 568 Iowa 16 159 3 178 6 169 3 178 11 164 3 178 Kansas 16 184 1 201 3 197 1 201 3 197 1 201 Kentucky 26 340 5 371 16 350 5 371 26 340 5 371 Louisiana 30 314 - 344 24 320 - 344 18 326 - 344 7 48 - 55 3 52 - 55 4 51 - 55 48 519 - 567 39 528 - 567 34 533 - 567 Maine Maryland Massachusetts 23 312 25 360 10 325 25 360 9 326 25 360 Michigan 45 532 27 604 37 540 27 604 45 532 27 604 Minnesota 30 336 9 375 12 354 9 375 13 353 9 375 Mississippi 26 355 10 391 40 341 10 391 25 356 10 391 392 Missouri 23 369 - 392 16 376 - 392 24 368 - Montana 5 48 1 54 1 52 1 54 1 52 1 54 Nebraska 15 140 2 157 5 150 2 157 9 146 2 157 Nevada 17 189 1 207 5 201 1 207 12 194 1 207 4 58 - 62 - 62 - 62 4 58 - 62 15 661 20 696 11 665 20 696 6 670 20 696 New Hampshire New Jersey New Mexico New York 6 84 1 91 - 90 1 91 6 84 1 91 42 396 216 654 27 411 216 654 23 415 216 654 New York City 64 657 259 980 42 679 259 980 20 701 259 980 North Carolina 76 827 3 906 53 850 3 906 55 848 3 906 North Dakota 3 56 - 59 2 57 - 59 2 57 - 59 81 785 15 881 60 806 15 881 60 806 15 881 269 Ohio Oklahoma 27 242 - 269 15 254 - 269 16 253 - Oregon 12 208 - 220 11 209 - 220 20 200 - 220 Pennsylvania 64 703 75 842 47 720 75 842 31 736 75 842 - 8 46 54 - 8 46 54 1 7 46 54 43 444 9 496 36 451 9 496 39 448 9 496 Rhode Island South Carolina South Dakota 14 66 2 82 5 75 2 82 2 78 2 82 Tennessee 40 540 1 581 26 554 1 581 35 545 1 581 Texas 180 1,789 - 1,969 108 1,861 - 1,969 118 1,851 - 1,969 Utah 25 264 - 289 10 279 - 289 14 275 - 289 Vermont - 24 - 24 1 23 - 24 2 22 - 24 Virginia 37 546 1 584 40 543 1 584 27 556 1 584 Washington 31 300 196 527 19 312 196 527 23 308 196 527 West Virginia 11 90 - 101 6 95 - 101 1 100 - 101 Wisconsin Wyoming 24 4 303 40 3 1 330 45 15 2 312 42 3 1 330 45 19 5 308 39 3 1 330 45 – Quantity zero. Table 18. Fetal deaths to mothers with selected risk factors during pregnancy and characteristics of delivery by age of mother: United States, 2014 [Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more. ] Risk factor, characteristic or anomaly reported Age of mother (years) Risk factors, characteristics, and anomalies All fetal deaths1 All ages Under 20 20-24 25-29 30-34 35-39 Factor not reported 40-54 2 Not stated Risk factors in this pregnancy Diabetes 23,980 1,736 57 246 403 475 392 163 20,735 1,509 Hypertension, chronic 23,980 1,155 18 144 248 331 301 113 21,316 1,509 Hypertension, pregnancy-associated 23,980 1,172 84 267 315 283 167 56 21,299 1,509 Eclampsia 23,980 158 6 39 47 31 23 12 22,313 1,509 23,980 6,066 485 1,347 1,559 1,502 882 291 15,123 2,791 Characteristics of delivery Breech or malpresentation 1 Total number of fetal deaths to residents of areas reporting respective risk factors, characteristics, and anomalies. 2 No response reported for specific item. Table A. 2014 Fetal Deaths: Control Count Totals for Revised Data Items Revised data item Delivery time Delivery place (revised) Mother’s birth state recode Mother’s race (revised) Mother’s race (revised)/Hispanic origin Mother’s Education Interval since last live birth Prenatal Care WIC Cigarettes Before Pregnancy (revised) Cigarettes 1st trimester Cigarettes 2nd trimester Cigarettes 3rd trimester Cigarette Recode Mother’s Height Body mass index (prepregnancy) Prepregnancy Weight Prepregnancy Diabetes Gestational Diabetes Prepregnancy Hypertension (revised only) Gestational Hypertension (revised only) Hypertension Eclampsia (revised only) Infertility Treatment Fertility Enhancing Drugs Asst. Reproductive Technology Previous Cesareans Number of previous Cesareans Fetal Presentation Route & Method of Delivery Trial of Labor Attempted Delivery Method Recode (Revised only) Location in layout 21-24 34 97 132-133, 134, 135136 144 Total number of fetal deaths to residents of areas reporting specified revised item1 U.S. Territories 20,953 44 20,953 44 20,953 44 20,953 44 20,953 44 145 197-199, 200-201 202-203, 204, 213 229 230-231 20,953 20,953 20,953 19,973 20,953 44 44 44 44 44 232-233 234-235 236-237 238 243-244 245-248, 249 20,953 20,953 20,953 20,953 20,953 20,953 44 44 44 44 44 44 253-255 257 258 259 20,953 20,953 20,953 20,953 44 44 44 44 260 20,953 44 261 20,953 44 262 263 264 20,953 20,953 20,953 44 44 44 265 266-267 20,953 20,953 44 44 274 275 20,953 20,953 44 44 276 277 20,953 20,953 44 44 Ruptured Uterus Admit to Intensive Care Set Order Recode Estimated time of fetal death Was autopsy performed? Was Histological Placental Exam Performed? Was Autop/Hist results used in cause? 