RISK FACTORS AND CHARACTERISTICS FOR
2018 NORTH CAROLINA RESIDENT LIVE BIRTHS:
BY MATERNAL MEDICAID STATUS

  TOTAL MOTHER'S MEDICAID STATUS:
Prenatal Medicaid1 Emergency Medicaid2 Non-Medicaid
Births Births Births Births
# % # % # % # %
TOTAL RESIDENT BIRTHS 118,957 100.0 57,194 48.1 7,278 6.1 54,485 45.8
RACE/ETHNICITY: 64,637 54.3 25,244 44.1 48 0.7 39,345 72.2
...White, Non-Hispanic
...Black, Non-Hispanic 28,719 24.1 21,909 38.3 83 1.1 6,727 12.3
...Am. Ind., Non-Hispanic 1,608 1.4 1,303 2.3 1 0.0 304 0.6
...Other, Non-Hispanic 5,634 4.7 1,777 3.1 95 1.3 3,762 6.9
...Hispanic 18,359 15.4 6,961 12.2 7,051 96.9 4,347 8.0
BIRTHWEIGHT GROUP: 240 0.2 128 0.2 4 0.1 108 0.2
...Less than 500 grams
...500-1499 grams 1,696 1.4 1,020 1.8 74 1.0 602 1.1
...1500-2499 grams 9,083 7.6 5,520 9.7 407 5.6 3,156 5.8
...2500+ grams 107,909 90.7 50,512 88.3 6,793 93.3 50,604 92.9
...Unknown 29 0.0 14 0.0 0 0 15 0.0
(OBSTETRIC) WEEKS OF GESTATION: 755 0.6 431 0.8 20 0.3 304 0.6
...< 27 weeks
...27-31 weeks 1,339 1.1 815 1.4 70 1.0 454 0.8
...32-36 weeks 10,251 8.6 5,561 9.7 553 7.6 4,137 7.6
...37+ weeks 106,552 89.6 50,350 88.0 6,634 91.2 49,568 91.0
...Unknown 60 0.1 37 0.1 1 0.0 22 0.0
MOTHER'S AGE: 1,629 1.4 1,421 2.5 109 1.5 99 0.2
...< 18 years
...18-34 years 98,050 82.4 50,315 88.0 5,386 74.0 42,349 77.7
...35+ years 19,274 16.2 5,458 9.5 1,783 24.5 12,033 22.1
...Unknown 4 0.0 0 0 0 0 4 0.0
MOTHER'S EDUCATION: 15,637 13.1 9,976 17.4 4,549 62.5 1,112 2.0
...Less than High School
...High School Graduate or GED 28,323 23.8 20,851 36.5 1,876 25.8 5,596 10.3
...Some College 37,033 31.1 21,182 37.0 509 7.0 15,342 28.2
...Bachelors Degree 24,112 20.3 4,134 7.2 236 3.2 19,742 36.2
...Masters or PhD 13,466 11.3 865 1.5 41 0.6 12,560 23.1
...Unknown 386 0.3 186 0.3 67 0.9 133 0.2
MARITAL STATUS: 70,305 59.1 19,111 33.4 2,856 39.2 48,338 88.7
...Married
...Unmarried 48,599 40.9 38,065 66.6 4,420 60.7 6,114 11.2
...Unknown 53 0.0 18 0.0 2 0.0 33 0.1
PARITY: 38,393 32.3 16,992 29.7 1,301 17.9 20,100 36.9
...1
