When Are Babies Born: Morning, Noon, or Night? Birth Certificate Data for 2013

May 8, 2015

As the use of medical interventions for childbirth (i.e., induction of labor and cesarean delivery) has increased during the last few decades, an increasing proportion of deliveries occur during regular daytime hours.

Hospital personnel resources and maternal and newborn outcomes can be influenced by the time of day of delivery. Data on the time of day of the birth became available with the 2003 revision of the birth certificate.

A new NCHS report examines 2013 birth certificate data from the National Vital Statistics System to describe the time of day of birth by method of delivery and place of birth for a 41-state and District of Columbia (DC) reporting area that had adopted the 2003 revised birth certificate by January 2013. This reporting area represents 90% of U.S. births.

Key Findings from the Report:

  • The highest percentages of births occurred during the morning and midday hours.
  • Births on Saturday and Sunday were more likely to occur in the late evening and early morning hours than births Monday through Friday.
  • Compared with induced vaginal deliveries and noninduced vaginal deliveries, cesarean deliveries were the least likely to occur during the evening and early morning.
  • Noninduced vaginal births were more likely than cesarean and induced vaginal births to occur in the early morning.
  • Cesarean deliveries with no trial of labor were much more concentrated during the day than were cesarean deliveries with a trial of labor.

 


Trends in Elevated Triglyceride in Adults: United States, 2001–2012

May 8, 2015

Elevated triglyceride is associated with cardiovascular disease. For adults aged 20 and over with elevated triglyceride, recommendations for therapeutic lifestyle changes include increased physical activity, weight loss, optimal nutrition-related practices, and smoking cessation.

A new NCHS report shows trends in the percentage of U.S. adults aged 20 and over with elevated triglyceride (150 mg/dL or more) are examined using data from National Health and Nutrition Examination Surveys 2001–2004, 2005–2008, and 2009–2012.

Key Findings from the Report:

  • The percentage of adults aged 20 and over with elevated triglyceride (150 mg/dL or more) declined from 33.3% during 2001–2004 to 25.1% during 2009–2012.
  • Percentages with elevated triglyceride decreased for both men and women—among men, from 37.3% for 2001–2004 to 28.7% for 2009–2012, and among women, from 29.3% for 2001–2004 to 21.5% for 2009–2012.
  • For adults aged 60 and over, declines in elevated triglyceride levels were seen in both men (from 39.9% during 2001–2004 to 24.8% during 2009–2012) and women (from 43.5% during 2001–2004 to 30.9% during 2009–2012).
  • Declines in elevated triglyceride levels were observed in overweight and obese men and women between 2001–2004 and 2009–2012.

 


Deaths From Unintentional Injury Among Adults Aged 65 and Over: United States, 2000–2013

May 8, 2015

Injury deaths place a large burden on society, and many of these deaths are preventable.

In 2013, unintentional injuries were the eighth leading cause of death among U.S. adults aged 65 and over, resulting in nearly 46,000 deaths.

NCHS has released a report that describes trends in unintentional injury deaths among this age group from 2000 through 2013, highlighting differences by age, race and ethnicity, and urbanization for the five leading causes of unintentional injury death: falls, motor vehicle traffic crashes, suffocation, poisoning, and fire.

Key Findings from the Report:

  • In 2012–2013, 55% of all unintentional injury deaths among adults aged 65 and over were due to falls.
  • From 2000 through 2013, the age-adjusted fall injury death rate among adults aged 65 and over nearly doubled from 29.6 per 100,000 to 56.7 per 100,000.
  • In 2012–2013, the death rate due to suffocation was more than 8 times higher among adults aged 85 and over (26.5 per 100,000) compared with adults aged 65–74 (3.1 per 100,000).
  • Among adults aged 65 and over, the death rate due to fire was more than twice as high for non-Hispanic black adults as for non-Hispanic white and Hispanic adults.
  • The death rate from motor vehicle traffic crashes among adults aged 65 and over was 1.7 times higher in nonmetropolitan areas compared with metropolitan areas.

 


STATE VITALS: NEW YORK

May 4, 2015

The state of New York scores lower than the nation overall in births to unmarried mothers, preterm births and teen births.

However, among the 10 leading causes of death in the United States, the empire state has mortality rates that are higher than the U.S. rates for the following causes: heart disease and influenza/pneumonia and kidney disease.

Here is a list of the 15 leading causes of death in New York in 2013 with ICD 10 codes:

1. Diseases of heart (I00-I09,I11,I13,I20-I51)

2. Malignant neoplasms (C00-C97)

3. Chronic lower respiratory diseases (J40-J47)

4. Cerebrovascular diseases (I60-I69)

5. Accidents (unintentional injuries) (V01-X59,Y85-Y86)

6. Influenza and pneumonia (J09-J18)

7. Diabetes mellitus (E10-E14)

8. Alzheimer’s disease (G30)

9. Septicemia (A40-A41)

10. Nephritis, nephrotic syndrome and nephrosis (N00-N07,N17-N19,N25-N27)

11. Essential hypertension and hypertensive renal disease (I10,I12,I15)

12. Intentional self-harm (suicide) (*U03,X60-X84,Y87.0)

13. Chronic liver disease and cirrhosis (K70,K73-K74)

14. Parkinson’s disease (G20-G21)

15. Pneumonitis due to solids and liquids (J69)