Cape May County Public Health Profile Report
Preterm Births: Percentage of Live Births, 2016
Cape May7.8% 95% Confidence Interval(6.1% - 9.9%)Description of the Confidence IntervalThe confidence interval indicates the range of probable true values for the level of risk in the community.
A value of "NA" (Not Available) will appear if the confidence interval was not published with the NJSHAD indicator data for this measure.
Cape May Compared to State
Description of Gauge
Description of the GaugeThis graphic is based on the county data to the left. It compares the county value of this indicator to the state overall value.
The county value is considered statistically significantly different from the state value if the state value is outside the range of the county's 95% confidence interval. If the county's data or 95% confidence interval information is not available, a blank gauge image will be displayed with the message, "missing information."NOTE: The labels used on the gauge graphic are meant to describe the county's status in plain language. The placement of the gauge needle is based solely on the statistical difference between the county and state values. When selecting priority health issues to work on, a county should take into account additional factors such as how much improvement could be made, the U.S. value, the statistical stability of the county number, the severity of the health condition, and whether the difference is clinically significant.
- Excellent = The county's value on this indicator is BETTER than the state value, and the difference IS statistically significant.
- Watch = The county's value is BETTER than state value, but the difference IS NOT statistically significant.
- Improvement Needed = The county's value on this indicator is WORSE than the state value, but the difference IS NOT statistically significant.
- Reason for Concern = The county's value on this indicator is WORSE than the state value, and the difference IS statistically significant.
Why Is This Important?Prematurity increases the risk for infant morbidity and mortality. Infants born preterm are at greater risk of dying in the first month of life. Preterm infants may require intensive care at birth and are at higher risk of developmental disabilities and chronic illnesses throughout life. They are more likely to require special education services. Health care costs and length of hospital stay are higher for preterm infants.
How Are We Doing?The percentage of infants born preterm (before 37 weeks of gestation) among New Jersey residents rose from 7.3% in 1990 to 10.4% in the mid-2000s. In 2016, the rate stood at 9.9%. Nearly three-quarters of preterm births are late preterm (34-36 weeks gestational age). The rate varies by several maternal and infant characteristics. The rate among Blacks is 56% higher than the rates among Whites and Asians, however, Blacks are the only racial/ethnic group that hasn't experienced an overall increase in preterm births in the past decade. The rate among Black mothers is higher for mothers born in the US than those born elsewhere. Among Hispanics, the highest rate is among those mothers who were born in a US territory (predominantly Puerto Rico), followed by those born in the 50 states and DC. The preterm rate among Hispanic mothers born outside of the US and its territories is significantly lower. More than half of twins and nearly all triplets are born preterm, compared to 7.6% of singletons. County rates range from 7.8% in Cape May County to 11.9% in Passaic County.
What Is Being Done?The [http://www.nj.gov/health/fhs/ Division of Family Health Services] in the New Jersey Department of Health administers programs to enhance the health, safety and well-being of families and communities in New Jersey. Several programs are aimed at improving birth outcomes.
Evidence-based Practices[https://www.cdc.gov/reproductivehealth/maternalinfanthealth/pretermcdc-activities.html CDC Preterm Birth Activities] [https://www.cdc.gov/mmwr/volumes/65/wr/mm6532a4.htm CDC Grand Rounds: Public Health Strategies to Prevent Preterm Birth]
Healthy People Objective MICH-9.1:Reduce preterm births
U.S. Target: 11.4 percent
Health Status Outcomes:
Data SourcesBirth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
Measure Description for Preterm Births
Definition: Percent of live born infants born before 37 weeks of gestation based on obstetric estimate Preterm is synonymous with premature. Infants born at or after 37 weeks of pregnancy are called full term. Most pregnancies last around 40 weeks.
Numerator: Number of live born infants born before 37 weeks of gestation to resident mothers
Denominator: Number of live infants born to resident mothers