...2-3 55,027 46.3 25,481 44.6 3,355 46.1 26,191 48.1
...4+ 25,448 21.4 14,681 25.7 2,618 36.0 8,149 15.0
...Unknown 89 0.1 40 0.1 4 0.1 45 0.1
PLURITY: 114,952 96.6 55,314 96.7 7,136 98.0 52,502 96.4
...Singleton
...Twin 3,873 3.3 1,838 3.2 134 1.8 1,901 3.5
...Other Multiples 132 0.1 42 0.1 8 0.1 82 0.2
METHOD OF DELIVERY: 83,937 70.6 40,255 70.4 5,522 75.9 38,160 70.0
...Vaginal
...C-Section 34,982 29.4 16,919 29.6 1,754 24.1 16,309 29.9
...Unknown 38 0.0 20 0.0 2 0.0 16 0.0
TRIMESTER CARE BEGAN: 80,865 68.0 34,234 59.9 3,584 49.2 43,047 79.0
...First
...Second 27,629 23.2 16,663 29.1 2,706 37.2 8,260 15.2
...Third 7,007 5.9 4,263 7.5 641 8.8 2,103 3.9
...No care 2,248 1.9 1,431 2.5 196 2.7 621 1.1
...Unknown 1,208 1.0 603 1.1 151 2.1 454 0.8
KOTELCHUCK INDEX: 1,624 1.4 841 1.5 198 2.7 585 1.1
...Missing
...Inadequate 22,385 18.8 14,233 24.9 2,217 30.5 5,935 10.9
...Intermediate 6,436 5.4 3,260 5.7 661 9.1 2,515 4.6
...Adequate 32,287 27.1 14,177 24.8 1,960 26.9 16,150 29.6
...Adequate Plus 56,225 47.3 24,683 43.2 2,242 30.8 29,300 53.8
PLACE OF DELIVERY: 117,196 98.5 56,808 99.3 7,273 99.9 53,115 97.5
...Hospital
...Home Birth (Intentional or not) 633 0.5 126 0.2 3 0.0 504 0.9
...Other 1,128 0.9 260 0.5 2 0.0 866 1.6
MOTHER SMOKED? 9,938 8.4 8,844 15.5 17 0.2 1,077 2.0
...Yes
...No 108,985 91.6 48,334 84.5 7,261 99.8 53,390 98.0
...Unknown 34 0.0 16 0.0 0 0 18 0.0
PRE-PREGNANCY BMI: 3,784 3.2 2,412 4.2 107 1.5 1,265 2.3
...Underweight (<18.5)
...Normal (18.5-24.9) 47,946 40.3 19,833 34.7 2,351 32.3 25,762 47.3
...Overweight (25.0-29.9) 30,169 25.4 13,705 24.0 2,514 34.5 13,950 25.6
...Obese (30.0+) 34,527 29.0 19,873 34.7 2,019 27.7 12,635 23.2
...Unknown 2,531 2.1 1,371 2.4 287 3.9 873 1.6
INFANT BEING BREASTFED AT DISCHARGE: 96,218 80.9 40,318 70.5 6,439 88.5 49,461 90.8
...Yes
...No 22,386 18.8 16,772 29.3 839 11.5 4,775 8.8
...Unknown 353 0.3 104 0.2 0 0 249 0.5
MOTHER'S WIC STATUS: 47,451 39.9 37,972 66.4 5,251 72.1 4,228 7.8
...Prenatal WIC
...No Prenatal WIC 71,506 60.1 19,222 33.6 2,027 27.9 50,257 92.2

