RISK FACTORS AND CHARACTERISTICS FOR
2019 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 118,725 100.0 56,580 47.7 7,365 6.2 54,780 46.1
RACE/ETHNICITY: 63,526 53.5 24,442 43.2 30 0.4 39,054 71.3
...White, Non-Hispanic
...Black, Non-Hispanic 28,975 24.4 22,005 38.9 70 1.0 6,900 12.6
...Am. Ind., Non-Hispanic 1,579 1.3 1,254 2.2 0 0 325 0.6
...Other, Non-Hispanic 5,544 4.7 1,668 2.9 72 1.0 3,804 6.9
...Hispanic 19,101 16.1 7,211 12.7 7,193 97.7 4,697 8.6
BIRTHWEIGHT GROUP: 257 0.2 136 0.2 8 0.1 113 0.2
...Less than 500 grams
...500-1499 grams 1,751 1.5 1,012 1.8 90 1.2 649 1.2
...1500-2499 grams 9,070 7.6 5,463 9.7 431 5.9 3,176 5.8
...2500+ grams 107,611 90.6 49,958 88.3 6,835 92.8 50,818 92.8
...Unknown 36 0.0 11 0.0 1 0.0 24 0.0
(OBSTETRIC) WEEKS OF GESTATION: 803 0.7 459 0.8 35 0.5 309 0.6
...< 27 weeks
...27-31 weeks 1,407 1.2 795 1.4 82 1.1 530 1.0
...32-36 weeks 10,432 8.8 5,664 10.0 590 8.0 4,178 7.6
...37+ weeks 106,038 89.3 49,638 87.7 6,655 90.4 49,745 90.8
...Unknown 45 0.0 24 0.0 3 0.0 18 0.0
MOTHER'S AGE: 1,584 1.3 1,379 2.4 105 1.4 100 0.2
...< 18 years
...18-34 years 97,483 82.1 49,753 87.9 5,430 73.7 42,300 77.2
...35+ years 19,650 16.6 5,448 9.6 1,827 24.8 12,375 22.6
...Unknown 8 0.0 0 0 3 0.0 5 0.0
MOTHER'S EDUCATION: 15,195 12.8 9,479 16.8 4,532 61.5 1,184 2.2
...Less than High School
...High School Graduate or GED 29,578 24.9 21,689 38.3 1,969 26.7 5,920 10.8
...Some College 35,860 30.2 20,283 35.8 456 6.2 15,121 27.6
...Bachelors Degree 23,941 20.2 4,029 7.1 238 3.2 19,674 35.9
...Masters or PhD 13,723 11.6 913 1.6 56 0.8 12,754 23.3
...Unknown 428 0.4 187 0.3 114 1.5 127 0.2
MARITAL STATUS: 69,362 58.4 18,428 32.6 2,817 38.2 48,117 87.8
...Married
...Unmarried 49,310 41.5 38,131 67.4 4,546 61.7 6,633 12.1
...Unknown 53 0.0 21 0.0 2 0.0 30 0.1
PARITY: 38,084 32.1 16,761 29.6 1,330 18.1 19,993 36.5
...1
...2-3 54,379 45.8 24,706 43.7 3,356 45.6 26,317 48.0
...4+ 26,173 22.0 15,076 26.6 2,673 36.3 8,424 15.4
...Unknown 89 0.1 37 0.1 6 0.1 46 0.1
PLURITY: 114,883 96.8 54,702 96.7 7,229 98.2 52,952 96.7
...Singleton
...Twin 3,753 3.2 1,842 3.3 133 1.8 1,778 3.2
...Other Multiples 89 0.1 36 0.1 3 0.0 50 0.1
METHOD OF DELIVERY: 84,204 70.9 39,980 70.7 5,566 75.6 38,658 70.6
...Vaginal
...C-Section 34,482 29.0 16,583 29.3 1,799 24.4 16,100 29.4
...Unknown 39 0.0 17 0.0 0 0 22 0.0
TRIMESTER CARE BEGAN: 80,125 67.5 34,339 60.7 3,417 46.4 42,369 77.3
...First
...Second 27,056 22.8 15,765 27.9 2,732 37.1 8,559 15.6
...Third 7,316 6.2 4,252 7.5 771 10.5 2,293 4.2
...No care 2,941 2.5 1,636 2.9 301 4.1 1,004 1.8
