1. 1 Healthy Babies in Healthy Families Health Update Karen Remley, MD, MBA, FAAP Commissioner, Virginia Department of Health November 2011

2. 2 1.6 Million Women of Childbearing Age 135,464 Pregnancies 102,934 Live Births 24,892 Induced Terminations 6,590 Spontaneous Terminations 10,389 Pre-Term Births Setting the Stage in Virginia Source: VDH Division of Health Statistics Resident Live Birth, Death, Fetal Death and Induced Termination of Pregnancy Certificates 2010.

3. 3 Virginia State Resident Profile of Maternal and Child Health Virginia 2009 Virginia 2010 United States (Most recent) Birth Rate (per 1,000 total population) 13.313.114.0 Pregnancy Rate (per 1,000 females ages 15-44) 84.582.4103.2 Infant Mortality Rate (per 1,000 live births) 7.06.86.6 Teen Pregnancy Rate (per 1,000 females ages 15-19) 45.440.771.5 Induced Terminations Rate (per 1,000 females ages 15-44) 16.115.319.6 Immunization Rate (Percent Up-to-Date 4:3:1:3:3:1 Immunizations per 100 24 month old health district clients) 1 56.1%59.0%NA Source: VDH, Division of Health Statistics Resident Live Birth, Death, Fetal Death, and Induced Termination of Pregnancy Certificates 2009-2010, compiled by the Policy & Assessment Unit, Office of Family Health Services. The most recent population data (2009) was used for denominators. 1 VDH Division of Immunization.

4. 4 The rate of pregnancies to teens ages 15-19 years declined by 46% from 1995 to 2010 in Virginia Source: VDH Division of Health Statistics Resident Live Birth, Death, Fetal Death, and Induced Termination of Pregnancy Certificates 1995-2010, compiled by the Policy & Assessment Unit, Office of Family Health Services. The most recent population data (2009) was used for denominators. U.S. data: Kost K, Henshaw S and Carlin L, U.S. Teenage Pregnancies, Births and Abortions: National and State Trends and Trends by Race and Ethnicity, 2010.

5. 5 Source: Virginia Department of Health, Division of Health Statistics, compiled by the Office of Family Health Services, Division of Child and Family Health, 2005-2010 Virginias Late Preterm Birth Rate is Declining The rate of late preterm births declined by 9% from 2005 to 2010

6. 6 Source: VDH Division of Health Statistics Resident Live and Death Certificates 1998-2010, compiled by the Policy & Assessment Unit, Office of Family Health Services National Center for Health Statistics, 1998-2008.

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8. 8 Percent of infants brought home in a car seat, 2008-2009 Virginia PRAMS < 12 years 12 years >12 years <$20,000 $20,000-$49,999 >$50,000 non-Hispanic Black Hispanic non-Hispanic White < 20 20-24 25-29 30+ Source: Virginia Department of Health, Pregnancy Risk Assessment Monitoring System, 2008-09.

9. 9 Percent of infants laid to sleep on their back, 2008-2009 Virginia PRAMS < 12 years 12 years >12 years <$20,000 $20,000-$49,999 >$50,000 non-Hispanic Black Hispanic non-Hispanic White < 20 20-24 25-29 30+ Source: Virginia Department of Health, Pregnancy Risk Assessment Monitoring System, 2008-09.