NORTH CAROLINA
2003
Pregnancy Nutrition
Surveillance System
Graphics
Comparing Contributor and National Data
2002 (prior year) national PNSS data are presented.
Contributors included 22 states, and 3 tribal
governments.
Source of data
Percentage
0
10
20
30
40
50
60
70
80
90
100
W IC*
State
Maternal
Health
Other
Nation
* Special Supplemental Nutrition Program for Women, Infants and Children.
2003 NC PNSS Table 1C
Racial and ethnic distribution
Percentage
0
State
10
20
30
40
50
60
70
80
90
100
W hite
Black
Hispanic
American Indian
Asian
Other
Nation
2003 NC PNSS Table 1C
Trends in racial and ethnic distribution
Percentage
60
40
20
0
1995
1996
1997
1998
1999
2000
2001
2002
2003
Year
W hite
Black
Hispanic
American Indian
Asian
2003 NC PNSS Table 14C
Age distribution
Percentage
0
State
Nation
10
20
30
40
50
60
70
80
90
100
<15 Years
15-17 Years
18-19 Years
20-29 years
30-39 Years
≥40 Years
2003 NC PNSS Table 1C
Trends in age distribution
Percentage
80
60
40
20
0
1995
1996
1997
1998
1999
2000
2001
2002
2003
Year
<15 Years
20-29 Years
15-17 Years
30-39 Years
18-19 Years
40+ Years
2003 NC PNSS Table 15C
Education level
Percentage
0
State
10
20
30
40
50
60
70
80
90
100
<High School
High School
>High School
Nation
2003 NC PNSS Table 1C
Migrant status
Percentage
0
10
20
30
40
50
60
70
80
90
100
State
Yes
No
Nation
2003 NC PNSS Table 1C
Household income
reported
reported as
as percent
percent poverty
poverty level
level
Percentage
0
State
10
20
30
40
50
60
70
80
90
100
0-50
51-100
101-130
131-150
151-185
186-200
Over 200
Adj. Eligibility
Nation
2003 NC PNSS Table 1C
Program participation
at initial prenatal visit
100
P ercentage
75
50
25
0
WIC
Food Stamps
State
Medicaid
Nation
TANF
2003 NC PNSS Table 1C
Timing of WIC enrollment and medical care
WIC Enrollment
Medical Care
Year
2010
target*
90
Percentage
75
60
45
30
15
0
1st
Trimester
2nd
Trimester
3rd
Trimester
Postpartum
State
1st Trimester
No Care
Nation
* Year 2010 target: 90% of pregnant women will enter into prenatal care during the first trimester.
2003 NC PNSS Table 2C
Percentage
Trends in WIC enrollment and medical care
90
75
60
45
30
15
0
1995
1996
1997
1998
1999
2000
2001
2002
2003
Year
Medical Care 1st Trimester
No Medical Care
1st Trimester W IC Enrollment
2003 NC PNSS Table 17C
Trends in first trimester WIC enrollment
by
by race
race and
and ethnicity
ethnicity
50
Percentage
40
30
20
10
0
1995
1996
1997
1998
1999
2000
2001
2002
2003
Year
W hite
Black
Hispanic
American Indian
Asian
Total
2003 NC PNSS Table 21C
Parity and interpregnancy interval
Parity
Interpregnancy Interval
50
Percentage
40
30
20
10
0
0
1
2
3 or More
State
<6
Months
6-18
Months
Nation
2003 NC PNSS Table 2C
Prevalence of prepregnancy underweight
and overweight*
50
Percentage
40
30
20
10
0
Underweight
Normal
State
Overweight (top) and
Obese
Nation
* Underweight (BMI < 19.8); overweight (BMI = 26.0-29.0); and obese (BMI > 29.0).
2003 NC PNSS Table 2C
Prevalence of prepregnancy underweight*
by
by race
race and
and ethnicity
ethnicity
30
Percentage
25
20
15
10
5
0
W hite
Black
Hispanic American
Indian
State
* BMI < 19.8.