...Unknown 1,287 1.1 588 1.0 144 2.0 555 1.0
KOTELCHUCK INDEX: 1,730 1.5 795 1.4 205 2.8 730 1.3
...Missing
...Inadequate 23,200 19.5 13,821 24.4 2,556 34.7 6,823 12.5
...Intermediate 5,921 5.0 3,085 5.5 566 7.7 2,270 4.1
...Adequate 29,288 24.7 12,897 22.8 1,689 22.9 14,702 26.8
...Adequate Plus 58,586 49.3 25,982 45.9 2,349 31.9 30,255 55.2
PLACE OF DELIVERY: 117,109 98.6 56,176 99.3 7,361 99.9 53,572 97.8
...Hospital
...Home Birth (Intentional or not) 721 0.6 131 0.2 4 0.1 586 1.1
...Other 895 0.8 273 0.5 0 0 622 1.1
MOTHER SMOKED? 8,991 7.6 7,967 14.1 20 0.3 1,004 1.8
...Yes
...No 109,690 92.4 48,595 85.9 7,345 99.7 53,750 98.1
...Unknown 44 0.0 18 0.0 0 0 26 0.0
PRE-PREGNANCY BMI: 3,859 3.3 2,329 4.1 129 1.8 1,401 2.6
...Underweight (<18.5)
...Normal (18.5-24.9) 46,744 39.4 19,184 33.9 2,363 32.1 25,197 46.0
...Overweight (25.0-29.9) 30,242 25.5 13,508 23.9 2,512 34.1 14,222 26.0
...Obese (30.0+) 35,301 29.7 20,246 35.8 2,036 27.6 13,019 23.8
...Unknown 2,579 2.2 1,313 2.3 325 4.4 941 1.7
INFANT BEING BREASTFED AT DISCHARGE: 95,896 80.8 39,959 70.6 6,477 87.9 49,460 90.3
...Yes
...No 22,490 18.9 16,510 29.2 886 12.0 5,094 9.3
...Unknown 339 0.3 111 0.2 2 0.0 226 0.4
MOTHER'S WIC STATUS: 44,949 37.9 36,042 63.7 4,880 66.3 4,027 7.4
...Prenatal WIC
...No Prenatal WIC 73,776 62.1 20,538 36.3 2,485 33.7 50,753 92.6

1Medicaid 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 NC Department of Health and Human Services

RISK FACTORS AND CHARACTERISTICS FOR
2019 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 63,945 100.0 24,472 38.3 22,075 34.5 1,254 2.0 1,740 2.7 14,404 22.5
MOTHER'S MEDICAID STATUS: 56,580 88.5 24,442 99.9 22,005 99.7 1,254 100.0 1,668 95.9 7,211 50.1
...Prenatal Medicaid1
...Emergency Medicaid2 7,365 11.5 30 0.1 70 0.3 0 0 72 4.1 7,193 49.9
BIRTHWEIGHT GROUP: 144 0.2 29 0.1 91 0.4 5 0.4 2 0.1 17 0.1
...Less than 500 grams
...500-1499 grams 1,102 1.7 321 1.3 568 2.6 20 1.6 17 1.0 176 1.2
...1500-2499 grams 5,894 9.2 2,016 8.2 2,723 12.3 124 9.9 152 8.7 879 6.1
...2500+ grams 56,793 88.8 22,101 90.3 18,689 84.7 1,104 88.0 1,569 90.2 13,330 92.5
...Unknown 12 0.0 5 0.0 4 0.0 1 0.1 0 0 2 0.0
(OBSTETRIC) WEEKS OF GESTATION: 494 0.8 130 0.5 279 1.3 10 0.8 8 0.5 67 0.5
...< 27 weeks
...27-31 weeks 877 1.4 273 1.1 403 1.8 23 1.8 19 1.1 159 1.1
...32-36 weeks 6,254 9.8 2,398 9.8 2,472 11.2 102 8.1 143 8.2 1,139 7.9
...37+ weeks 56,293 88.0 21,659 88.5 18,913 85.7 1,119 89.2 1,570 90.2 13,032 90.5
...Unknown 27 0.0 12 0.0 8 0.0 0 0 0 0 7 0.0
