North Carolina reported pregnancies

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North Carolina
Reported Pregnancies
1992
PUBLICATIONS OF THE
STATE CENTER FOR HEALTH AND ENVIRONMENTAL STATISTICS
North Carolina Health Statistics Pocket Guide (Biennial):
Data for the U.S., South Atlantic Area, N.C. and N.C. counties are presented in tabular and narrative forms with more than 8,000 calculations
depicting patterns of various needs indicators, as well as births, deaths, abortions, diseases, immunizations, health care resources and other data
from state and national reporting systems and surveys. This composite of information, contained in a compact foldout, will serve the needs of
many, if not most, health data users.
North Carolina Vital Statistics, Volume 1: Population, Births, Deaths, Marriages, Divorces (Annual):
For the state and each Department of Environment, Health, and Natural Resources (DEHNR) region. Perinatal Care Region (PCR), county and
major incorporated city, one-page tables summarize annual and S-year data by race and selected variables. Maps, graphs and narrative describe
geographical patterns and statewide trends.
North Carolina Vital Statistics, Volume 2: Leading Causes ofMortality (Annual):
For the state, DEHNR regions, and counties, cause-specific aimual and 5-year data are given in the form ofnumbers ofdeaths, unadjusted death
rates and age-race-sex-adjusted death rales. For each cause, maps depict S-year adjusted and unadjusted county rates. Infant mortality and
multiple conditions data are also tabulated and mapped.
Basic Automated Birth Yearbook, North Carolina Residents (Annual):
Known as the BABY BOOK, this statewide report is comprised of multiple cross-tabulations of various matonal and infant variables such as
age, race, birth order, birth weight and number ofprenatal visits as well as medical conditions ofthe mother, the labor/delivery, and the newborn.
Data for DEHNR regions and counties are available on microfiche.
Detailed Mortality Statistics, North Carolina Residents (Armual):
This statewide report provides annual counts of deaths specific for detailed underlying cause of death (4 digits) and age-race-sex group. Data
for counties are available on microfiche.
North Carolina Reported Pregnancies (Annual):
For the state, DEHNR regions, PCR's, and counties, annual estimates of pregnancy rates, live birth rates, abortion rates and abortion fractions
by age and race are followed by one-page tables displaying counts of pregnancies (abortions, live births, and fetal deaths) by race and age for
total and unmarried women. Maps, graphs and narrative describe geographical patterns and statewide trends.
North Carolina Communicable Disease Morbidity Statistics (Annual):
For the state, coimties and four military bases, one-page tables display disease-specific counts for the current year and four prior years; current
counts are race-specific. Tables, graphs and narrative describe statewide trends and age-race-sex patterns in reported cases and rates.
Cancer Incidence in North Carolina, County-Specific Numbers (Annual):
Observed and expected numbers of newly diagnosed cancer cases for 26 cancer sites and all cancers are provided by coimty and gender. State
and county tabulations of cases by race-sex and age are also provided.
Cancer in North Carolina, Detailed Analyses (Intermittent):
This report provides an in-depth assessment of cancer incidence and mortality patterns. Comparisons featured are by anatomic site, stage at
diagnosis, age, race, sex and geographic area. Data are in tabular, graphic and narrative forms.
North Carolina Cancer Facts and Figures (Annual):
This collaborative report with the American Cancer Society is prepared specifically for use by the public. It contains tabular, graphic and
narrative materials regarding cancer in North Carolina. Information about cancer control activities and agencies in the state is also given.
Local Health Department Facility and Staffing Report (Biennial):
Facility-level data are compiled from health department surveys. Capacity of facilities, staffing levels, and expenditure data are provided.
CHES Studies (Intermittent):
Studies on health topics of current interest are presented in newsletter form.
CHES Primer (Intermittent):
Short tutorials on statistical methods are presented in newsletter form.
An Inventory ofNorth Carolina Health Data (Intermittent):
This publication describes by subject-matter health data sets existing in public and nonpublic agencies. Included in the description are the data
set's location, the data collection interval, the smallest unit of analysis, whether computerized, and the name of a contact
person.