Asian
Total
Nation
2003 NC PNSS Table 9C
Prevalence of prepregnancy overweight*
by
by race
race and
and ethnicity
ethnicity
60
Percentage
50
40
30
20
10
0
W hite
Black
Hispanic American
Indian
State
* BMI > 26.0 (includes overweight and obese women).
Asian
Total
Nation
2003 NC PNSS Table 9C
Prevalence of less than ideal maternal
weight gain*
by
by race
race and
and ethnicity
ethnicity
Percentage
40
30
20
10
0
W hite
Black
Hispanic American
Indian
State
Asian
Total
Nation
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight and obese = 15-25 pounds.
2003 NC PNSS Table 9C
Prevalence of greater than ideal maternal
weight gain*
by
by race
race and
and ethnicity
ethnicity
60
Percentage
50
40
30
20
10
0
W hite
Black
Hispanic American
Indian
State
Asian
Total
Nation
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight and obese = 15-25 pounds.
2003 NC PNSS Table 9C
Prevalence of less than ideal, ideal and
greater than ideal maternal weight gain*
50
Percentage
40
30
20
10
0
< Ideal
Ideal
State
> Ideal
Nation
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight and obese = 15-25 pounds.
2003 NC PNSS Table 2C
Maternal weight gain*
by
by prepregnancy
prepregnancy BMI**
BMI**
70
Percentage
60
50
40
30
20
10
0
Underweight
Normal
Overweight
Obese
Prepregnancy BMI
< Ideal Weight Gain
*
> Ideal Weight Gain
Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35
pounds; prepregnancy overweight and obese = 15-25 pounds.
** Underweight (BMI < 19.8); overweight (BMI = 26.0-29.0); and obese (BMI > 29.0).
2003 NC PNSS Table 13C
Trends in prevalence of prepregnancy
overweight and underweight*
Percentage
60
40
20
0
1995
1996
1997
1998
1999
2000
2001
2002
2003
Year
Overweight
Underweight
* Underweight (BMI < 19.8); overweight (BMI > 26.0; includes overweight and obese).
2003 NC PNSS Table 16C
Trends in prevalence of less than ideal and
greater than ideal weight gain*
Percentage
60
40
20
0
1995
1996
1997
1998
1999
2000
2001
2002
2003
Year
< Ideal W eight Gain
> Ideal W eight Gain
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight and obese = 15-25 pounds.
2003 NC PNSS Table 16C
Trends in the prevalence of less than ideal
maternal weight gain*
by
by race
race and
and ethnicity
ethnicity
Percentage
50
40
30
20
10
0
1995
1996
1997
1998
1999
2000
2001
2002
2003
Year
W hite
Black
Hispanic
Amer Indian
Asian
Total
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight and obese = 15-25 pounds.
2003 NC PNSS Table 20C
Trends in the prevalence of greater than ideal
maternal weight gain*
by
by race
race and
and ethnicity
ethnicity
Percentage
50
40
30
20
10
0
1995
1996
1997
1998
1999
2000
2001
2002
2003
Year
W hite
Black
Hispanic
Amer Indian
Asian
Total
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight and obese = 15-25 pounds.
2003 NC PNSS Table 20C
Prevalence of anemia* by timing of program
enrollment
Percentage
40
30
20
10
0
1st Trimester 2nd Trimester 3rd Trimester
State
* Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.
Postpartum
Nation
2003 NC PNSS Table 2C
Prevalence of third-trimester anemia*
by
by race
race and
and ethnicity
ethnicity
50
Percentage
40
30
20
10
0
W hite
Black
Hispanic American
Indian
State
Asian
Total
Nation
* Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.
2003 NC PNSS Table 9C
Prevalence of postpartum anemia*
by
by race
race and
and ethnicity
ethnicity
50
Percentage
40
30
20
10
0
W hite
Black
Hispanic American
Indian
State
Asian
Total
Nation
* Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.
2003 NC PNSS Table 9C
Trends in prevalence of third trimester
anemia*
by
by race
race and
and ethnicity
ethnicity
Percentage
50
40
30
20
10
0
1995
1996
1997
1998
1999
2000
2001
2002
2003
Year
W hite
Black
Hispanic
Amer Indian
* Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.
