TARRANT COUNTY PUBLIC HEALTH

• Preterm births include any live birth occurring before 37 weeks gestation 12.0 • In 2018, the Tarrant County prematurity rate (10.5 per 100 live births) was lower than Texas (10.8) and 10.8 higher than the United States (10.0) and the Healthy 10.0 10.5 10.0 People 2020 goal (9.4) HP 2020 Goal: 9.4 • From 2009-2018, Non-Hispanic black residents had 8.0 significantly higher prematurity rates than Hispanic, non-Hispanic white, and other racial/ethnicity groups in Tarrant County 6.0

• The infant mortality rate among Tarrant County

preterm births (42.9 per 1,000 live births) was 4.0 significantly higher than term births (1.6 per 1,000 live births) in 2015 2.0

• Prematurity and low birth weight was the second births) 100Prematurity rate live (per leading cause of death among Tarrant County infants, responsible for 14.2% of infant deaths from 2012-2016 0.0 Tarrant Texas U.S.

18.0

16.0 Non-Hispanic

14.0 black residents

12.0 consistently had 10.0 the highest 8.0 prematurity rates 6.0 compared to all 4.0 All Tarrant County Hispanic other racial/ 2.0 Non-Hispanic Black Non-Hispanic White Other Prematurity (per 100 Prematurity births) live rate 0.0 ethnic groups 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 1.5% 100% 8.1% Infants born Very Preterm 75% 55.7% (<32 weeks) preterm (<37 weeks) account 50% Preterm 90.4% (32-36 weeks) for around 10% 18.4% of live births 25% Term (37+ weeks) 25.9% and 75% of

0% infant deaths Live Births Infant Deaths

Term Preterm Birth characteristics Difference (37+ weeks) (<37 weeks) 1st born child 38.4% 38.4%

Multiples birth (twin, triplet…) 1.5% 21.4% Cesarean delivery 30.8% 52.3% Maternal characteristics Started prenatal care on time 64.1% 64.2% Less than high school education 13.9% 14.4% Age 40 years and older 3.0% 4.5% Smoked during pregnancy 1.9% 2.9% Hypertension 6.5% 18.0% (chronic or pregnancy related) Diabetes 5.4% 8.7% (chronic or pregnancy related) Note: Any up or down arrows denote statistically significant difference betweem infants born term and preterm (p<0.05)

Factors associated with preterm birth: Resources available at Tarrant County Public Health • Social, personal, and economic: [health.tarrantcounty.com] • Teens and women over the age of 35 • 17P Initiative: Case management for pregnant • Black race • Women with low income women at risk for a repeat preterm birth • Pregnancy and medical conditions: • Nurse Family Partnership: Home nurse visits for eligible first time moms throughout their pregnancy • Prior preterm birth Infection and until their baby turns 2 years old • • Pregnant with more than 1 baby • WIC: Helps families eat well, learn about nutrition, and • Behavioral: stay healthy

• Tobacco use • For Her Health: Pap tests, family planning, referrals • Substance use • Health For Me: Self-management class for persons with • Stress diabetes, obesity, hypertension, and other chronic conditions A woman can still have a premature birth even if she has no known risk factors For other community resources: Call 2-1-1