1. Health Commissioners Workgroup on Infant Mortality Data Delivery Method Analysis Gestational Age at Birth Analysis

2. Delivery Analysis Data Source- Virginia Health Information (VHI) database VHI- 1993 with passage of the Patient Level Database System Act All Payor claims database

3. Source: VHI Hospital Discharge Data

6. Source: VHI Hospital Discharge Data and the Virginia Department of Health Division of Health Statistics compiled by the Office of Family Health Services, Division of Women's and Infants' Health, 1998-2007.

7. Source: VHI hospital discharge data.

8. Region % of live births Northern 37.8 Central 35.8 Northwest 33.9 Eastern 32.6 Southwest 31.5 VIRGINIA 35.0 Cesareans by Region in Virginia, 2007 Source: VHI Hospital Discharge Data

9. Variation in % Cesarean Births by Hospital* Virginia, 2007 Source: VHI Hospital Discharge Data * For hospitals with > 100 total deliveries (Vaginal + Cesarean)

10. Gestational Age Analysis The data on birth and gestational age are collected through the Vital Records Data Base. These data are collected under the Code of Virginia regulations governing reporting of vital events, which are compiled, aggregated and reported on by VDHs Division of Health Statistics. The gestational age is collected by the physician or other delegated professional at the bedside during the birth process.

11. Length of Gestation The length of gestation variable is collected by the Office of Vital Records from the Certificate of Live Birth. Length of Gestation and other birth variables are entered into the Vital Records data base and subsequently compiled and analyzed by the Division of Health Statistics.