281 282 306 357 20,953 20,953 20,953 20,953 44 44 44 44 358 359 20,953 20,953 44 44 360 20,623 44 1 Fetal deaths include only those with stated or presumed period of gestation of 20 weeks or more. Table B. 39 data items cut from the fetal mortality file beginning with the 2014 data year • Mother married ever? • Mother married? (At delivery, conception, or anytime in between) • Total number of prenatal visits for this pregnancy • Date of last prenatal care visit • Mother’s weight at delivery • Number of other pregnancy outcomes • Date of last other pregnancy outcome • Mother/patient transferred for maternal medical or fetal indications for delivery? Risk factors for this pregnancy • Previous preterm birth • Other previous poor pregnancy outcomes All Infections present and/or treated during this pregnancy • Gonorrhea • Syphilis • Chlamydia • Listeria • Group B Streptococcus • Cytomegalovirus • Parvovirus • Toxoplasmosis • None of the above • Other (specify) Method of delivery • Hysterotomy/hysterectomy Maternal morbidity • Maternal transfusion • Perineal laceration • Unplanned hysterectomy • Unplanned operating room procedure All Congenital anomalies of the fetus • Anencephaly • Meningomyelocele/Spina bifida • Cyanotic congenital heart disease • Congenital diaphragmatic hernia • Omphalocele • Gastroschisis • Limb reduction defect • Cleft lip with or without cleft palate • Cleft palate alone • Down syndrome • Down syndrome – karyotype confirmed/pending • Suspected chromosomal disorder – karyotype confirmed/pending • Hypospadias • None of the anomalies listed above Table C. Period of gestation and weight minimums at which fetal death reporting is required, by reporting ares: United States, 2014 Area All periods of gestation 16 weeks Alabama Alaska Arizona 20 weeks or 350 grams 20 weeks or 400 grams 20 weeks or 500 grams 5 months 2 New York excluding New York City New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Guam X X 1 X X 2 X X X X X X X X X X X X X 3 Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York 500grams X Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine 350 grams X X Arkansas California Colorado Connecticut 20 weeks X X X X X X 2 X X X X X X X X X X X X X X X X X X X X X 4 X X X X X X X X 1 Although State law requires the reporting of fetal deaths of all periods of gestation, only data for fetal deaths of 20 weeks of gestation or more are provided to NCHS. 2 If weight is unknown, 20 completed weeks of gestation or more. 3 If gestational age is unknown, weight of 500 grams or more. 4 If gestational age is unknown, weight of 400 grams or more, 15 ounces or more. SOURCE: CDC/NCHS, National Vital Statistics System. Table D. Implementation of the 2003 U.S. Standard Report of Fetal Death: Each state and territory, New York City, and the District of Columbia, 20032014 Revised reporting area Year 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 Total 41 states 35 states 31 states 28 states and the and the and the 23 states 1 and the 22 states1 2 22 states1 2 16 states1 2 16 states1 2 11 states1 2 4 states1 2 1 states1 2 2 District of District of District of District of Columbia1 Columbia1 Columbia1 Columbia1 Alabama X^ Alaska X* Arizona X Arkansas X^ California X Colorado Connecticut Delaware X District of Columbia X Florida X Georgia X Hawaii X^ Idaho X Illinois X^ Indiana X Iowa X Kansas X Kentucky X Louisiana X Maine X Maryland X Massachusetts Michigan X Minnesota X Mississippi X Missouri X Montana X Nebraska X Nevada X New Hampshire X New Jersey New Mexico X New York (excluding NYC) New York City X North Carolina X^ North Dakota X Ohio X Oklahoma X Oregon X Pennsylvania X Rhode Island South Carolina X South Dakota X Tennessee X Texas X Utah X Vermont X^ Virginia X* Washington X West Virginia Wisconsin X Wyoming X X^ X X X X X X X X^ X X X X X X X X X X X X X X* X X X X X X^ X X X X X X* X^ X X X X X X X X X X^ X X X X X^ X^ X X X^ X X X X X X^ X X X X X X X X X X X X X^ X X* X X X X X X X X^ X X X^ X X X X X X X X X* X X X X X X X X X X X X^ X X X X X X X X X X X* X X^ X X X X^ X X X X^ X X X^ X X X^ X X X X X X X X X X X X^ X X X X X X^ X X X X X X X X^ X X X X X X^ X X X X X X X X^ X X X X X X X X X^ X X X X^ X X X X X X X X X X X^ X X X^ X X X X X X X X X X X X X X X^ X X* X X* X* X^ Puerto Rico Virgin Islands Guam American Samoa Northern Marianas X X X X X X^ X* ^ First year using 2003 U.S. Standard Report of Fetal death; revised as of January * Revised after January 1. 