1 Medicaid paid for prenatal care and delivery. 2 Medicaid paid for delivery only, not prenatal care.
% Columns may not sum to 100.0% due to rounding
Source: State Center for Health Statistics, N.C. Department of Health and Human Services

RISK FACTORS AND CHARACTERISTICS FOR
2018 NORTH CAROLINA RESIDENT LIVE BIRTHS:
MEDICAID DELIVERIES (PRENATAL AND EMERGENCY) BY RACE/ETHNICITY

  TOTAL RACE/ETHNICITY:
White, Non-Hispanic Black, Non-Hispanic Am. Ind., Non-Hispanic Other, Non-Hispanic Hispanic
Births Births Births Births Births Births
# % # % # % # % # % # %
TOTAL RESIDENT BIRTHS 64,472 100.0 25,292 39.2 21,992 34.1 1,304 2.0 1,872 2.9 14,012 21.7
MOTHER'S MEDICAID STATUS: 57,194 88.7 25,244 99.8 21,909 99.6 1,303 99.9 1,777 94.9 6,961 49.7
...Prenatal Medicaid1
...Emergency Medicaid2 7,278 11.3 48 0.2 83 0.4 1 0.1 95 5.1 7,051 50.3
BIRTHWEIGHT GROUP: 132 0.2 28 0.1 77 0.4 7 0.5 4 0.2 16 0.1
...Less than 500 grams
...500-1499 grams 1,094 1.7 322 1.3 573 2.6 30 2.3 26 1.4 143 1.0
...1500-2499 grams 5,927 9.2 2,145 8.5 2,595 11.8 139 10.7 137 7.3 911 6.5
...2500+ grams 57,305 88.9 22,790 90.1 18,743 85.2 1,128 86.5 1,704 91.0 12,940 92.3
...Unknown 14 0.0 7 0.0 4 0.0 0 0 1 0.1 2 0.0
(OBSTETRIC) WEEKS OF GESTATION: 451 0.7 111 0.4 252 1.1 16 1.2 15 0.8 57 0.4
...< 27 weeks
...27-31 weeks 885 1.4 301 1.2 405 1.8 24 1.8 17 0.9 138 1.0
...32-36 weeks 6,114 9.5 2,360 9.3 2,381 10.8 129 9.9 151 8.1 1,093 7.8
...37+ weeks 56,984 88.4 22,500 89.0 18,941 86.1 1,135 87.0 1,687 90.1 12,721 90.8
...Unknown 38 0.1 20 0.1 13 0.1 0 0 2 0.1 3 0.0
MOTHER'S AGE: 1,530 2.4 480 1.9 554 2.5 36 2.8 15 0.8 445 3.2
...< 18 years
...18-34 years 55,701 86.4 22,453 88.8 19,415 88.3 1,165 89.3 1,547 82.6 11,121 79.4
...35+ years 7,241 11.2 2,359 9.3 2,023 9.2 103 7.9 310 16.6 2,446 17.5
MOTHER'S EDUCATION: 14,525 22.5 4,055 16.0 3,295 15.0 271 20.8 440 23.5 6,464 46.1
...Less than High School
...High School Graduate or GED 22,727 35.3 8,948 35.4 8,353 38.0 508 39.0 567 30.3 4,351 31.1
...Some College 21,691 33.6 9,946 39.3 8,343 37.9 471 36.1 509 27.2 2,422 17.3
...Bachelors Degree 4,370 6.8 1,885 7.5 1,600 7.3 46 3.5 266 14.2 573 4.1
...Masters or PhD 906 1.4 367 1.5 352 1.6 8 0.6 71 3.8 108 0.8
...Unknown 253 0.4 91 0.4 49 0.2 0 0 19 1.0 94 0.7
MARITAL STATUS: 21,967 34.1 10,777 42.6 3,926 17.9 322 24.7 1,155 61.7 5,787 41.3
...Married
...Unmarried 42,485 65.9 14,507 57.4 18,058 82.1 982 75.3 717 38.3 8,221 58.7
...Unknown 20 0.0 8 0.0 8 0.0 0 0 0 0 4 0.0
PARITY: 18,293 28.4 7,726 30.5 6,066 27.6 390 29.9 572 30.6 3,539 25.3
...1
...2-3 28,836 44.7 11,650 46.1 9,422 42.8 591 45.3 863 46.1 6,310 45.0
