2. 2011 NATIONAL Pregnancy Nutrition Surveillance System

3. Contributors* of records * Includes the District of Columbia, Puerto Rico, the Cheyenne River Sioux Tribe (SD), the Inter Tribal Council of Arizona, the Rosebud Sioux Tribe (SD) and the Standing Rock Sioux Tribe (ND). – Contributor – Non-contributor

4. Source of data 2011 National PNSS Table 1D * Special Supplemental Nutrition Program for Women, Infants and Children.

5. Racial and ethnic distribution 2011 National PNSS Table 1D

6. Trends in racial and ethnic distribution 2011 National PNSS Table 14D

7. Age distribution 2011 National PNSS Table 1D

8. Trends in age distribution 2011 National PNSS Table 15D

9. Education level 2011 National PNSS Table 1D

10. Migrant status 2011 National PNSS Table 1D

11. Household income reported as percent poverty level 2011 National PNSS Table 1D

12. Program participation at initial prenatal visit 2011 National PNSS Table 1D *Special Supplemental Nutrition Program for Women, Infants, and Children. **Supplemental Nutrition Assistance Program. ***Temporary Assistance for Needy Families.

13. Timing of WIC enrollment and medical care 2011 National PNSS Table 2D WIC Enrollment Medical Care

14. Trends in WIC enrollment and medical care 2011 National PNSS Table 17D

15. Trends in first trimester WIC enrollment by race and ethnicity 2011 National PNSS Table 21D

16. Parity and interpregnancy interval 2011 National PNSS Table 2D Parity Interpregnancy Interval

17. Prevalence of prepregnancy underweight and overweight* 2011 National PNSS Table 2D * Underweight (BMI 29.0). Underweight Normal Overweight (top) and Obese

18. Prevalence of prepregnancy underweight* by race and ethnicity 2011 National PNSS Table 9D * BMI < 19.8.

19. Prevalence of prepregnancy overweight* by race and ethnicity 2011 National PNSS Table 9D * BMI > 26.0 (includes overweight and obese women).

20. Prevalence of less than ideal maternal weight gain* by race and ethnicity 2011 National PNSS Table 9D * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight and obese = 15-25 pounds.

21. Prevalence of greater than ideal maternal weight gain* by race and ethnicity 2011 National PNSS Table 9D * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight and obese = 15-25 pounds.

22. Prevalence of less than ideal, ideal and greater than ideal maternal weight gain* 2011 National PNSS Table 2D * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight and obese = 15-25 pounds.

23. Maternal weight gain* by prepregnancy BMI** 2011 National PNSS Table 13D *Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight and obese = 15-25 pounds. ** Underweight (BMI 29.0).

24. Trends in prevalence of prepregnancy overweight and underweight* 2011 National PNSS Table 16D * Underweight (BMI 26.0; includes overweight and obese).

25. Trends in prevalence of less than ideal and greater than ideal weight gain* 2011 National PNSS Table 16D * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight and obese = 15-25 pounds.

26. Trends in the prevalence of less than ideal maternal weight gain* by race and ethnicity 2011 National PNSS Table 20D * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight and obese = 15-25 pounds.

27. Trends in the prevalence of greater than ideal maternal weight gain* by race and ethnicity 2011 National PNSS Table 20D * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight and obese = 15-25 pounds.

28. Prevalence of anemia* by timing of program enrollment 2011 National PNSS Table 2D* Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.

29. Prevalence of third-trimester anemia* by race and ethnicity 2011 National PNSS Table 9D * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.

30. Prevalence of postpartum anemia* by race and ethnicity 2011 National PNSS Table 9D * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.

31. Trends in prevalence of third trimester anemia* by race and ethnicity 2011 National PNSS Table 20D* Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.

32. Trends in the prevalence of postpartum anemia* by race and ethnicity 2011 National PNSS Table 20D* Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.

33. Prevalence of smoking and smoking in the household by pregnancy status 2011 National PNSS Table 2D Smoking Smoking in the Household

34. Smoking changes during pregnancy among women who reported smoking three months prior to pregnancy 2011 National PNSS Table 2D

35. Trends in prevalence of smoking during the last 3 months of pregnancy by race and ethnicity 2011 National PNSS Table 22D

36. Trends in the prevalence of smoking in the household* by race and ethnicity 2011 National PNSS Table 22D* During the prenatal period.

37. Prevalence of maternal drinking 2011 National PNSS Table 2D

38. Prevalence of medical conditions during pregnancy* 2011 National PNSS Table 2D * Woman reports being told by doctor she had diabetes prior to and/or during pregnancy. Woman reports being told by doctor she had hypertension prior to and/or during pregnancy.

39. Incidence of gestational diabetes* by race and ethnicity 2011 National PNSS Table 9D * Includes diabetes mellitus and gestational diabetes.

40. Prevalence of hypertension during pregnancy* by race and ethnicity 2011 National PNSS Table 9D * Includes chronic hypertension and pregnancy-induced hypertension.

41. Prevalence of multivitamin use prior to and during pregnancy* 2011 National PNSS Table 2D * Multivitamin use prior to pregnancy is a proxy for folic acid consumption. Multivitamin use during pregnancy is a proxy for iron consumption.

