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Result 2. All children are healthy in mind, body and spirit

Indicator 2.2. % of pregnancies receiving late or no prenatal care

Current Value

6.2%

2021

Definition

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About the Data

This indicator includes all pregnancies resulting in a live birth. Late or no prenatal care is defined as care beginning after the third trimester or no prenatal care at all.

All quantitative data and narrative related to the data on this page was prepared by CI NOW for ReadyKidSA.

Why Is This Important?

Prenatal visits are important for the health of both infant and mother. Health care providers can educate mothers on important health issues, such as their diet and nutrition, exercise, immunizations, weight gain, and abstaining from drugs and alcohol. Health professionals also have an opportunity to instruct expecting parents on nutrition for their newborn, the benefits of breastfeeding, and injury and illness prevention, as well as monitor for health-compromising conditions, and help them prepare for the new emotional challenges of caring for an infant. Mothers who receive late (or no prenatal care are more likely to have babies with health problems. Mothers who do not receive prenatal care are three times more likely to give birth to a low-weight baby, and their baby is five times more likely to die. Prenatal care does not always address, and may not be as effective among, women with specific social and medical risks. (Child Trends Databank, 2016)

For more information see: http://www.childtrends.org/indicators/late-or-no-p...

Race/Ethnicity

Prenatal Care by Race/Ethnicity for Bexar County, 2021

  Asian   Black or African American Hispanic or Latino White

 

Est. % Est. % Est. % Est. %
Late or No Care 38 4.4% 133 7.4% 1115 6.7% 250 4.3%
     Third Trimester 26 3.0% 73 4.1% 644 3.9% 121 2.1%
     None 12 1.4% 60 3.4% 471 2.8% 129 2.2%
Second Trimester 98 11.3% 215 12.0% 2,019 12.2% 544 9.4%
First Trimester 718 83.0% 1,383 77.4% 12,958 78.4% 4,921 85.1%
Unknown 11 1.3% 55 3.1% 438 2.6% 66 1.1%
Live Births 865   1,786   16,530   5,781  

Source: Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 2021, on CDC WONDER Online Database, February 2023.

 

Prenatal Care by age of mother for Bexar County, 2021

  15-17   18-19   20-29   30-39   40 and up

 

Est. % Est. % Est. % Est. % Est. %
Late or No Care 45 12.1% 97 9.6% 818 6.4% 560 5.3% 50 6.2%
   Third Trimester 19 5.1% 52 5.1% 486 3.8% 303 2.8% 25 3.1%
   None 26 7.0% 45 4.4% 332 2.6% 257 2.4% 25 3.1%
Second Trimester 86 23.1% 171 16.8% 1,576 12.4% 1,035 9.7% 84 10.5%
First trimester 221 59.2% 703 69.3% 10,013 78.7% 8,850 83.2% 662 82.4%
Unknown 21 5.6% 44 4.3% 316 2.5% 188 1.8% * *
Live Births 373   1,015   12,723   10,633   803  

Source: Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 2021, on CDC WONDER Online Database, February 2023. *Data is suppressed. 

Geographic Distribution

Story Behind the Curve

What factors are pushing up on the data?

  • Need for
    • Sex Education
    • Importance of prenatal care
    • Info on Fetal Development
    • Ins/Medicaid
    • Transportation
  • Late Pregnancy Tests
  • Fear
  • Taboo/ Shame/ Denial
  • Job Obligations
  • Child care
    • EHS and PCI in schools
  • No family Support unfamiliar with resources
  • Substance use/abuse
  • Domestic Violence
  • Demographics
    • Teen Pregnancy
    • Geography
    • Culture 
    • Residency Status
  • CPS involvement
  • Legal issues
  • No medical Home
  • Decrease in quality care
  • Substance use/ abuse
  • Domestic violence
  • Decrease in quality medical care

What factors are pushing down on the data?

  • Increased Education
  • Awareness & PSA’s
  • Resources
  • Cut red tape Medicaid process
  • More access to community clinics
  • More Dr. to take prenatal Medicaid/CHIP
  • Incentives (car seat, pack & play, baby stuff)
  • Home visitation
  • School Dist. Support
  • Abstinence Program
  • Male initiatives
  • Group prenatal care
  • CPS Involvement

Partners

  • NFP

  • PAT

  • SA Birth Doulas

  • March of Dimes

  • WIC

  • METRO HEALTH

  • CentroMed

  • Healthy Start

  • Family Servic

  • Hospitals

  • Ins. Co

  • CommuniCare

  • Employers

  • OB/fam. Practice

  • School Districts/Univ.

  • Faith-Based Ministry

  • Good Samaritan

  • Catholic Charities

  • SA Fatherhood

  • Empower House

  • The Health Collaborative

What Works

Evidence-Based Practices

  • PSA’S
  • TX Home Visiting
  • Centering Pregnancyafafafafafafafafahhhfafaffafafaf

Promising Practices

  • Mobile Care Clinics
  • Any Woman Can
  • Insurance Incentives
  • NISD School Age Parenting
  • Doula Services
  • Community Health Care
  • Text-4-baby & other Pregnancy Apps.

No Cost/Low Cost

  • PSA’s
  • Alternate Clinic Hours
  • Flexible hours @ work (Dr. Visit, Home visits)

Outside the Box Thinking

  • Peer Mentoring
  • More detailed sex ed. Curriculum (earlier the better)
  • Faith Based Mentoring
  • Sex Education in College
  • Tele health
  • More service programs offer Pregnancy Testing
  • More collaboration w/WIC

Solutions and Strategies

Direct Service

  • To increase access to segments of the community where the uninsured rates are high, implement mobile health care clinics (at areas of work, school, or in neighborhood settings)
  • Through a culturally competent outreach campaign that incudes Public Service Announcements, help connect the importance of Prenatal care to expectant mothers and partners
  • Because the data shows that one segment of the population who receive late or no prenatal are older mothers, and because it can present a barrier for women who might otherwise attend appointments, provide sibling care in clinics during prenatal visits
  • Provide prenatal visits on an extended hour basis for women who work jobs with non-traditional hours; additionally, use telehealth, home visits, or mobile clinics as alternative methods for women who are accessing prenatal care

Policy

  • Assess the current Medicaid application/re-application process and then streamline it, thereby making it less burdensome
  • Encourage employers to adopt a leniency policy for women who miss work due to prenatal visits
  • Address the cost of co-pays

System Change

  • To instill in residents across the region a better understanding about the development of the human body from its youngest stages, which can help to build awareness about the importance of prenatal care as well as early childhood development, incorporate a gradually sophisticated human development component into the sciences from Pre-K through 12th grade that aligns with health TEKS

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