1. Alcohol Use During Pregnancy * Note: All rates of alcohol use are less than one percent Health Care Provider Spoke About Alcohol Use During Any Prenatal Care Visit 16/ 7963 7/ 2060 5/ 4794 Alcohol Use By Race and Ethnicity 3911/ 4595 1456/ 1592 3074/ 3409 Source: EBC data from RPC affiliated hospitals; 2008

2. Illegal Drug Use By Race and Ethnicity Illegal Drug Use During Pregnancy Health Care Provider Spoke About Illegal Drug Use During Any Prenatal Care Visit 3822/ 4590 1439/ 1589 3048/ 3403 34/ 7963 66/ 2060 21/ 4794 Source: EBC data from RPC affiliated hospitals; 2008

3. Tobacco Use During Pregnancy Health Care Provider Spoke About Tobacco Use During Any Prenatal Care Visit Tobacco Use By Race and Ethnicity 743/ 7963 181/ 2060 168/ 4794 3887/ 4598 1451/ 1593 3080/ 3415 Source: EBC data from RPC affiliated hospitals; 2008

4. Tobacco Use During Pregnancies Delivered at RPC or Affiliated Hospitals By Race, Ethnicity and Maternal County of Residence 285/ 1807 45/ 300 34/ 378 262/ 3185 61/ 483 53/ 1154 41/ 398 1/ 9 6/ 79 21/ 1591 5/ 135 1/ 123 19/ 214 0/ 13 0/ 17 75/ 514 4/ 29 8/ 77 115/ 2851 83/ 1106 53/ 2812 Source: EBC data from RPC affiliated hospitals; 2008

5. Source: EBC data 2008Red Line = national average for cesarean births (31.8%) Hamilton BE, Martin JA, Ventura SJ. Births: Preliminary data for 2007. National vital statistics reports, Web release; vol 57 no 12. Hyattsville, MD: National Center for Health Statistics. Released March 18, 2009. *Total Cesarean Births= Primary + Repeat Cesarean Births Total Cesarean Births 2008

6. Source: EBC data 2008 Red Line = national average for primary cesarean births (23.5%) Martin JA, Hamilton BE, Sutton PD, Ventura SJ, et al. Births: Final data for 2006. National vital statistics reports; vol 57 no 7. Hyattsville, MD: National Center for Health Statistics. 2009. Primary Cesarean Births 2008

7. Cesarean Births Primary and Repeat Cesarean Births Source: EBC data 2008Full Bar = Total Cesarean Births

8. Delivery Mode By Race and Ethnicity Non-Hispanic White Non-Hispanic Black Hispanic 63.5% (4878) 34.4% (2645) 2.1% (160) 55.4% (1123) 43.2% (876) 1.4% (29) 63.1% (2985) 35.4% (1673) 2.0% (96) Source: EBC data from RPC Affiliated Hospitals; 2008 *Forceps delivery less than one percent for all races/ethnicities *N.S.V.D= Normal Spontaneous Vaginal Delivery

9. Feeding Method at Discharge By Race and Ethnicity Non-Hispanic WhiteNon-Hispanic Black Hispanic 64.2% (4398) 18.8% (1290) 17.0% (1162) 33.2 (642) 27.2% (525) 39.6% (765) 49.8% (2324) 11.3% (527) 38.9% (1817) Source: EBC data from RPC Affiliated Hospitals; 2008

10. Primary and Repeat Cesarean Births By Race and Ethnicity 1606/ 7963 1039/ 7963 569/ 2060 307/ 2060 914/ 4794 759/ 4794 Source: EBC data from RPC Affiliated Hospitals; 2008 Red Line = national average for primary cesarean births (23.5%) Martin JA, Hamilton BE, Sutton PD, Ventura SJ, et al. Births: Final data for 2006. National vital statistics reports; vol 57 no 7. Hyattsville, MD: National Center for Health Statistics. 2009.

11. Breastfeeding by Maternal County of Residence, Race and Ethnicity Source: EBC data from RPC Affiliated Hospitals; 2008