...4+ 17,299 26.8 5,903 23.3 6,484 29.5 323 24.8 435 23.2 4,154 29.6
...Unknown 44 0.1 13 0.1 20 0.1 0 0 2 0.1 9 0.1
PLURITY: 62,450 96.9 24,534 97.0 21,115 96.0 1,250 95.9 1,824 97.4 13,727 98.0
...Singleton
...Twin 1,972 3.1 743 2.9 853 3.9 51 3.9 48 2.6 277 2.0
...Other Multiples 50 0.1 15 0.1 24 0.1 3 0.2 0 0 8 0.1
METHOD OF DELIVERY: 45,777 71.0 17,801 70.4 15,120 68.8 897 68.8 1,408 75.2 10,551 75.3
...Vaginal
...C-Section 18,673 29.0 7,475 29.6 6,868 31.2 407 31.2 464 24.8 3,459 24.7
...Unknown 22 0.0 16 0.1 4 0.0 0 0 0 0 2 0.0
TRIMESTER CARE BEGAN: 37,818 58.7 16,301 64.5 12,468 56.7 668 51.2 955 51.0 7,426 53.0
...First
...Second 19,369 30.0 6,500 25.7 6,904 31.4 410 31.4 676 36.1 4,879 34.8
...Third 4,904 7.6 1,669 6.6 1,794 8.2 105 8.1 172 9.2 1,164 8.3
...No care 1,627 2.5 596 2.4 607 2.8 50 3.8 51 2.7 323 2.3
...Unknown 754 1.2 226 0.9 219 1.0 71 5.4 18 1.0 220 1.6
KOTELCHUCK INDEX: 1,039 1.6 308 1.2 320 1.5 75 5.8 29 1.5 307 2.2
...Missing
...Inadequate 16,450 25.5 5,491 21.7 6,050 27.5 396 30.4 571 30.5 3,942 28.1
...Intermediate 3,921 6.1 1,234 4.9 1,396 6.3 113 8.7 110 5.9 1,068 7.6
...Adequate 16,137 25.0 6,526 25.8 5,033 22.9 307 23.5 435 23.2 3,836 27.4
...Adequate Plus 26,925 41.8 11,733 46.4 9,193 41.8 413 31.7 727 38.8 4,859 34.7
PLACE OF DELIVERY: 64,081 99.4 25,014 98.9 21,924 99.7 1,304 100.0 1,864 99.6 13,975 99.7
...Hospital
...Home Birth (Intentional or not) 129 0.2 70 0.3 42 0.2 0 0 3 0.2 14 0.1
...Other 262 0.4 208 0.8 26 0.1 0 0 5 0.3 23 0.2
MOTHER SMOKED? 8,861 13.7 6,089 24.1 2,111 9.6 328 25.2 57 3.0 276 2.0
...Yes
...No 55,595 86.2 19,196 75.9 19,872 90.4 976 74.8 1,815 97.0 13,736 98.0
...Unknown 16 0.0 7 0.0 9 0.0 0 0 0 0 0 0
PRE-PREGNANCY BMI: 2,519 3.9 1,292 5.1 776 3.5 60 4.6 97 5.2 294 2.1
...Underweight (<18.5)
...Normal (18.5-24.9) 22,184 34.4 9,637 38.1 6,645 30.2 377 28.9 952 50.9 4,573 32.6
...Overweight (25.0-29.9) 16,219 25.2 5,892 23.3 5,134 23.3 321 24.6 442 23.6 4,430 31.6
...Obese (30.0+) 21,892 34.0 8,051 31.8 8,858 40.3 411 31.5 312 16.7 4,260 30.4
...Unknown 1,658 2.6 420 1.7 579 2.6 135 10.4 69 3.7 455 3.2
INFANT BEING BREASTFED AT DISCHARGE: 46,757 72.5 18,127 71.7 14,401 65.5 616 47.2 1,474 78.7 12,139 86.6
...Yes
...No 17,611 27.3 7,106 28.1 7,557 34.4 679 52.1 397 21.2 1,872 13.4
...Unknown 104 0.2 59 0.2 34 0.2 9 0.7 1 0.1 1 0.0
MOTHER'S WIC STATUS: 43,223 67.0 15,614 61.7 15,851 72.1 761 58.4 1,162 62.1 9,835 70.2
...Prenatal WIC
...No Prenatal WIC 21,249 33.0 9,678 38.3 6,141 27.9 543 41.6 710 37.9 4,177 29.8

1 Medicaid paid for prenatal care and delivery. 2Medicaid paid for delivery only, not prenatal care.
% Columns may not sum to 100.0% due to rounding.