Asian
Total
2003 NC PNSS Table 20C
Trends in the prevalence of postpartum
anemia*
by
by race
race and
and ethnicity
ethnicity
Percentage
50
40
30
20
10
0
1995
1996
1997
1998
1999
2000
2001
2002
2003
Year
W hite
Black
Hispanic
Amer Indian
* Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.
Asian
Total
2003 NC PNSS Table 20C
Prevalence of smoking and smoking in the
household by pregnancy status
Smoking
Smoking in the
Household
35
30
Percentage
25
20
15
10
5
0
3 Mos Prior to
Pregnancy
During
Pregnancy
Last 3 Mos of
Pregnancy
Postpartum
State
During
Pregnancy
Postpartum
Nation
Year 2010 target: 99% of pregnant women report no smoking in the past month.
2003 NC PNSS Table 2C
Smoking changes during pregnancy
among
among women
women who
who reported
reported smoking
smoking three
three months
months prior
prior to
to pregnancy
pregnancy
50
Percentage
40
30
20
10
0
Quit by 1st Prenatal Visit
State
Quit by 1st Prenatal Visit and
Stayed Off Cigarettes
Nation
2003 NC PNSS Table 2C
Prevalence of maternal drinking
Percentage
10
5
0
3 Months Prior to Pregnancy
State
Last 3 Months of Pregnancy
Nation
Year 2010 Target: 6% or less of pregnant women report use of alcohol in the previous month.
2003 NC PNSS Table 2C
Prevalence of low birthweight and high
birthweight *
Percentage
15
10
5
0
LBW (top) and
VLBW
HBW
State
Nation
* VLBW < 1500 g; LBW = 1500 - < 2500 g; HBW > 4000 g.
** Year 2010 Target: Reduce very low birthweight to < 0.9 percent and low birthweight to < 5.0 percent.
2003 NC PNSS Table 2C
Prevalence of selected birth outcomes*
Percentage
20
15
10
5
0
Preterm
Full Term Low
Birthweight
State
Multiple Births
Nation
* Preterm: < 37 weeks gestation. Full term low birthweight: 37 or more weeks and < 2500 g.
2003 NC PNSS Table 2C
Prevalence of low birthweight*
by
by race
race and
and ethnicity
ethnicity
Percentage
20
15
10
Year
2010
target**
5
0
W hite
Black
Hispanic American
Indian
State
Asian
Total
Nation
* Low birthweight includes VLBW < 1500 g and LBW = 1500-<2500 g.
** Year 2010 target: Reduce low birthweight to < 5.0 percent.
2003 NC PNSS Table 12C
Prevalence of low birthweight*
by
by selected
selected health
health indicators
indicators
Under- Normal Overweight
weight
< Ideal
Ideal
> Ideal
Smoker
Nonsmoker
20
Percentage
15
10
Year
2010
target**
5
0
Prepregnancy BMI
W eight Gain
* Low birthweight includes VLBW < 1500 g and LBW = 1500-<2500 g.
** Year 2010 target: Reduce low birthweight to < 5.0 percent.
Smoking During
Pregnancy
2003 NC PNSS Table 13C
Prevalence of high birthweight*
by
by race
race and
and ethnicity
ethnicity
Percentage
15
10
5
0
W hite
Black
Hispanic American
Indian
State
* High birthweight > 4000 g.
Asian
Total
Nation
2003 NC PNSS Table 12C
Prevalence of preterm delivery*
by
by race
race and
and ethnicity
ethnicity
Percentage
20
15
10
5
0
W hite
Black
Hispanic American
Indian
State
* Preterm: < 37 weeks gestation.
Asian
Total
Nation
2003 NC PNSS Table 12C
Trends in the prevalence of low birthweight*
by
by race
race and
and ethnicity
ethnicity
Percentage
15
10
5
0
1995
1996
1997
1998
1999
2000
2001
2002
2003
Year
W hite
* < 2500 g.