North Carolina Inventory of Environmental Data Sets (Intermittent):
This publication describes by subject-matter environmental data sets existing in public agencies. Included in the description are the regulations
requiring data collection, typeof data storage, data collection methodology, geographical coverage, period of data collection, update frequency,
availability for public use, and contact information.
North Carolina Chartbook on Population and Health (Intenniltent):
This book provides graphs and charts depicting the characteristics of North Carolina's population, health care resources, health care and health
status.
NORTH CAROLINA
REPORTED PREGNANCIES
1992
j^h N.C. DOCUMENTS
CLEARINGHOUSE
FEB 8 1994
N.C. STATE LIBRARY
RALEIGH
DEPARTMEhTT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
STATE CENTER FOR HEALTH AND ENVIRONMENTAL STATISTICS
STATE OF NORTH CAROLINA
James B. Hunt, Jr., Governor
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
Jonathan B. Howes, Secretary
STATE CENTER FOR HEALTH AND ENVIRONMENTAL STATISTICS
Delton Atkinson, M.S.P.H., M.P.H., Director
December 1993
600 copies of this public document were printed at a cost of $1,932.00. or $3.22 per copy.
TABLE OF CONTENTS
Page
INTRODUCnON 1-1
TRENDS AND PATTERNS IN PREGNANCY, LIVE BIRTH, ABORTION, AND FETAL DEATH ... 2-1
SUMMARY OF CHARACTERISTICS OF INDUCED ABORTIONS 3-1
OCCURRENCE DATA
PLACE OF OCCURRENCE 3-1
FACILITY OF OCCURRENCE 3-1
RESIDENT DATA
PLACE OF RESIDENCE 3A
RACE 3-4
AGE 3-5
EDUCATIONAL ATTAINMENT 3-6
MARITAL STATUS 3-7
NUMBER OF LIVING CHILDREN 3-7
PREVIOUS ABORTIONS 3-7
GESTATION 3-7
COMPLICATIONS 3-8
TERMINATING PROCEDURES 3-8
SELECTED CHARACTERISTICS OF RESIDENT LIVE BIRTHS AND FETAL DEATHS 4-1
LIVE BIRTHS
RACE 4-1
MATERNAL AGE 4-1
UMMARRIED MOTHERS 4-2
BIRTHWEIGHT 4-2
NO PRENATAL CARE 4-3
FETAL DEATHS
Rj\Q£ 4-4
MATERNAL AGE '.'. 4A
TABLES
STATE
DEPARTMENT OF ENVIRONMENT, HEALTH. AND NATURAL RESOURCES REGIONS
PERINATAL CARE REGIONS
COUNTIES
APPENDDCES
A N.C. INDUCED ABORTION CASE REPORT
B. N.C. CERTinCATE OF LIVE BIRTH
C. N.C. REPORT OF FETAL DEATH
D. DEFINITIONS
Digitized by the Internet Archive
in 2010 with funding from
State Library of North Carolina
http://www.archive.org/details/northcarolinarep03nort
INTRODUCTION
This volume is the fourth pregnancy report for North Carolina. The data of this report include reported
induced abortions, live births, and fetal deaths. The sum of these events represents total reported
pregnancies.
The following section uses tables, graphs, maps, and narrative to examine statewide trends and patterns
in pregnancy, live birth, abortion, and fetal death. Subsequent sections of this report examine selected
characteristics of abortions, live births, and fetal deaths with emphasis on abortions since they are not
elsewhere reported. Finally, for the state, regions, and 100 counties, one-page tables summarize resident
abortions, live births, fetal deaths and total pregnancies by race and age for total and unmarried women.
These tables, which have been produced, but not published, formany years, are frequentiy requested. This
is the major impetus for publishing the present report, rather than the abortion report published prior to
data year 1989.
Users should note a change in the case of newborn's race. For 1989 and prior years, race of child was
based on race of mother and race of the father (when known). Beginning in 1 990, race of the child is taken
to be that of the mother regardless of race of father. This change serves to reduce the number of nonwhite
births and fetal deaths and increase the number of white events. Users should be aware of this change when
assessing trends before and after 1990. In 1990, the change resulted in 3.5 percent fewer live births and
2.0 percent fewer fetal deaths being coded nonwhite.