Source: State Center for Health Statistics, N.C. Department of Health and Human Services

2018 NORTH CAROLINA RESIDENT LIVE BIRTHS:
MEDICAID DELIVERIES BY COUNTY OF RESIDENCE

  TOTAL MOTHER'S MEDICAID STATUS:
Prenatal Medicaid1 Emergency Medicaid2 Non-Medicaid
Births Births Births
# % # % # %
TOTAL RESIDENT BIRTHS 118,957 57,194 48.1 7,278 6.1 54,485 45.8
RESIDENCE: 1,958 1,080 55.2 153 7.8 725 37.0
Alamance
Alexander 344 217 63.1 11 3.2 116 33.7
Alleghany 91 65 71.4 8 8.8 18 19.8
Anson 263 204 77.6 4 1.5 55 20.9
Ashe 199 132 66.3 5 2.5 62 31.2
Avery 163 99 60.7 9 5.5 55 33.7
Beaufort 416 272 65.4 21 5.0 123 29.6
Bertie 179 120 67.0 2 1.1 57 31.8
Bladen 371 257 69.3 21 5.7 93 25.1
Brunswick 987 574 58.2 38 3.9 375 38.0
Buncombe 2,482 1,184 47.7 159 6.4 1,139 45.9
Burke 863 545 63.2 67 7.8 251 29.1
Cabarrus 2,509 1,023 40.8 142 5.7 1,344 53.6
Caldwell 777 537 69.1 27 3.5 213 27.4
Camden 98 33 33.7 0 0 65 66.3
Carteret 501 242 48.3 11 2.2 248 49.5
Caswell 218 150 68.8 2 0.9 66 30.3
Catawba 1,693 1,053 62.2 96 5.7 544 32.1
Chatham 650 214 32.9 70 10.8 366 56.3
Cherokee 258 168 65.1 5 1.9 85 32.9
Chowan 143 99 69.2 0 0 44 30.8
Clay 83 54 65.1 2 2.4 27 32.5
Cleveland 1,162 832 71.6 10 0.9 320 27.5
Columbus 566 415 73.3 17 3.0 134 23.7
Craven 1,337 551 41.2 14 1.0 772 57.7
Cumberland 5,402 2,497 46.2 55 1.0 2,850 52.8
Currituck 263 96 36.5 2 0.8 165 62.7
Dare 318 154 48.4 35 11.0 129 40.6
Davidson 1,751 1,009 57.6 89 5.1 653 37.3
Davie 398 186 46.7 23 5.8 189 47.5
Duplin 707 409 57.9 125 17.7 173 24.5
Durham 4,151 1,505 36.3 516 12.4 2,130 51.3
Edgecombe 593 489 82.5 21 3.5 83 14.0
Forsyth 4,330 2,110 48.7 387 8.9 1,833 42.3
Franklin 697 355 50.9 37 5.3 305 43.8
Gaston 2,526 1,417 56.1 106 4.2 1,003 39.7
Gates 94 41 43.6 2 2.1 51 54.3
Graham 78 60 76.9 2 2.6 16 20.5
Granville 590 289 49.0 34 5.8 267 45.3
Greene 206 130 63.1 13 6.3 63 30.6
Guilford 6,115 3,347 54.7 333 5.4 2,435 39.8
Halifax 537 427 79.5 4 0.7 106 19.7
Harnett 1,845 814 44.1 89 4.8 942 51.1
Haywood 541 328 60.6 9 1.7 204 37.7
Henderson 1,093 553 50.6 90 8.2 450 41.2
Hertford 230 166 72.2 2 0.9 62 27.0
Hoke 846 329 38.9 41 4.8 476 56.3
Hyde 35 17 48.6 6 17.1 12 34.3