1 Excludes reporting areas that revised after January 1. 2 Excludes New York City Table E. Percent distribution of the OE- and LMP-based measures of gestational age: United States, 2014 OE Weeks of gestation Total 20-27 (total) 20 21 22 23 24 25 26 27 28 or more (total) 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 Unknown Number 23,980 12,579 2,790 2,450 2,371 1,484 1,100 818 803 763 11,263 799 637 685 633 785 739 898 929 1,089 1,074 1,176 934 633 200 37 9 2 2 2 138 LMP Percent 100.00 52.76 11.70 10.28 9.94 6.22 4.61 3.43 3.37 3.20 47.24 3.35 2.67 2.87 2.65 3.29 3.10 3.77 3.90 4.57 4.50 4.93 3.92 2.65 0.84 0.16 0.04 0.01 0.01 0.01 * … Number 23,999 11,879 2,241 2,273 2,019 1,471 1,163 979 905 828 11,982 796 699 700 731 767 762 926 967 1,061 1,074 1,120 946 706 361 156 85 56 28 20 21 138 Percent 100.00 49.78 9.39 9.53 8.46 6.16 4.87 4.10 3.79 3.47 50.22 3.34 2.93 2.93 3.06 3.21 3.19 3.88 4.05 4.45 4.50 4.69 3.96 2.96 1.51 0.65 0.36 0.23 0.12 0.08 0.09 … Difference (OE-LMP) Percentage points … 3.0 2.3 0.8 1.5 0.1 -0.3 -0.7 -0.4 -0.3 -3.0 0.0 -0.3 -0.1 -0.4 0.1 -0.1 -0.1 -0.2 0.1 0.0 0.2 0.0 -0.3 -0.7 -0.5 -0.3 -0.2 -0.1 -0.1 †† … Relative difference Percent … 6 25 8 17 1 -5 -16 -11 -8 -6 0 -9 -2 -13 2 -3 -3 -4 3 0 5 -1 -10 -44 -75 -89 -96 -92 -88 †† … * Figure does not meet standards of reliability or precision; based on fewer than 20 births in the numerator. … Category not applicable. - Quantity zero. †† Difference not calculable; percent not reliable. 0.0 or 0 Quantity more than 0 but less that 0.05. NOTES: OE is the obstetric estimate of gestation; LMP refers to the dat of the mother's last normal menses. 2014 Fetal Death Public Use Record Layout Position Len Field 1-6 6 FILLER 7 1 VERSION Description Reporting Flag Position Version Vers* Values Definition A,S A S State used the 2003 version of the US Standard Report of Fetal Death (Revised) State used the 1989 version of the US Standard Report of Fetal Death (Unrevised) 8-9 2 FILLER 10 1 OE_TABFLG Obstetric Estimate Tabulation Flag (Use with NCHS Standard item) A,S 1 2 Under 20 weeks (exclude) 20 weeks or more (include) 11-14 4 DOD_YY Delivery Year A,S 2014 Year of delivery 15-16 2 DOD_MM Delivery Month A,S 01 02 03 04 05 06 07 08 09 10 11 12 January February March April May June July August September October November December 17-20 4 FILLER 21-24 4 DOD_TT Delivery Time 25 1 DOD_WK Weekday c372 A A,S 0000-2359 Time of Birth 9999 Not Stated 1 2 3 Sunday Monday Tuesday * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 2 Position 26-27 Len 2 Field OSTATE Description Reporting Flag Position Vers* 2 FILLER 30-32 3 OCNTYFIPS 4 5 6 7 Wednesday Thursday Friday Saturday AS GU MP PR VI American Samoa Guam Northern Marianas Puerto Rico Virgin Islands Territory of Occurrence A,S (This item is available in the territory file only, geographic codes are not available in the U.S. file) Territories 28-29 Values Definition Occurrence FIPS County A,S (This item is available in the territory file only, geographic codes are not available in the U.S. file) Data are suppressed if population < 100,000 000 No county level geography 001-998 County of Occurrence (See Geographic Table) 999 County of less than 100,000 33 1 OCNTYPOP Occurrence Territory County Population A,S (This item is available in the territory file only, geographic codes are not available in the U.S. file) 0 1 2 3 County of 1,000,000 or more County of 500,000 to 1,000,000 County of 250,000 to 500,000 County of 100,000 to 250,000 * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 3 Position Len Field Description Reporting Flag Position Vers* Values Definition 9 34 1 BFACIL 35 1 UBFACIL 36-51 16 FILLER 52 1 BFACIL3 53-83 31 FILLER 84 1 1 85 Delivery Place (Revised) 409 A County less than 100,000 1 2 3 4 5 6 7 9 Hospital Freestanding Birth Center Home (intended) Home (not intended) Home (unknown if intended) Clinic/Doctor’s Office Other Unknown Delivery Place A,S 1 2 3 4 5 9 Hospital Freestanding Birthing Center Clinic / Doctor’s Office Residence Other Unknown Delivery Place Recode A,S 1 2 3 In Hospital Not in Hospital Unknown/not stated MAGE_IMPFLG Mother’s Age Imputed A,S Blank 1 Age not imputed Age imputed MAGE_REPFLG Reported Age of Mother Flag A,S Blank Reported age not used * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 4 Position 86-87 Len 2 Field MAGER Description Reporting Flag Position Mother’s Single Year of Age 432 Vers* A,S Values Definition 1 Reported age used 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 12 years and under 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years 23 years 24 years 25 years 26 years 27 years 28 years 29 years 30 years 31 years 32 years 33 years 34 years 35 years 36 years 37 years 38 years 39 years 40 years 41 years 42 years 43 years 44 years 45 years 46 years 47 years 48 years 49 years 50 years and over * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 5 Position Len Field Description 88-89 2 MAGER14 Mother’s Age Recode 14 90 1 MAGER9 Mother’s Age Recode 9 91-92 2 MBCNTRY Mother’s Birth Country c372 (This item is available in the territory file only, geographic codes are not available in the U.S. file) 93-96 4 FILLER 97 98-101 1 4 MBSTATE_REC Mother’s Birth State Recode Reporting Flag Position Vers* Values Definition 432 A,S 01 03 04 05 06 07 08 09 10 11 12 13 14 Under 15 Years 15 years 16 years 17 years 18 years 19 years 20-24 years 25-29 years 30-34 years 35-39 years 40-44 years 45-49 years 50-54 years 432 A,S 1 2 3 4 5 6 7 8 9 Under 15 years 15-19 years 20-24 years 25-29 years 30-34 years 35-39 years 40-44 years 45-49 years 50-54 years c372 A A AA-ZZ 1 2 3 See Geographic Documentation Native born (50 U.S. States) Foreign born (includes territories) Unknown or Not Stated FILLER * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 6 Position Len Field Description Reporting Flag Position 102-103 2 MRSTATEPSTL Mother’s Residence Postal State A,S (This item is available in the territory file only, geographic codes are not available in the U.S. file) United States Vers* Values Definition AK AL AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK Alaska Alabama Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 7 Position Len Field Description Reporting Flag Position Vers* Values Definition OR PA RI SC SD TN TX UT VA VT WA WI WV WY Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Territories AS GU MP PR VI American Samoa Guam Northern Marianas Puerto Rico Virgin Islands Canadian Provinces AB BC MB NB NF NT NS NU ON PE QC SK YT Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory XX ZZ Foreign (Rest of world) Not Classifiable Foreign * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 8 Position Len Field Description Reporting Flag Position 104-106 3 MRCNTYFIPS Mother’s FIPS County of Residence A,s (This item is available in the territory file only, geographic codes are not available in the U.S. file) Data are suppressed if population < 100,000 107-111 5 FILLER 112 1 RCNTY_POP Population of Residence County (This item is available in the territory file only, geographic codes are not available in the U.S. file) 113-129 17 FILLER 130 1 RECTYPE Vers* Values Definition 000 No county level geography 001-998 County of residence (See Geographic Table) 999 County of less than 100,000 A,S 0 1 2 3 9 Z County of 1,000,000 or more County of 500,000 to 1,000,000 County of 250,000 to 500,000 County of 100,000 to 250,000 County less than 100,000 Foreign resident 1 RESIDENT: State and county of occurrence and residence are the same. NONRESIDENT: State and county of occurrence and residence are different. Record Type A,S (This item is available in the territory file only, geographic codes are not available in the U.S. file) 2 131 1 RESTATUS Residence Status United States A,S 1 RESIDENT: State and county of occurrence and residence are the same. * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 9 Position Len Field Description Reporting Flag Position Vers* Values Definition 2 3 4 1 Territories 2 3 4 132-133 2 MRACE31 Mother’s Race Recode 31 425 INTRASTATE NONRESIDENT: State of occurrence and residence are the same but county is different. INTERSTATE NONRESIDENT: State of occurrence and residence are different but both are one of the 50 US states or District of Columbia. FOREIGN RESIDENT: The state of residence is not one of the 50 US states or District of Columbia. RESIDENT: State and county of occurrence and residence are the same. (Unique to Guam, all US residents are considered residents of Guam and thus are assigned 1.) INTRATERRITORY NONRESIDENT: Territory of occurrence and residence are the same but county is different. INTERTERRITORY RESIDENT: Territory of occurrence