Throughout Utis report, data year 1982 is used as the base to reflect changes during the past decade.
Beginning in 1978, abortion providers voluntarily reported detailed characteristics on nearly all of their
procedures. Corresponding data for earlier years were obtained from a sample and may not be
representative.
Hospitals and clinics in North Carolina reported detailed information on an estimated 98 percent of all
abortions performed in 1992. For tiiose faciUties not reporting 100 percent, the characteristics data have
been expanded in a random manner to agree with each facility's total number of abortions. These
adjustments should not seriously bias the results. For live births and fetal deaths, reporting of the events
is believed to be virtually 100 percent, although die variables include a few unknown or not stated values.
For the maps of titis report, a clustering routine from the Statistical Analysis System (SAS) was used
to group counties that are "most like each other" with respect to the statistic being examined. This
procedure may result in very large or very small groups, depending on how the counties differ from one
another.
It is hoped that this report will serve many of the data needs of those individuals and agencies delivering
and/or planning health services for the childbearing population of the state. Users' comments are always
welcomed. You may contact this office at (919) 733-4728, or address correspondence to:
State Center for Health and Environmental Statistics
Department of Environment, Health, and Natural Resources
P.O. Box 29538
Raleigh, Nortii Carolina 27626-0538
1-1
TRENDS AND PATTERNS IN PREGNANCY, LIVE BIRTH,
ABORTION, AND FETAL DEATH
Total andrace-specific measures foreach year 1982-1992 are listed in the table below. North Carolina's
total resident pregnancy rate has continued a slight upward trend over the past few years with a small
decrease from 1991 to 1992. Live births are the greatest contributor to total pregnancies, so it is not
surprising that the state ' sfertility rate has followed the same general course as the pregnancy rate, though
there was an increase from 1991 to 1992.
The state's abortion rate for 1992 marks the lowest rate for North Carolina in the past decade, due
particularly to a decrease among whites from 1991 to 1992. The abortion fraction, which is highly
correlated with the abortion rate, likewise shows the lowest rate in 10 years for the state and for whites.
Abortion rates and fractions for nonwhites remained stable from 1991 to 1992. The final component of
total reported pregnancies is the relatively small number of fetal deaths. In 1992 the fetal death rate for
nonwhites showed the highest rate since 1982, increasing 13 percent over 1991 alone.
Pregnancy Rates, Fertility Rates, Abortion Rates,
Abortion Fractions and Fetal Death Rates:
North Carolina Residents, 1982-1992
1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992
Pregnancy Rate
TOTAL
WHllK
NONWHllK
81.3
717
1(M.6
80.2
72.3
101.1
81.7
73.7
103.0
81.8
74.3
101.1
80.8
72.3
103.3
83.2
74.4
106.8
86.1
75.9
113.5
87.2
76.5
115.2
87.9
77.9
113.5
85.9
75.7
112.5
85.4
75.4
111.4
Fertility Rate
TOTAL
WHITE
NONWHllt
59.9
54.5
75.4
57.7
53.3
70.2
58.1
54.3
69.0
59.6
56.1
69.3
58.9
54.5
71.4
60.5
56.0
73.0
62.4
57.3
76.7
64.6
59.0
80.2
65.6
60.6
79.6
63.8
58.8
78.0
64.5
59.8
77.5
Abortion Rate
TOTAL
WHllE
NONWHllt
20.8
17.7
28.2
21.9
18.6
29.9
23.1
18.9
33.3
21.7
17.8
30.9
21.4
17.5
31.0
22.2
17.9
32.9
23.1
18.2
35.7
22.1
17.2
33.9
21.7
16.9
32.9
21.4
16.5
33.5
20.3
15.3
32.8
Abortion Fraction
TOTAL
WHllt
NONWHllt
268.2
256.6
279.9
273.6
257.1
295.6
282.4
257.0
322.9
264.8
240.0
306.0
265.2
241.7
299.9
267.0
241.2
308.3
268.2
240.2
314.6
253.1
224.7
294.7
247.0
216.7
289.4
249.8
218.2
297.7
237.9
202.5
294.6
Fetal Death RaU
TOTAL
WHITE
NONWHllt
9.9
8.4
13.2
9.7
7.8
13.8
8.8
7.7
11.3
8.6
7.2
11.8
8.8
7.1
12.5
8.6
7.4
11.3
8.9
6.7
13.4
8.7
6.6
13.0
8.6
6.5
13.3
8.6
6.7
12.5
9.0
6.6
14.1
Pregnancy and abortions rates for 198 1-1983 are not the same as published in some previous abortion estimates. In almost all
cases, the updated rates are lower than the rates previously published.
