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

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

5.0%2019

Line Bar
Race/Ethnicity

Prenatal Care by Race/Ethnicity for Bexar County, 2019

 

Asian

 

Black or African American

Hispanic or Latino

White

 

Est.

%

Est.

%

Est.

%

Est.

%

Late or No Care

NA

NA

108

5.9%

922

5.4%

213

3.6%

     Third Trimester

33

3.9%

65

3.6%

533

3.1%

117

2.0%

     None

NA

NA

43

2.35%

389

2.27%

96

1.63%

Second Trimester

98

11.7%

283

15.4%

2,126

12.4%

546

9.3%

First Trimester

699

83.1%

1,384

75.5%

13,627

79.6%

5,084

86.3%

Unknown

NA

NA

58

3.2%

441

2.6%

48

0.8%

Live Births

841

 

1,833

 

17,116

 

5,891

 

Source: Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 2019, on CDC WONDER Online Database, April 2021.

 

Prenatal Care by age of mother for Bexar County, 2019

Age, Bexar County 2019

15-17

18-19

 

20-29 

30-39

 

40 and up

 

Est.

%

Est.

%

Est.

%

Est.

%

Est.

%

Late or No Care

58

14.0%

93

7.7%

734

5.4%

394

3.9%

23

3.2%

   Third Trimester

39

9.4%

53

4.4%

449

3.3%

209

2.0%

12

1.7%

   None

19

4.6%

40

3.3%

285

2.1%

185

1.8%

11

1.5%

Second Trimester

77

18.6%

178

14.8%

1,724

12.8%

1,052

10.3%

67

9.3%

First Trimester

256

62.0%

888

73.9%

10,742

79.5%

8,610

84.2%

626

86.5%

Unknown

22

5.3%

43

3.6%

314

2.3%

171

1.7%

*

NA

Live Births

413

 

1,202

 

13,514

 

10,227

 

724

 

Source: Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 2019, on CDC WONDER Online Database, April 2021.

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...

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
  • No family Support unfamiliar with resources
  • Substance use/abuse
  • Domestic Violence
  • Demographics
    • Teen Pregnancy
    • Location
    • Culture immigration status
  • CPS involvement
  • Legal issues
  • No med. Home
  • Decrease in quality 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
Partners
  • NFP
  • PAT
  • SA Birth Doulasmkna
  • March of Dimes
  • WIC
  • METRO HEALTH
  • CentroMed
  • Healthy Start
  • Hospitals
  • Ins. Co
  • CommuniCare
  • Employers
  • OB/fam. Practice
  • School Districts/Univ.
  • Faith-Based Ministry
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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