and residence are different but both are US Territories. FOREIGN RESIDENT: The residence is not a US Territory. A 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 White (alone) Black (alone) AIAN (American Indian or Alaskan Native) (alone) Asian (alone) NHOPI (Native Hawaiian or Other Pacific Islander) (alone) Black And White Black and AIAN Black and Asian Black and NHOPI AIAN and White AIAN and Asian AIAN and NHOPI Asian and White Asian and NHOPI NHOPI and White Black, AIAN, and White Black, AIAN, and Asian Black, AIAN, and NHOPI Black, Asian, and White Black, Asian, and NHOPI Black, NHOPI, and White AIAN, Asian, and White * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 10 Position 134 135-136 137 Len 1 2 1 Field MRACE6 MRACE15 MRACEREC Description Mother’s Race Recode 6 Mother’s Race Recode 15 Reporting Flag Position 425 Vers* Values Definition 23 24 25 26 27 28 29 30 31 AIAN, NHOPI, and White AIAN, Asian, and NHOPI Asian, NHOPI, and White Black, AIAN, Asian, and White Black, AIAN, Asian, and NHOPI Black, AIAN, NHOPI, and White Black, Asian, NHOPI, and White AIAN, Asian, NHOPI, and White Black, AIAN, Asian, NHOPI, and White 1 2 3 4 5 6 White (alone) Black (alone) AIAN (alone) Asian (alone) NHOPI (alone) More than one race 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 White (alone) Black (alone) AIAN (alone) Asian Indian (alone) Chinese (alone) Filipino (alone) Japanese (alone) Korean (alone) Vietnamese (alone) Other Asian (alone) Hawaiian (alone) Guamanian (alone) Samoan (alone) Other Pacific Islander (alone) More than one race A,S 1 2 3 White Black American Indian or Alaskan Native A 425 A Mother’s Bridged Race Recode 439 United States and non-Puerto Rican Territories * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 11 Position Len Field 138 1 MRACEIMP 139-141 3 FILLER 142 1 UMHISP Description Reporting Flag Position Mother’s Race Imputed 144 1 1 MRACEHISP Values Definition 4 Asian or Pacific Islander A,S Blank 1 2 Mother’s race not imputed Unknown race imputed All other races, formerly coded 09, imputed. A,S 0 1 2 3 4 5 9 Non-Hispanic Mexican Puerto Rican Cuban Central or South American Other and Unknown Hispanic Origin unknown or not stated A,S 1 2 3 4 5 6 7 8 9 Mexican Puerto Rican Cuban Central or South American Other and Unknown Hispanic Non-Hispanic White Non-Hispanic Black Non-Hispanic Other Races Origin unknown or not stated 1 2 3 4 5 6 7 8 Non-Hispanic White (alone) Non-Hispanic Black (alone) Non-Hispanic AIAN (alone) Non-Hispanic Asian (alone) Non-Hispanic NHOPI (alone) Non-Hispanic more than one race Hispanic Origin unknown or not stated Mother’s Hispanic Origin 424 143 Vers* Mother’s Bridged Race/Hispanic Origin 424 SR_MRACEHISP Mother’s Race/Hispanic Origin c425 A * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 12 Position Len Field 145 1 MEDUC 146-171 26 Description Reporting Flag Position Mother’s Educ-Revised Vers* 372 A Values Definition 9 8th grade or less 9th through 12th grade with no diploma High school graduate or GED completed Some college credit, but not a degree Associate degree (AA, AS) Bachelor’s degree (BA, AB, BS) Master’s degree (MA, MS, MEng, Med, MSW, MBA) Doctorate (PhD, EdD) or Professional degree (MD, DDS, DVM, LLB, JD) Unknown Blank 1 Father’s reported age not used Father’s reported age used 09-98 99 Father’s combined age in years Unknown or not stated 01 02 03 04 05 06 07 08 09 10 11 Under 15 years 15-19 years 20-24 years 25-29 years 30-34 years 35-39 years 40-44 years 45-49 years 50-54 years 55-98 years Not stated 1 2 3 4 5 6 7 8 FILLER 172 1 FAGERPT_FLG Father’s Reported Age Used 173-176 4 FILLER 177-178 2 FAGECOMB Father’s Combined Age 179-180 2 FAGEREC11 Father’s Age Recode 11 A,S 426 A,S 426 A,S * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 13 Position Len Field Description 181-182 2 PRIORLIVE Prior Births Now Living Reporting Flag Position Vers* Values Definition A,S 00-30 99 183-184 2 PRIORDEAD 185-186 2 FILLER 187 1 LBO_REC 188-196 9 FILLER 197-199 3 200-201 202-203 Prior Births Now Dead A,S 00-30 Number of children still living from previous live births. Unknown or not stated 99 Number of children dead from previous live births. Unknown or not stated Live Birth Order Recode A,S 0-7 8 9 Number of live birth order. 