2-1
On pages 2-3 through 2-16, maps and tables show county-specific pregnancy, fertility, and abortion
rates, as well as abortion fractions for 1992. Fetal death rates arc not given due to the instability of the
county rates for a single year. Users arc referred to the five-year fetal death rates published in North
Carolina Vital Statistics, Volume 1.
Qustered alone with the highest pregnancy rate is Onslow County; most similar to it are Cumberland,
Craven and Hoke counties. TTiese counties also had some of the highest fertility rates. Durham County
had the highest abortion rate and Orange County had the highest abortion fraction. Most similar to it are
generally the larger, more urban counties.
Special attention should be given to counties with high pregnancy rates among teenagers (ages 15-19).
For example, Swain, Edgecombe, Montgomery, Onslow, Halifax, Greene, Hoke, Robeson, Richmond
and Northampton counties all had teenage pregnancy rates at least 25 percent higher than the statewide
teenage pregnancy rate of 98.3. The county data from teenagers are shown in the tables on pages 2-7 and
2-8.
2-2
PREGNANCY RATES
PREGNANCY RATES
BY COUNTY OF RESIDENCE
142.3
B 89.7 to 121.3
^ 77.2 to 88.8
^ 65.7 to 75.9
50.9 to 64.6
NORTH CAROLINA
1992
FERTILITY RATES
FERTILITY RATES
BY COUNTY OF RESIDENCE
B 119.2
B 77.4 to 94.8
H 61 .8 to 74.5
^ 53.8 to 60.9
31.4 to 52.2
NORTH CAROLINA
1992
2-3
ABORTION RATES
ABORTION RATES
BY COUNTY OF RESIDENCE
I 28.5 to 30.5
I 20.1 to 27.0
H 14.3 to 19.0
^ 10.6 to 13.8
[F] 4.4 to 10.3
NORTH CAROLINA
1992
ABORTION FRACTIONS
ABORTION FRACTIONS
BY COUNTY OF RESIDENCE
I 372.7 TO 403.2
g 254.4 TO 333.1
^ 186.9 TO 232.2
J] 106.2 TO 181.8
63.8 TO 89.1
NORTH CAROUNA
1992
2-4
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SUMMARY OF CHARACTERISTICS OF INDUCED ABORTIONS
During 1992, the licensed facilities of North Carolina reported 35,253 abortions to the State Center for
Health and Environmental Statistics, a decrease of three percent over the number reported in 1991 . As
in previous years, women obtaining these abortions were most often white, between the ages of 15 and
24, and not married. Most had never had a previous abortion and had no living children. The table on the
next page displays these percentages for each year 1982-1992.
Place of Occurrence
The table on page 3-3 details 1992 North Carolina occurrences according to region and county of
occurrence. Of the 35,253 abortions reported in North Carolina, 98 percent occurred in 10 counties.
Twenty-three percent of the state total occurred in Mecklenburg, 14 percent occurred in Wake, and 13
percent occurred in Guilford.
In 1992, a total of 646 or 2.0 percent of North Carolina resident abortees received abortions in other
states. Ofthese, 39 percent occurred in Georgia, 34 percent occurred in Virginia, and 23 percent occurred
in South Carolina. The remaining four percent occurred in Alabama, Kansas, Kentucky, North Dakota,
Rhode Island and Tennessee.
The number of 1992 abortions occurring in each North Carolina county is mapped below.
