MICH-10.2 Increase the proportion of pregnant women who receive early and adequate prenatal care

National Data Source
National Vital Statistics System-Natality (NVSS-N); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
Baseline (Year)
70.5 (2007)
Target-Setting Method
10 percent improvement
Number of births to females receiving adequate prenatal care by the Adequacy of Prenatal Care Utilization Index (APNCU) in states that use the 2003 standard certificate of birth
Number of live births in states that use the 2003 standard certificate of birth
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective


Methodology Notes

The APNCU is a measure of prenatal care utilization that combines the month of pregnancy prenatal care begun with the number of prenatal visits. Rates can be classified as “intensive use,” “adequate,” “intermediate,” or “less than adequate.” For this measure, adequate prenatal care is defined as a score of either “adequate” or “intensive use.” A discussion of the APNCU has been published.

Estimates were calculated with data supplied by the states that had adopted the 2003 version of the U.S. State Certificate of Live Birth. Trends over time cannot be evaluated until such time as all states provide data in the same format.

Caveats and Limitations
Twenty-two states had implemented the 2003 birth certificate as of January 1, 2007. The 22 revised states represent 53% of all U.S. births.