8 or more live births Unknown or not stated ILLB_R Interval Since Last Live Birth Recode 427 A 000-003 004-300 888 999 Plural delivery Months since last live birth Not applicable Unknown or not stated 2 ILLB_R11 Interval Since Last Live Birth Recode 11 427 A 00 01 02 03 04 05 06 07 08 88 99 Zero to 3 months (plural delivery) 4 to 11 months 12 to 17 months 18 to 23 months 24 to 35 months 36 to 47 months 48 to 59 months 60 to 71 months 72 months and over Not applicable Unknown or not stated 2 PRECARE Month Prenatal Care Began (Revised) A 00 No prenatal care * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 14 Position Len Field Description Reporting Flag Position Vers* 403 Values Definition 01-10 99 Month prenatal care began Unknown or not stated Month Prenatal Care Began Recode (Revised) A 403 1 2 3 4 5 1st to 3rd month 4th to 6th month 7th to final month No prenatal care Unknown or not stated A Y N U Yes No Unknown or not stated A 00-97 98 99 Number of cigarettes daily 98 or more cigarettes daily Unknown or not stated 204 1 PRECARE_REC 205-228 24 FILLER 229 1 WIC WIC 230-231 2 CIG_0 Cigarettes Before Pregnancy 232-233 2 CIG_1 Cigarettes 1st Trimester 406 A 00-97 98 99 Number of cigarettes daily 98 or more cigarettes daily Unknown or not stated 234-235 2 CIG_2 Cigarettes 2nd Trimester 407 A 00-97 98 99 Number of cigarettes daily 98 or more cigarettes daily Unknown or not stated 236-237 2 CIG_3 Cigarettes 3rd Trimester 408 A 00-97 98 99 Number of cigarettes daily 98 or more cigarettes daily Unknown or not stated 238 1 CIG_REC Cigarette Recode (Revised) 374 A Y N U Yes No Unknown or not stated 377 405 * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 15 Position Len Field 239-242 4 FILLER 243-244 2 M_Ht_In 245-248 4 249 Vers* Values Definition Mother’s Height in Inches 375 A 30-78 99 BMI BMI (prepregnancy) 375 A 13.0-69.9 Body Mass Index 99.9 Unknown or not stated 1 BMI_R Body Mass Index Recode (prepregnancy) 375 A 1 2 3 4 5 6 9 250-252 3 FILLER 253-255 3 PWgt_R A 075-375 Weight in pounds 999 Unknown or not stated 256 1 FILLER 257-262 6 A Risk Factors (Revised) The checkbox items indented below follow this code structure: 257 258 259 260 261 262 1 1 1 1 1 1 RF_DIAB RF_GEST RF_PHYP RF_GHYP RF_ECLAM RF_INFTR Description Reporting Flag Position Prepregnancy Weight Recode 376 Height in inches Unknown or not stated Underweight <18.5 Normal 18.5-24.9 Overweight 25.0-29.9 Obesity I 30.0-34.9 Obesity II 35.0-39.9 Extreme Obesity III ≥ 40.0 Unknown or not stated Y N U Prepregnancy Diabetes 378 Gestational Diabetes 379 Prepregnancy Hypertension380 Gestational Hypertension 381 Hypertension Eclampsia 382 Infertility Treatment 383 * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 16 Yes No Unknown or not stated Position Len Field Description 263 1 RF_FEDRG 264 1 265 Vers* Values Definition Fertility Enhancing Drugs 384 A Y N X U Yes No Not applicable Unknown or not stated RF_ARTEC Asst. Reproductive Technology 385 A Y N X U Yes No Not applicable Unknown 1 RF_CESAR Previous Cesareans 386 A Y N U Yes No Unknown or not stated 266-267 2 RF_CESARN Previous Cesareans Num 387 A 00 01-30 99 None Number of previous cesareans Unknown or not stated 268 1 FILLER 269-272 4 Risk Factors The checkbox items indented below follow this structure: 1 2 9 Yes No Unknown 1 2 9 Yes No Not stated 269 270 271 272 1 1 1 1 273 URF_DIAB URF_CHYPER URF_PHYPER URF_ECLAMP Reporting Flag Position Diabetes 411 Chronic Hypertension 412 Pregnancy Associated Hypertension 413 Eclampsia 414 A,S A,S A,S A,S Complications of Labor & Delivery The checkbox items indented below follow this structure: 273 1 ULD_BREECH Breech Delivery 415 A,S * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 17 Position Len Field 274 6 1 Method of Delivery (Revised) ME_PRES Fetal Presentation 275 1 ME_ROUT Route & Method of Delivery 276 1 ME_TRIAL Trial of Labor Attempted 1 RDMETH_REC Delivery Method Recode (Revised) 274-277 277 Description Reporting Flag Position 388 389 390 Vers* Values Definition A 1 2 3 9 Cephalic Breech Other Unknown or not stated A 1 2 3 4 9 Spontaneous Forceps Vacuum Cesarean Unknown or not stated A Y N X U Yes No Not applicable Unknown or not stated A 1 9 Vaginal (excludes vaginal after previous C section) Vaginal after previous c-section Primary C-section Repeat C-section Vaginal (unknown if previous c-section) (2003 Standard only) C-section (unknown if previous c-section) (2003 Standard only) Not stated 1 2 9 Yes No Unknown or not stated 1 2 9 Vaginal C-section Not stated c389 2 3 4 5 6 278-279 2 Method of