MOTHER'S AGE: 1,484 2.3 410 1.7 543 2.5 38 3.0 19 1.1 474 3.3
...< 18 years
...18-34 years 55,183 86.3 21,716 88.7 19,495 88.3 1,118 89.2 1,448 83.2 11,406 79.2
...35+ years 7,275 11.4 2,346 9.6 2,037 9.2 98 7.8 273 15.7 2,521 17.5
...Unknown 3 0.0 0 0 0 0 0 0 0 0 3 0.0
MOTHER'S EDUCATION: 14,011 21.9 3,786 15.5 3,137 14.2 243 19.4 401 23.0 6,444 44.7
...Less than High School
...High School Graduate or GED 23,658 37.0 9,074 37.1 8,862 40.1 539 43.0 566 32.5 4,617 32.1
...Some College 20,739 32.4 9,459 38.7 7,948 36.0 423 33.7 434 24.9 2,475 17.2
...Bachelors Degree 4,267 6.7 1,704 7.0 1,684 7.6 39 3.1 246 14.1 594 4.1
...Masters or PhD 969 1.5 362 1.5 387 1.8 8 0.6 79 4.5 133 0.9
...Unknown 301 0.5 87 0.4 57 0.3 2 0.2 14 0.8 141 1.0
MARITAL STATUS: 21,245 33.2 10,190 41.6 3,875 17.6 287 22.9 1,101 63.3 5,792 40.2
...Married
...Unmarried 42,677 66.7 14,271 58.3 18,194 82.4 967 77.1 636 36.6 8,609 59.8
...Unknown 23 0.0 11 0.0 6 0.0 0 0 3 0.2 3 0.0
PARITY: 18,091 28.3 7,498 30.6 5,985 27.1 389 31.0 507 29.1 3,712 25.8
...1
...2-3 28,062 43.9 10,938 44.7 9,303 42.1 567 45.2 819 47.1 6,435 44.7
...4+ 17,749 27.8 6,021 24.6 6,771 30.7 298 23.8 413 23.7 4,246 29.5
...Unknown 43 0.1 15 0.1 16 0.1 0 0 1 0.1 11 0.1
PLURITY: 61,931 96.9 23,734 97.0 21,168 95.9 1,221 97.4 1,711 98.3 14,097 97.9
...Singleton
...Twin 1,975 3.1 727 3.0 882 4.0 33 2.6 29 1.7 304 2.1
...Other Multiples 39 0.1 11 0.0 25 0.1 0 0 0 0 3 0.0
METHOD OF DELIVERY: 45,546 71.2 17,261 70.5 15,215 68.9 892 71.1 1,285 73.9 10,893 75.6
...Vaginal
...C-Section 18,382 28.7 7,200 29.4 6,857 31.1 362 28.9 454 26.1 3,509 24.4
...Unknown 17 0.0 11 0.0 3 0.0 0 0 1 0.1 2 0.0
TRIMESTER CARE BEGAN: 37,756 59.0 15,798 64.6 12,844 58.2 726 57.9 923 53.0 7,465 51.8
...First
...Second 18,497 28.9 5,958 24.3 6,667 30.2 336 26.8 590 33.9 4,946 34.3
...Third 5,023 7.9 1,760 7.2 1,697 7.7 113 9.0 175 10.1 1,278 8.9
...No care 1,937 3.0 680 2.8 688 3.1 55 4.4 41 2.4 473 3.3
...Unknown 732 1.1 276 1.1 179 0.8 24 1.9 11 0.6 242 1.7
KOTELCHUCK INDEX: 1,000 1.6 368 1.5 252 1.1 25 2.0 16 0.9 339 2.4
...Missing
...Inadequate 16,377 25.6 5,311 21.7 5,902 26.7 355 28.3 499 28.7 4,310 29.9
...Intermediate 3,651 5.7 1,155 4.7 1,355 6.1 79 6.3 81 4.7 981 6.8
...Adequate 14,586 22.8 5,814 23.8 4,705 21.3 304 24.2 356 20.5 3,407 23.7
...Adequate Plus 28,331 44.3 11,824 48.3 9,861 44.7 491 39.2 788 45.3 5,367 37.3
PLACE OF DELIVERY: 63,537 99.4 24,201 98.9 21,985 99.6 1,250 99.7 1,730 99.4 14,371 99.8
...Hospital
...Home Birth (Intentional or not) 135 0.2 73 0.3 44 0.2 2 0.2 3 0.2 13 0.1
...Other 273 0.4 198 0.8 46 0.2 2 0.2 7 0.4 20 0.1
