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

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

5.3%2020

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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, 2019

	Asian		Black or African American		Hispanic or Latino		White
	Est.	%	Est.	%	Est.	%	Est.	%
Late or No Care	32	3.73%	113	6.1%	943	5.8%	235	4.1%
Third Trimester	14	1.6%	55	3.0%	478	2.9%	124	2.2%
None	18	2.10%	58	3.1%	465	2.8%	111	2.0%
Second Trimester	95	11.1%	246	13.2%	2,140	13.1%	579	10.2%
First Trimester	723	84.4%	1,439	77.3%	12,795	78.2%	4,794	84.5%
Unknown	Suppressed	Suppressed	64	3.4%	494	3.0%	67	1.2%
Live Births	857		1,862		16,372		5,675

Source: Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 2020, on CDC WONDER Online Database, August 2022.

Prenatal Care by age of mother for Bexar County, 2020

	15-17		18-19		20-29		30-39		40 and up
	Est.	%	Est.	%	Est.	%	Est.	%	Est.	%
Late or No Care	49	11.3%	75	6.5%	759	5.9%	420	4.2%	45	6.1%
Third Trimester	30	6.9%	39	3.4%	396	3.1%	199	2.0%	22	3.0%
None	19	4.4%	36	3.1%	363	2.8%	221	2.2%	23	3.1%
Second Trimester	70	16.2%	196	17.0%	1,707	13.3%	1,075	10.7%	77	10.5%
First trimester	285	65.8%	843	73.1%	10,048	78.0%	8,340	83.2%	592	80.9%
Unknown	29	6.7%	39	3.4%	366	2.8%	195	1.9%	18	2.5%
Live Births	433		1,153		12,880		10,030		732

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 12^th grade that aligns with health TEKS