Delivery The checkbox items indented below follow this structure: 278 279 280 1 1 UME_FORCP UME_VAC Forceps Vacuum 416 417 A,S A,S 1 DMETH_REC Delivery Method Recode 410 A,S * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 18 Position Len 281-282 2 281 282 Field Description Reporting Flag Position Vers* A Maternal Morbidity The checkbox items indented below follow this structure: Values Definition Y N U Yes No Unknown or not stated A,S 1 2 3 4 5 9 Doctor of Medicine (MD) Doctor of Osteopathy (DO) Certified Nurse Midwife (CNM) Other Midwife Other Unknown or not stated Plurality Recode A,S 1 2 3 4 5 Single Twin Triplet Quadruplet Quintuplet or higher Plurality Imputed A,S Blank 1 Plurality is not imputed Plurality is imputed A 1 2 3 4 1st 2nd 3rd 4th 1 1 MM_RUPT MM_ICU Ruptured Uterus Admit to Intensive Care 391 392 283 1 ATTEND Attendant 433 284-300 17 301 1 DPLURAL 302 1 FILLER 303 1 IMP_PLUR 304-305 2 FILLER 306 1 SetOrder_R FILLER Set Order Recode c372 * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 19 Position Len Field Description Reporting Flag Position Vers* Values Definition 5 9 5th to 16th Unknown or not stated 307-315 9 FILLER 316 1 SEX Sex of Infant A,S M F Male Female 317 1 IMP_SEX Sex Imputed Only where gestation is stated or presumed to be 20 weeks or more A,S Blank 1 Infant Sex not Imputed Infant Sex is Imputed Last Normal Menses Month 429 A,S 01 02 03 04 05 06 07 08 09 10 11 12 99 January February March April May June July August September October November December Unknown or not stated Last Normal Menses Year 431 A,S nnnn 9999 Year of last normal menses Unknown or not stated A,S Blank 1 Gestation is not imputed Gestation is imputed Gestation 318-319 2 DLMP_MM 320-321 2 FILLER 322-325 4 DLMP_YY 326-328 3 FILLER 329 1 GEST_IMP Gestation Imputed Flag * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 20 Position Len Field Description 330 1 OBGEST_FLG 331-332 2 333-334 Reporting Flag Position Vers* Values Definition Obstetric Estimate of Gestation Used Flag A,S Blank 1 Obstetric Estimate is not used Obstetric Estimate is used COMBGEST Gestation – Detail in Weeks A,S 02-47 99 2nd through 47th week of Gestation Unknown 2 GESTREC12 Gestation Recode 12 404 A,S 01 02 03 04 05 06 07 08 09 10 11 12 Under 16 weeks 16-19 weeks 20-23 weeks 24-27 weeks 28-31 weeks 32-33 weeks 34-36 weeks 37-38 weeks 39-40 weeks 41 weeks 42 weeks and over Unknown 335 1 GESTREC5 Gestation Recode 5 404 A,S 1 2 3 4 5 Under 20 weeks 20-23 weeks 24-27 weeks 28 weeks and over Unknown 336-337 2 OEGest_Unedt Obstetric Gestation 373 A,S 0-98 02-47 99 Range of obstetric estimate of gestation - revised Range of clinical estimate of gestation - unrevised Unknown or not stated 338 1 FILLER 339 1 COMBGEST_USED blank 1 Combined gestation not used Combined gestation used 340-341 2 OEGest_Comb Obstetric Estimate Edited 373 (NCHS Standard item) A,S 02-47 99 Weeks of gestation Not stated 342-343 2 OEGest_R12 Obstetric Estimate Recode12 373 (NCHS Standard item) A,S 01 Under 16 weeks 404 Combined Gestation Used Flag A,S * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 21 Position 344 Len 1 Field OEGest_R5 Description Reporting Flag Position Obstetric Estimate Recode 5 373 (NCHS Standard item) Vers* A,S Values Definition 02 03 04 05 06 07 08 09 10 11 12 16-19 weeks 20-23 weeks 24-27 weeks 28-31 weeks 32-33 weeks 34-36 weeks 37-38 weeks 39-40 weeks 41 weeks 42 weeks and over Unknown 1 Under 20 weeks 2 3 4 5 20-23 weeks 24-27 weeks 28 weeks and over Unknown 345-348 4 FILLER 349-352 4 DBWT Birth Weight – Detail in Grams A,S 0001-8165 Number of grams 9999 Not stated birth weight 353-354 2 BWTR14 Birth Weight Recode 14 A,S 01 02 03 04 05 06 07 08 09 10 11 0249 grams or less 0250 – 0349 grams 0350 – 0499 grams 0500 – 0999 grams 1000 – 1499 grams 1500 – 1999 grams 2000 – 2499 grams 2500 – 2999 grams 3000 – 3499 grams 3500 – 3999 grams 4000 – 4499 grams * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 22 Position Len Field 355 1 BWTR4 356 1 FILLER 357 1 358 Description Reporting Flag Position Vers* Values Definition 12 13 14 4500 – 4999 grams 5000 – 8165 grams Unknown or Not Stated Birth Weight Recode 4 A,S 1 2 3 4 1499 grams or less 1500 – 2499 grams 2500 - 8165 grams Unknown or not stated ESTOFD Estimated Time of Fetal Death 435 A N L A U At assessment, no labor At assessment, labor Labor, no assessment Unknown 1 AUTOPSY Was Autopsy Performed? 