MOTHER SMOKED? 7,987 12.5 5,516 22.5 1,926 8.7 280 22.3 42 2.4 223 1.5
...Yes
...No 55,940 87.5 18,950 77.4 20,137 91.2 974 77.7 1,698 97.6 14,181 98.5
...Unknown 18 0.0 6 0.0 12 0.1 0 0 0 0 0 0
PRE-PREGNANCY BMI: 2,458 3.8 1,236 5.1 759 3.4 56 4.5 111 6.4 296 2.1
...Underweight (<18.5)
...Normal (18.5-24.9) 21,547 33.7 9,076 37.1 6,586 29.8 393 31.3 834 47.9 4,658 32.3
...Overweight (25.0-29.9) 16,020 25.1 5,626 23.0 5,157 23.4 267 21.3 440 25.3 4,530 31.4
...Obese (30.0+) 22,282 34.8 8,101 33.1 8,990 40.7 441 35.2 314 18.0 4,436 30.8
...Unknown 1,638 2.6 433 1.8 583 2.6 97 7.7 41 2.4 484 3.4
INFANT BEING BREASTFED AT DISCHARGE: 46,436 72.6 17,596 71.9 14,474 65.6 560 44.7 1,351 77.6 12,455 86.5
...Yes
...No 17,396 27.2 6,807 27.8 7,578 34.3 679 54.1 388 22.3 1,944 13.5
...Unknown 113 0.2 69 0.3 23 0.1 15 1.2 1 0.1 5 0.0
MOTHER'S WIC STATUS: 40,922 64.0 14,549 59.5 15,241 69.0 681 54.3 1,062 61.0 9,389 65.2
...Prenatal WIC
...No Prenatal WIC 23,023 36.0 9,923 40.5 6,834 31.0 573 45.7 678 39.0 5,015 34.8

1Medicaid 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 NC Department of Health and Human Services

2019 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 118,725 56,580 47.7 7,365 6.2 54,780 46.1
RESIDENCE: 1,863 993 53.3 133 7.1 737 39.6
Alamance
Alexander 357 207 58.0 10 2.8 140 39.2
Alleghany 79 46 58.2 8 10.1 25 31.6
Anson 254 187 73.6 3 1.2 64 25.2
Ashe 204 130 63.7 8 3.9 66 32.4
Avery 135 75 55.6 10 7.4 50 37.0
Beaufort 433 270 62.4 41 9.5 122 28.2
Bertie 161 122 75.8 1 0.6 38 23.6
Bladen 344 239 69.5 31 9.0 74 21.5
Brunswick 1,026 585 57.0 44 4.3 397 38.7
Buncombe 2,464 1,198 48.6 156 6.3 1,110 45.0
Burke 890 573 64.4 64 7.2 253 28.4
Cabarrus 2,537 1,032 40.7 154 6.1 1,351 53.3
Caldwell 882 616 69.8 18 2.0 248 28.1
Camden 104 26 25.0 0 0 78 75.0
Carteret 521 249 47.8 20 3.8 252 48.4
Caswell 209 147 70.3 3 1.4 59 28.2
Catawba 1,687 995 59.0 86 5.1 606 35.9
Chatham 609 223 36.6 57 9.4 329 54.0
Cherokee 245 168 68.6 4 1.6 73 29.8
Chowan 123 76 61.8 4 3.3 43 35.0
Clay 86 57 66.3 5 5.8 24 27.9
Cleveland 1,146 808 70.5 17 1.5 321 28.0
Columbus 562 417 74.2 15 2.7 130 23.1
Craven 1,319 576 43.7 21 1.6 722 54.7
Cumberland 5,462 2,469 45.2 69 1.3 2,924 53.5
Currituck 259 80 30.9 2 0.8 177 68.3
Dare 310 130 41.9 32 10.3 148 47.7
Davidson 1,775 1,050 59.2 81 4.6 644 36.3
Davie 402 188 46.8 25 6.2 189 47.0
Duplin 718 403 56.1 137 19.1 178 24.8
Durham 4,158 1,481 35.6 523 12.6 2,154 51.8
Edgecombe 572 460 80.4 23 4.0 89 15.6
Forsyth 4,410 2,142 48.6 397 9.0 1,871 42.4
