Lack of Prenatal Care

This indicator reports the percentage of women who do not obtain prenatal care during their first trimester of pregnancy. This indicator is relevant because engaging in prenatal care decreases the likelihood of maternal and infant health risks. This indicator can also highlight a lack of access to preventive care, a lack of health knowledge, insufficient provider outreach, and/or social barriers preventing utilization of services.
Report Area Total Births Mothers Starting Prenatal Care in First Semester Mothers with Late or No Prenatal Care Prenatal Care Not Reported Percentage Mothers with Late or No Prenatal Care
Franklin County, PA 7,802 4,477 2,531 794 32.44%
Pennsylvania 589,741 391,570 157,982 40,189 26.8%
United States 16,693,978 7,349,554 2,880,098 6,464,326 17.3%
Note: This indicator is compared with the state average. Green - Better than state average, Red - Worse than state average.
Data Source: Centers for Disease Control and Prevention, National Vital Statistics System. Accessed via CDC WONDER. Centers for Disease Control and Prevention, Wide-Ranging Online Data for Epidemiologic Research. 2007-10. Source geography: County
Website Updated December 11 2017 Site Reviewed January 05 2018

Lack of Prenatal Care

Data Background

The Division of Vital Statistics is a branch of the Centers for Disease Control and Prevention (CDC) National Center for Health Statistics (NCHS) responsible for maintaining birth and death records for the nation. Data are compiled for the National Vital Statistics System (NVSS) through a joint effort between the NCHS and various state and local health agencies, who are responsible for registering vital events – births, deaths, marriages, divorces, and fetal deaths. NVSS statistics are released annually in various data warehouses, including CDC WONDER , VitalStats, and the Health Indicator Warehouse .

CDC WONDER, developed by the Centers for Disease Control and Prevention (CDC), is an integrated information and communication system for public health. Its purposes are:

  • To promote information-driven decision making by placing timely, useful facts in the hands of public health practitioners and researchers, and
  • To provide the general public with access to specific and detailed information from CDC.

CDC WONDER provides:
  • Access statistical research data published by CDC, as well as reference materials, reports and guidelines on health-related topics;
  • The ability to query numeric datasets on CDC's computers, via "fill-in-the blank" web pages. Public-use data sets about mortality (deaths), cancer incidence, HIV and AIDS, tuberculosis, vaccinations, natality (births), census data and many other topics are available for query, and the requested data are readily summarized and analyzed, with dynamically calculated statistics, charts and maps.

CDC WONDER data can be obtained grouped by various information, including state, county, gender, race, ethnicity, and educational attainment. For more information, please visit the CDC WONDER website.


Counts for this indicator represent the annual average births over the 4-year period 2007-2010. Original data was tabulated by the Centers for Disease Control and Prevention (CDC) National Center for Health Statistics (NCHS) based on information reported on each birth certificate. Rates represent the number of births to mothers with no prenatal care, or prenatal care beginning after the first trimester. Rates are summarized based on the following formula

Rate = [Late or No Prenatal Care Births] / [Total Births] * 100

Data was acquired from the CDC WONDER database. For more information about this source, including data suppression information, please visit the CDC WONDER Current Natality data page, or refer to the NVSS natality public use file documention .


Data Suppression
Suppression is used to protect confidentiality and to avoid misinterpretation when rates are unstable. Data is suppressed for all counties with fewer than 100,000 total population.

Race and Ethnicity
Race and ethnicity (Hispanic origin) are collected as two separate categories by state vital statistics registries based on methods established by the U.S. Office of Management and Budget (OMB) in 1997. All mortality statistics from the CDC WONDER databases are available by race alone (White, Black, Amer. Indian/AK Native, and Asian) ethnicity alone (Hispanic, Non-Hispanic), or by combined race and ethnicity. Data is reported separately for race alone and for ethnicity alone in order to maintain large enough sample sizes for the inclusion of small counties in the disaggregated data tables.

Courtesy: Community Commons, <>, November 2017