436 A Y N P Yes No Planned 359 1 HISTOPF Was Histological Placental Exam Performed? 437 A Y N P Yes No Planned 360 1 AUTOPF Was Autop/Hist results used in cause? 438 Y N X Yes No Not applicable 361-371 11 FILLER 0 1 Not reporting Reporting 372-438 A Flag File for Reporting Flags The reporting flags indented below follow this coding structure: 372 373 374 375 1 1 1 1 F_MEDUC F_CLINEST F_TOBACO F_M_HT Education of Mother Obstetric Estimate of Gestation Tobacco Use Mother’s Height A A,S A A * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 23 Position 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393-402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418-423 424 425 426 427 428 429 430 Len Field Description Reporting Flag Position 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 10 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 6 1 1 1 1 1 1 1 F_PWGT Prepregnancy Weight F_WIC WIC F_RF_PDIAB Prepregnancy Diabetes F_RF_GDIAB Gestational Diabetes F_RF_PHYPER Prepregnancy Hypertension F_RF_GHYPER Gestational Hypertension F_RF_ECLAMP Hypertension Eclampsia F_RF_INFT Infertility Treatment F_RF_INFT_DRG Fertility Enhance Drug F_RF_INFT_ART Reproductive Technology F_RF_CESAR Previous Cesarean F_RF_NCESAR Number of Previous Cesareans F_MD_PRESENT Fetal Presentation F_MD_ROUTE Final Route and Method of Delivery F_MD_TRIAL Trial of Labor Attempted F_MM_RUPTUR Ruptured Uterus F_MM_ICU Admission to Intensive Care FILLER F_MPCB Month Prenatal Care Began F_CMBGST Combined Gestation F_CIGS_0 Cigarettes Before Pregnancy F_CIGS_1 Cigarettes 1st Trimester F_CIGS_2 Cigarettes 2nd Trimester F_CIGS_3 Cigarettes 3rd Trimester F_FACILITY Facility DelMethRecF Delivery Method Recode Flag F_URF_DIABETES Diabetes Flag F_URF_CHYPER Chron Hyper Flag F_URF_PHYPER Preg Assoc Hyper Flag F_URF_ECLAMP Eclampsia F_ULD_BREECH Breech Flag F_U_FORCEP Forceps Flag F_U_VACUUM Vacuum Flag FILLER F_MORIGIN Mother’s Hispanic origin F_MRACE_R Mother’s Race (Revised) F_FAGE_u Father’s Age F_DLLB_MM Last Live Birth Month (Revised) FILLER F_DLMP_MM Last normal menses month FILLER Vers* Values Definition A A A A A A A A A A A A A A A A A A A,S A A A A A A,S A,S A,S A,S A,S A,S A,S A,S A,S A A,S A A,S * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 24 Position 431 432 433 434 435 436 437 438 439 Len Field 1 1 1 1 1 1 1 1 1 F_DLMP_YY Last normal menses year F_MAGE Mother’s Age F_ATTENDANT Attendant FILLER F_ESTOFD Estimated Time of Fetal Death (Revised) F_AUTOPSY Autopsy (Revised) F_HISTOPF Histological Placental Exam (Revised) F_AUTOPF Autopsy/Histological Exam Used in Cause F_MRACEREC Mother’s Bridged Race Recode 440-2602 2163 3 2646-2650 5 5 35 IICOD FILLER IC_124_Fetal Initiating Cause or Condition Code Initiating Fetal Recode 124 2651 Flag File for Reporting Flags The reporting flags indented below follow this coding structure: 2652-3050 399 Values Definition A,S A,S A,S A A A A A,S A ICD10 Blank Code Coded Value None reported A 001-124 0 1 Not reporting Reporting 2651 FILLER 2651 2651 Vers* 40 Coded Causes & Conditions The fields indented below follow this structure: 2603-2607 2608-2642 3050 Reporting Flag Position FILLER 2603-2642 2643-2645 Description 1 F_ICOD Init Cause or condition A FILLER END OF RECORD * For the Version column (Vers) the following codes apply: A 2003 Version of US Standard Birth Certificate S 1989 Version of US Standard Birth Certificate s 1989 Version of US Standard Birth Certificate but this element conforms to the 2003 standards 25
Source Exif Data:
File Type : PDF File Type Extension : pdf MIME Type : application/pdf PDF Version : 1.6 Linearized : Yes Author : National Center for Health Statistics Comments : Company : Centers for Disease Control and Prevention Create Date : 2016:07:22 15:17:14-04:00 Modify Date : 2017:02:06 12:06:58-05:00 Source Modified : D:20160721112810 Subject : Has XFA : No Language : en Tagged PDF : Yes XMP Toolkit : Adobe XMP Core 5.6-c015 84.158975, 2016/02/13-02:40:29 Metadata Date : 2017:02:06 12:06:58-05:00 Creator Tool : Acrobat PDFMaker 11 for Word Document ID : uuid:c5aa4170-3fae-4bfc-9bcc-964025c5ffa0 Instance ID : uuid:747a1d41-cca4-4259-98ce-2439dbe94946 Format : application/pdf Title : User Guide to the 2014 Fetal Death Public Use File Description : Creator : National Center for Health Statistics Producer : Adobe PDF Library 11.0 Page Layout : OneColumn Page Count : 111EXIF Metadata provided by EXIF.tools