Iredell 1,891 908 48.0 69 3.6 914 48.3
Jackson 366 235 64.2 15 4.1 116 31.7
Johnston 2,299 1,011 44.0 192 8.4 1,096 47.7
Jones 88 49 55.7 2 2.3 37 42.0
Lee 792 416 52.5 103 13.0 273 34.5
Lenoir 624 453 72.6 25 4.0 146 23.4
Lincoln 856 444 51.9 18 2.1 394 46.0
McDowell 418 287 68.7 15 3.6 116 27.8
Macon 322 182 56.5 29 9.0 111 34.5
Madison 221 142 64.3 4 1.8 75 33.9
Martin 247 171 69.2 4 1.6 72 29.1
Mecklenburg 14,651 5,633 38.4 1,285 8.8 7,733 52.8
Mitchell 149 81 54.4 5 3.4 63 42.3
Montgomery 278 194 69.8 39 14.0 45 16.2
Moore 1,168 458 39.2 51 4.4 659 56.4
Nash 1,046 670 64.1 52 5.0 324 31.0
New Hanover 2,146 859 40.0 161 7.5 1,126 52.5
Northampton 171 123 71.9 5 2.9 43 25.1
Onslow 3,923 1,029 26.2 26 0.7 2,868 73.1
Orange 1,134 384 33.9 89 7.8 661 58.3
Pamlico 90 53 58.9 1 1.1 36 40.0
Pasquotank 454 250 55.1 13 2.9 191 42.1
Pender 623 285 45.7 36 5.8 302 48.5
Perquimans 121 72 59.5 1 0.8 48 39.7
Person 400 259 64.8 13 3.3 128 32.0
Pitt 2,085 1,172 56.2 82 3.9 831 39.9
Polk 149 95 63.8 0 0 54 36.2
Randolph 1,520 860 56.6 129 8.5 531 34.9
Richmond 555 444 80.0 21 3.8 90 16.2
Robeson 1,699 1,268 74.6 150 8.8 281 16.5
Rockingham 913 592 64.8 20 2.2 301 33.0
Rowan 1,593 939 58.9 120 7.5 534 33.5
Rutherford 654 486 74.3 11 1.7 157 24.0
Sampson 834 454 54.4 147 17.6 233 27.9
Scotland 443 373 84.2 4 0.9 66 14.9
Stanly 676 390 57.7 12 1.8 274 40.5
Stokes 396 245 61.9 0 0 151 38.1
Surry 757 475 62.7 43 5.7 239 31.6
Swain 141 114 80.9 1 0.7 26 18.4
Transylvania 278 178 64.0 7 2.5 93 33.5
Tyrrell 34 19 55.9 3 8.8 12 35.3
Union 2,455 925 37.7 174 7.1 1,356 55.2
Vance 562 458 81.5 29 5.2 75 13.3
Wake 12,580 3,578 28.4 861 6.8 8,141 64.7
Warren 159 130 81.8 3 1.9 26 16.4
Washington 129 107 82.9 5 3.9 17 13.2
Watauga 354 130 36.7 12 3.4 212 59.9
Wayne 1,638 920 56.2 122 7.4 596 36.4
Wilkes 696 460 66.1 36 5.2 200 28.7
Wilson 976 605 62.0 77 7.9 294 30.1
Yadkin 363 191 52.6 27 7.4 145 39.9
Yancey 183 90 49.2 14 7.7 79 43.2

1 Medicaid paid for prenatal care and delivery. 2 Medicaid paid for delivery only, not prenatal care.
% Columns may not sum to 100.0% due to rounding
Source: State Center for Health Statistics, N.C. Department of Health and Human Services