Black
Hispanic
American Indian
Asian
Total
2003 NC PNSS Table 23C
Trends in the prevalence of high birthweight*
by
by race
race and
and ethnicity
ethnicity
Percentage
15
10
5
0
1995
1996
1997
1998
1999
2000
2001
2002
2003
Year
W hite
* > 4000 g.
Black
Hispanic
American Indian
Asian
Total
2003 NC PNSS Table 23C
Trends in the prevalence of preterm delivery*
by
by race
race and
and ethnicity
ethnicity
Percentage
20
15
10
5
0
1995
1996
1997
1998
1999
2000
2001
2002
2003
Year
W hite
* < 37 weeks gestation.
Black
Hispanic
American Indian
Asian
Total
2003 NC PNSS Table 23C
Percentage of infants ever breastfed*
Percentage
by
by race
race and
and ethnicity
ethnicity
100
90
80
70
60
50
40
30
20
10
0
Year
2010
target**
W hite
Black
Hispanic American
Indian
State
Asian
Total
Nation
* Includes infants currently breastfeeding or ever breastfed as reported by mother at postpartum visit .
** Year 2010 Target: Increase the proportion of mothers who breastfeed their babies in the early postpartum
period to 75%.
2003 NC PNSS Table 12C
Trends in the percentage of infants ever
breastfed*
Percentage
by
by race
race and
and ethnicity
ethnicity
90
80
70
60
50
40
30
20
10
0
1995
1996
1997
1998
1999
2000
2001
2002
2003
Year
W hite
Black
Hispanic
American Indian
Asian
Total
* Reported by mother at postpartum visit. Year 2010 target: increase the proportion of mothers who
2003 NC PNSS Table 23C
breastfeed their babies in the early postpartum period to 75%.
Maps
State Maps of County Data
2001-2003
Pregnancy Nutrition
Surveillance System
Percentage of pregnancies among females
aged ≤ 17 years, by
by county
county
0-<7
7 - < 10
10 - < 13
13+
No Data
2001-2003 NC PNSS Table 4B
Percentage of women enrolling in WIC during
their first trimester, by
by county
county
0 - < 21
21 - < 34
34 - < 47
47+
No Data
2001-2003 NC PNSS Table 6B
Prevalence of prepregnancy underweight*,
by
by county
county
0 - < 10
10 - < 13
13 - < 16
16+
No Data
* BMI < 19.8.
2001-2003 NC PNSS Table 5B
Prevalence of prepregnancy overweight*,
by
by county
county
0 - < 39
39 - < 46
46 - < 53
53+
No Data
* BMI > 26.0.
2001-2003 NC PNSS Table 5B
Prevalence of < ideal weight gain*,
by
by county
county
0 - < 20
20 - < 26
26 - < 32
32+
No Data
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight and obese = 15-25 pounds.
2001-2003 NC PNSS Table 5B
Prevalence of > ideal weight gain*,
by
by county
county
0 - < 35
35 - < 40
40 - < 45
45+
No Data
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight and obese = 15-25 pounds.
2001-2003 NC PNSS Table 5B
Prevalence of smoking during the last 3 months
of pregnancy,, by
by county
county
0 - < 13
13 - < 22
22 - < 31
31+
No Data
2001-2003 NC PNSS Table 7B
Prevalence of low birthweight*,
by
by county
county
0-<7
7-<9
9 - < 11
11+
No Data
* < 2500 grams.
2001-2003 NC PNSS Table 8B
Prevalence of high birthweight*,
by
by county
county
0-<5
5-<7
7-<9
9+
No Data
* > 4000 grams.
2001-2003 NC PNSS Table 8B
Prevalence of preterm delivery*,
by
by county
county
0 - < 12
12 - < 15
15 - < 18
18+
No Data
* < 37 weeks gestation.
2001-2003 NC PNSS Table 8B
Percentage of infants ever breastfed*,
by
by county
county
0 - < 31
31 - < 51
51 - < 71
71+
No Data
* Reported by mother at postpartum visit..
2001-2003 NC PNSS Table 8B