1. Preterm is less than 37 completed weeks gestation. Source: National Center for Health Statistics, final natality data. Retrieved August 10, 2015, from www.marchofdimes.org/peristats. Preterm birth Texas, 2003-2013

2. Preterm is less than 37 completed weeks gestation. Source: National Center for Health Statistics, final natality data. Retrieved August 10, 2015, from www.marchofdimes.org/peristats. Preterm by maternal age Texas, 2011-2013 Average

3. All race categories exclude Hispanics. Preterm is less than 37 completed weeks gestation. Source: National Center for Health Statistics, final natality data. Retrieved August 10, 2015, from www.marchofdimes.org/peristats. Preterm by race/ethnicity Texas, 2011-2013 Average

4. Late preterm is between 34 and 36 weeks gestation. Source: National Center for Health Statistics, final natality data. Retrieved August 10, 2015, from www.marchofdimes.org/peristats. Late preterm births Texas, 2003-2013

5. Low birthweight is less than 2500 grams (5 1/2 pounds). Source: National Center for Health Statistics, final natality data. Retrieved August 10, 2015, from www.marchofdimes.org/peristats. Low birthweight Texas, 2003-2013

6. Source: National Center for Health Statistics, final natality data. Retrieved August 10, 2015, from www.marchofdimes.org/peristats. Total cesarean deliveries Texas, 2003-2013

7. An infant death occurs within the first year of life. Source: National Center for Health Statistics, final mortality data, 1990-1994 and period linked birth/infant death data, 1995-present. Retrieved August 10, 2015, from www.marchofdimes.org/peristats. Infant mortality rates Texas, 2002-2012

8. Perinatal deaths include fetal deaths at 28 weeks gestation or more and infant deaths less than one week of age. Source: National Center for Health Statistics, fetal mortality data and period linked birth/infant death data. Retrieved August 10, 2015, from www.marchofdimes.org/peristats. Perinatal mortality rates Texas, 2002-2006

9. A late fetal death occurs at 28 weeks of gestation or more. Source: National Center for Health Statistics, fetal mortality data. Retrieved August 10, 2015, from www.marchofdimes.org/peristats. Late fetal mortality rates Texas, 2002-2006

10. Footnotes available in notes section. Source: National Center for Health Statistics, final mortality data; National Center for Health Statistics, final natality data. Retrieved August 10, 2015, from www.marchofdimes.org/peristats. Maternal mortality rates Texas and US, 2003-2007 Average

11. Smoking during pregnancy(PRAMS) Texas, 2009-2010 Smoking during pregnancy: mother reported smoking during the last three months of pregnancy. For more information about the availability of PRAMS data by state and year, refer to the Calculations page. Source: Centers for Disease Control and Prevention, Pregnancy Risk Assessment Monitoring System. Retrieved August 10, 2015, from www.marchofdimes.org/peristats. The mark “CDC” is owned by the US Dept. of Health and Human Services and is used with permission. Use of this logo is not an endorsement by HHS or CDC of any particular product, service, or enterprise.

12. Smoking is defined as having ever smoked 100 cigarettes in a lifetime and currently smoking everyday or some days. Percent reported is among women ages 18-44. The following states did not conduct BRFSS surveillance every year and are not included in U.S. rates for the respective years: AK(1990), AR(1990,1992), DC(1995), KS(1990,1991), HI(2004), NV(1990,1991), NJ(1990), WY(1990-1993). Source: Smoking: Behavioral Risk Factor Surveillance System. Behavioral Surveillance Branch, Centers for Disease Control and Prevention. Retrieved August 10, 2015, from www.marchofdimes.org/peristats. Smoking among women of childbearing age Texas, 2003-2013

13. Obesity before pregnancy(PRAMS) Texas, 2009-2010 Before pregnancy obesity: mother's pre-pregnancy body mass index classified as obese (BMI greater than 30.0). For more information about the availability of PRAMS data by state and year, refer to the Calculations page. Source: Centers for Disease Control and Prevention, Pregnancy Risk Assessment Monitoring System. Retrieved August 10, 2015, from www.marchofdimes.org/peristats. The mark “CDC” is owned by the US Dept. of Health and Human Services and is used with permission. Use of this logo is not an endorsement by HHS or CDC of any particular product, service, or enterprise.

14. The following states did not conduct BRFSS surveillance every year and are not included in U.S. rates for the respective years: AK(1990), AR(1990,1992), DC(1995), KS(1990,1991), HI(2004), NV(1990,1991), NJ(1990), WY(1990-1993). Obesity is defined as a Body Mass Index of 30 or more. Body Mass Index (BMI) is a number calculated from a person's weight and height. Percent reported is among women ages 18-44. Source: Behavioral Risk Factor Surveillance System, Centers for Disease Control and Prevention. Retrieved August 10, 2015, from www.marchofdimes.org/peristats. Obesity among women of childbearing age Texas, 2003-2013

15. Source: US Census Bureau. Data prepared for the March of Dimes using the Current Population Survey Annual Social and Economic Supplements. Retrieved August 10, 2015, from www.marchofdimes.org/peristats. Uninsured women Texas and US, 2010-2012 Average