Franklin 770 385 50.0 46 6.0 339 44.0
Gaston 2,599 1,473 56.7 100 3.8 1,026 39.5
Gates 97 41 42.3 0 0 56 57.7
Graham 97 74 76.3 1 1.0 22 22.7
Granville 568 277 48.8 32 5.6 259 45.6
Greene 225 127 56.4 25 11.1 73 32.4
Guilford 6,045 3,312 54.8 338 5.6 2,395 39.6
Halifax 537 421 78.4 8 1.5 108 20.1
Harnett 1,860 779 41.9 80 4.3 1,001 53.8
Haywood 525 304 57.9 6 1.1 215 41.0
Henderson 1,022 522 51.1 90 8.8 410 40.1
Hertford 195 139 71.3 6 3.1 50 25.6
Hoke 867 339 39.1 52 6.0 476 54.9
Hyde 37 25 67.6 4 10.8 8 21.6
Iredell 1,884 886 47.0 58 3.1 940 49.9
Jackson 372 236 63.4 18 4.8 118 31.7
Johnston 2,522 1,063 42.1 207 8.2 1,252 49.6
Jones 92 58 63.0 3 3.3 31 33.7
Lee 781 399 51.1 89 11.4 293 37.5
Lenoir 619 438 70.8 28 4.5 153 24.7
Lincoln 871 434 49.8 21 2.4 416 47.8
McDowell 434 268 61.8 16 3.7 150 34.6
Macon 318 181 56.9 39 12.3 98 30.8
Madison 181 102 56.4 2 1.1 77 42.5
Martin 221 163 73.8 5 2.3 53 24.0
Mecklenburg 14,398 5,268 36.6 1,312 9.1 7,818 54.3
Mitchell 127 69 54.3 9 7.1 49 38.6
Montgomery 278 175 62.9 31 11.2 72 25.9
Moore 1,147 386 33.7 35 3.1 726 63.3
Nash 1,101 724 65.8 52 4.7 325 29.5
New Hanover 2,172 900 41.4 152 7.0 1,120 51.6
Northampton 165 118 71.5 2 1.2 45 27.3
Onslow 3,821 1,026 26.9 40 1.0 2,755 72.1
Orange 1,164 355 30.5 85 7.3 724 62.2
Pamlico 73 44 60.3 2 2.7 27 37.0
Pasquotank 474 269 56.8 17 3.6 188 39.7
Pender 624 300 48.1 25 4.0 299 47.9
Perquimans 118 80 67.8 0 0 38 32.2
Person 435 270 62.1 8 1.8 157 36.1
Pitt 2,079 1,150 55.3 86 4.1 843 40.5
Polk 166 103 62.0 4 2.4 59 35.5
Randolph 1,546 885 57.2 124 8.0 537 34.7
Richmond 561 440 78.4 18 3.2 103 18.4
Robeson 1,731 1,305 75.4 135 7.8 291 16.8
Rockingham 885 551 62.3 28 3.2 306 34.6
Rowan 1,548 915 59.1 95 6.1 538 34.8
Rutherford 680 485 71.3 10 1.5 185 27.2
Sampson 727 434 59.7 119 16.4 174 23.9
Scotland 442 385 87.1 4 0.9 53 12.0
Stanly 668 365 54.6 26 3.9 277 41.5
Stokes 370 201 54.3 1 0.3 168 45.4
Surry 766 523 68.3 50 6.5 193 25.2
Swain 181 142 78.5 6 3.3 33 18.2
Transylvania 262 175 66.8 8 3.1 79 30.2
Tyrrell 30 17 56.7 3 10.0 10 33.3
Union 2,279 807 35.4 163 7.2 1,309 57.4
Vance 570 464 81.4 25 4.4 81 14.2
Wake 12,689 3,808 30.0 909 7.2 7,972 62.8
Warren 145 112 77.2 4 2.8 29 20.0
Washington 132 106 80.3 4 3.0 22 16.7
Watauga 313 122 39.0 13 4.2 178 56.9
Wayne 1,619 888 54.8 148 9.1 583 36.0
Wilkes 669 444 66.4 31 4.6 194 29.0
Wilson 976 616 63.1 66 6.8 294 30.1
Yadkin 375 199 53.1 31 8.3 145 38.7
Yancey 174 90 51.7 8 4.6 76 43.7

1Medicaid 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 NC Department of Health and Human Services