42. Prevalence of multivitamin use prior to pregnancy* by race and ethnicity 2011 National PNSS Table 10D * Multivitamin use prior to pregnancy is a proxy for folic acid consumption.

43. Prevalence of multivitamin use during pregnancy* by race and ethnicity 2011 National PNSS Table 10D * Multivitamin use during pregnancy is a proxy for iron consumption.

44. Prevalence of low birthweight and high birthweight * 2011 National PNSS Table 2D * VLBW 4000 g. LBW (top) and HBW VLBW

45. Prevalence of selected birth outcomes* 2011 National PNSS Table 2D * Preterm: < 37 weeks gestation. Full term low birthweight: 37 or more weeks and < 2500 g.

46. Prevalence of low birthweight* by race and ethnicity 2011 National PNSS Table 12D * Low birthweight includes VLBW < 1500 g and LBW = 1500-<2500 g.

47. Prevalence of low birthweight* by selected health indicators 2011 National PNSS Table 13D * Low birthweight includes VLBW < 1500 g and LBW = 1500-<2500 g. Under- Normal Over- Ideal Smoker Nonsmoker weight weight

48. Prevalence of high birthweight* by race and ethnicity 2011 National PNSS Table 12D * High birthweight > 4000 g.

49. Prevalence of preterm delivery* by race and ethnicity 2011 National PNSS Table 12D * Preterm: < 37 weeks gestation.

50. Trends in the prevalence of low birthweight* by race and ethnicity 2011 National PNSS Table 23D * < 2500 g.

51. Trends in the prevalence of high birthweight* by race and ethnicity 2011 National PNSS Table 23D * > 4000 g.

52. Trends in the prevalence of preterm delivery* by race and ethnicity 2011 National PNSS Table 23D * < 37 weeks gestation.

53. Percentage of infants ever breastfed* by race and ethnicity 2011 National PNSS Table 12D * Includes infants currently breastfeeding or ever breastfed as reported by mother at postpartum visit.

54. Trends in the percentage of infants ever breastfed* by race and ethnicity 2011 National PNSS Table 23D * Reported by mother at postpartum visit.

55. Maps National Maps of State Data 2011 Pregnancy Nutrition Surveillance System

56. Percentage of pregnancies among females aged ≤ 17 years, by state 2011 National PNSS Table 4D CR Sioux DC ITCA P Rico R Sioux SR Sioux

57. Percentage of women enrolling in WIC during their first trimester, by state 2011 National PNSS Table 6D CR Sioux DC ITCA P Rico R Sioux SR Sioux

58. Prevalence of prepregnancy underweight *, by state * BMI < 19.8. 2011 National PNSS Table 5D CR Sioux DC ITCA P Rico R Sioux SR Sioux

59. Prevalence of prepregnancy overweight *, by state * BMI > 26.0. 2011 National PNSS Table 5D CR Sioux DC ITCA P Rico R Sioux SR Sioux

60. * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight and obese = 15-25 pounds. 2011 National PNSS Table 5D Prevalence of < ideal weight gain *, by state CR Sioux DC ITCA P Rico R Sioux SR Sioux

61. * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight and obese = 15-25 pounds. 2011 National PNSS Table 5D Prevalence of > ideal weight gain *, by state CR Sioux DC ITCA P Rico R Sioux SR Sioux

62. 2011 National PNSS Table 7D Prevalence of smoking during the last 3 months of pregnancy, by state CR Sioux DC ITCA P Rico R Sioux SR Sioux

63. 2011 National PNSS Table 5D Incidence of gestational diabetes *, by state CR Sioux DC ITCA P Rico R Sioux SR Sioux * Postpartum woman reports being told by doctor she had gestational diabetes during her most recent pregnancy.

64. 2011 National PNSS Table 5D Prevalence of hypertension during pregnancy *, by state CR Sioux DC ITCA P Rico R Sioux SR Sioux * Postpartum woman reports being told by doctor she had hypertension during her most recent pregnancy.

65. 2011 National PNSS Table 6D Prevalence of multivitamin use prior to pregnancy *, by state CR Sioux DC ITCA P Rico R Sioux SR Sioux * Multivitamin use prior to pregnancy is a proxy for folic acid consumption.

66. 2011 National PNSS Table 6D Prevalence of multivitamin use during pregnancy *, by state CR Sioux DC ITCA P Rico R Sioux SR Sioux * Multivitamin use during pregnancy is a proxy for iron consumption.

67. Prevalence of low birthweight *, by state * < 2500 grams. 2011 National PNSS Table 8D CR Sioux DC ITCA P Rico R Sioux SR Sioux

68. Prevalence of high birthweight *, by state * > 4000 grams. 2011 National PNSS Table 8D CR Sioux DC ITCA P Rico R Sioux SR Sioux

69. * < 37 weeks gestation. 2011 National PNSS Table 8D Prevalence of preterm delivery*, by state CR Sioux DC ITCA P Rico R Sioux SR Sioux

70. * Reported by mother at postpartum visit. 2011 National PNSS Table 8D Percentage of infants ever breastfed *, by state CR Sioux DC ITCA P Rico R Sioux SR Sioux