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No First Trimester Care                                                  
                                                                                                    
No First Trimester Care is the percent of all births in which the                                   
mother did not begin prenatal care during the first three months of the                             
pregnancy.  It has been shown that early prenatal care is essential to                              
the health and well-being of newborn infants, particularly in reducing                              
the rates of infant death, low birth-weight, and other perinatal                                    
conditions.                                                                                         
                                                                                                    
No First Trimester Care is calculated by dividing the number of births                              
not receiving first trimester care by the total number of births minus                              
the number of births with unknown care.  In 2001, there were 36,301                                 
births in which month prenatal care began was known.  Of those, 7,339                               
were to mothers who did not begin prenatal care in the first trimester.                             
The percent No First Trimester Care = (7,339 / 36,301) X 100 = 20.2                                 
percent.  Nationally, 16.6 percent of all births in 2001 were to                                    
mothers who did not begin care in their first trimester.                                            
                                                                                                    
During the period from 1997 to 2001, the average percent receiving No                               
First Trimester Care ranged from a low of 13.4 percent in Grant County                              
to a high of 38.5 percent in Phillips County.                                                       
                                                                                                    
The Southeast region had the highest five-year average of No First                                  
Trimester Care at 26.6, while the Central region had the lowest at                                  
17.9.                                                                                               
                                                                                                    
Although a significant increase in the percentage of Arkansas women not                             
receiving first trimester prenatal care occurred in 1996, rising from                               
23.3 percent to 25.2 percent, a steady decline has taken place since.                               
Calendar year 2001 showed another decrease from 20.2 in 2000 to 20.2                                
percent in 2001.                                                                                    
                                                                                                    
Receipt of prenatal care varies substantially by race.  The Arkansas                                
five-year average for No First Trimester Care for White mothers was                                 
18.4 percent.  The percentage for Black mothers was higher at 32.3                                  
percent.                                                                                            
 
 
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