Missouri Resident Women’s Reproductive Health Profile

Births by Age of Mother

Under 15

Resident live births to females under 15 years of age at the time of delivery. The rate is per 100 resident live births during the same time period for the given geographical area.

15-17

Resident live births to females 15-17 years of age at the time of delivery. The rate is per 100 resident live births during the same time period for the given geographical area.

18-19

Resident live births to females 18-19 years of age at the time of delivery. The rate is per 100 resident live births during the same time period for the given geographical area.

20-24

Resident live births to females 20-24 years of age at the time of delivery. The rate is per 100 resident live births during the same time period for the given geographical area.

25-29

Resident live births to females 25-29 years of age at the time of delivery. The rate is per 100 resident live births during the same time period for the given geographical area.

30-34

Resident live births to females 30-34 years of age at the time of delivery. The rate is per 100 resident live births during the same time period for the given geographical area.

35-39

Resident live births to females 35-39 years of age at the time of delivery. The rate is per 100 resident live births during the same time period for the given geographical area.

40 and Over

Resident live births to females over 40 years of age at the time of delivery. The rate is per 100 resident live births during the same time period for the given geographical area.

 

STDs Females 15-44

Chlamydia

The number of events shown in the county profile for chlamydia cases represents the resident annual number of case reports which meet the surveillance case definition in females ages 15-44.

Cases for females ages 15-44 are presented with the rate being per 100,000 females ages 15-44 using corresponding population estimates.

In 1995, the Bureau of STD/HIV Prevention prioritized four sexually transmitted diseases (STDs) for surveillance and field investigation: syphilis, gonorrhea, chlamydia and human immunodeficiency virus (HIV). Department of Health and Senior Services rules 19 CSR 20-20-.020 and 19 CSR 20-20.080 requires reporting of these conditions.

Reports are received from physicians, physician assistants, nurses, hospitals, clinics and laboratories or discovered during case follow-up. Reports are usually received on the Disease Case Report (MO 580-0779) form. Most reports are routed through local and district health departments. Some reports are sent directly to the state agency. Reports are evaluated at all levels of receipt to determine if they meet the case definition before being entered into the surveillance data base and to determine if follow-up of intervention is required.

The reported information is often supplemented by additional data collected by contacting the reporting source. Case reports are followed by local or Department of Health and Senior Services investigators to assure that patients receive appropriate treatment and that contacts are afforded the benefits of preventive measures and education.

Prior to 2012, STD patients were tracked in STD*MIS standard software provided by the Centers for Disease Control and Prevention (CDC) for nationwide collection and reporting of data. STD patients are now tracked in the Missouri Health Surveillance Information System (WebSurv), which is Missouri’s reportable disease surveillance data system. STD disease data are compiled and transmitted weekly to CDC via the National Electronic Telecommunications System for Surveillance (NETSS) without identifiers.

Chlamydia Ages 15-19

See Chlamydia definition above. Includes ages 15-19 only.

Gonorrhea and Syphilis

To avoid potential identification of persons due to small cell sizes, it is no longer possible to display indicators for gonorrhea and syphilis cases. For questions regarding gonorrhea and syphilis data, please contact the Missouri Department of Health and Senior Services, Bureau of Reportable Disease Informatics at (573) 751-5271 or DHSS.DCPH-SDP-BRDIAnalysts@state.mo.us.

Mother’s Education Less than 12 Years

Resident live births to women with less than 12 years of education. The rate is per 100 resident live births.

Mother Obese (BMI greater than or equal to 30)

Resident live births to women who had a pre-pregnancy Body Mass Index (BMI) equal to or greater than 30. Pre-pregnancy classification as underweight, normal, overweight, or obese is based on a woman’s BMI. The BMI formula uses the woman’s age, height, and weight, all recorded on the birth certificate, to calculate this body measurement. The rate is per 100 live births with known pre-pregnancy age, weight, and height.

Mother Underweight (BMI less than 18.5)

Resident live births to women who had a pre-pregnancy Body Mass Index (BMI) less than 18.5. Pre-pregnancy classification as underweight, normal, overweight, or obese is based on a woman’s BMI. The BMI formula uses the woman’s age, height, and weight, all recorded on the birth certificate, to calculate this body measurement. The rate is per 100 live births with known pre-pregnancy age, weight, and height.

Live Births & Fertility Rate

Resident live births and fertility rate per 1,000 females using corresponding population estimates.

Live Births-5 Year Change

The difference in resident live births between noted beginning and ending years and the percent change.

Fertility Rate-5Year Change

The difference in resident fertility rates between noted beginning and ending years and the percent change.

Teen Fertility Rate Age 15-17

Fertility rate for teens aged 15-17. Live births to females aged 15-17 divided by the corresponding population estimate of females ages 15-17. The rate is per 1,000 females ages 15-17.

Teen Pregnancy Rate age15-17

Known resident pregnancies (i.e. live births, fetal deaths, and abortions) to females aged 15-17. The rate is per 1,000 females ages 15-17.

Repeat Births Under Age 20

Resident live births to females under 20 years of age who already have one or more children. The rate is per 100 resident live births during the same time period.

Out-of-Wedlock Births

Resident live births to mothers not married at time of conception, birth or any time between. The rate is per resident live births with known marital status.

Spacing Less than 18 Months

Resident mothers with live births which occurred within 18 months of a previous live birth. The rate is per 100 second or higher order resident live births.

Four Plus Prior Live Births

Resident live births to women with four or more previous live births. The rate is per 100 resident live births during the same time period.

Abortions

Abortion is defined by statute (RSMo 188 ) as the intentional destruction of the life of an embryo or fetus in his or her mother’s womb or the intentional termination of the pregnancy of a mother with an intention other than to increase the probability of a live birth or to remove a dead or dying unborn child. The rate is per 1,000 live births.

Repeat Abortions

Reported resident abortions to females having one or more prior abortions.  The rate of per 100 resident abortions.

Abortions Mother Under Age 18

Resident abortions to females under the age of 18. The rate is per 100 resident pregnancies (live births, fetal deaths, and abortions) to females under the age of 18.