REPORTED INDUCED ABORTIONS
NUMBER OF ABORTIONS
BY COUNTY OF OCCURRENCE
H 8,062
m 4,653 to 4,893
M 2,142 to 3324
m 337 to 1,105
n to 50
NORTH CAROLINA
1992
Facility of Occurrence
In 1992, 43 hospitals performed only three percent of abortions occurring in North Carolina. The
remaining 97 percent occurred in 36 nonhospital facilities. More than half of the hospital abortions
occurred in two hospitals.
3-1
Summary of Characteristics of Women Receiving Abortions
North Carolina Occurrences, 1982-1992
Percent Distribution*
1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992
Total
Number 31,798 32,952 34,458 32,923 33,765 35,544 37,629 36,799 36,494 36,420 35,253
Residence
Instate 94.0 94.7 95.1 94.6 93.7 93.1 92.3 91.9 91.7 91.6 91.0
Out of State 6.0 5.2 4.8 5.3 6.3 6.9 7.7 8.1 8.3 8.4 9.0
Age
14 and under 1.3 1.5 1.6 1.6 1.6 1.3 1.3 1.2 1.1 1.0 1.0
15-19 29.9 29.7 29.2 29.0 28.9 28.6 28.4 27.1 25.6 23.7 22.1
20-24 35.9 35.0 35.2 34.7 33.2 33.1 33.1 33.5 34.4 35.6 36.1
25-29 18.5 18.8 19.2 19.2 19.2 19.5 19.4 19.6 19.6 19.9 20.0
30-34 8.8 9.2 9.3 9.4 10.2 10.2 10.5 11.2 10.8 11.2 11.6
35 and over 5.2 5.2 5.2 5.3 5.8 6.0 6.1 6.2 7.0 7.2 7.5
Mean 23.0 22.8 23.1 23.1 23.3 23.4 23.5 23.7 23.8 24.0 24.2
Race
White 63.7 62.7 61.0 60.9 60.7 59.9 58.6 57.5 57.5 56.9 55.7
Nonwhite 34.4 35.3 37.1 37.5 37.3 38.6 40.4 40.5 39.5 40.9 42.6
Marital Status
Married** 26.4 25.2 24.8 24.3 23.8 24.4 24.0 23.6 23.4 23.3 22.0
Unmanied 71.0 72.2 72.4 71.8 73.8 73.7 74.4 74.4 73.7 74.3 72.2
Education
8 and under 2.1 2.3 2.2 1.8 1.9 1.7 1.9 1.8 1.6 1.5 1.5
9-11 18.9 18.2 17.7 15.7 15.9 15.1 15.0 12.8 11.4 12.7 12.9
12 33.4 32.3 32.8 34.5 36.5 39.3 40.7 40.4 40.4 37.5 33.1
13 and over 30.3 29.3 29.5 30.6 31.8 32.2 32.8 30.3 30.2 32.0 32.3
Mean 12.4 12.4 12.4 12.6 12.6 12.6 12.6 12.6 12.7 12.6 12.6
Number ofLiving
Children
None 57.0 54.1 55.6 56.2 56.7 54.0 52.5 52.0 50.1 48.3 49.1
1 20.8 21.0 22.1 22.0 22.4 22.8 23.6 25.3 25.5 26.4 27.1
2 11.9 12.1 12.7 12.7 12.4 12.8 13.6 14.2 14.4 15.3 15.5
3 or more 5.6 5.9 5.5 5.3 5.2 5.4 5.6 5.9 5.9 5.9 6.3
Weeks ofGestation***
8 and under 42.5 42.1 41.4 43.8 44.3 43.5 45.3 46.0 49.2 48.8 49.5
9-12 42.6 41.8 40.2 41.3 40.4 41.1 38.9 38.8 37.3 37.9 36.7
13-15 8.0 8.8 9.4 8.2 8.5 8.4 8.3 7.8 7.2 7.0 7.2
16-20 3.5 3.5 6.1 3.1 3.3 3.0 3.3 3.1 2.4 2.3 2.2
21 and over 0.5 0.4 0.0 0.3 0.4 0.4 0.3 0.2 0.2 0.2 0.2
Mean 9.4 9.5 9.4 9.3 9.3 9.3 9.2 9.1 8.9 8.9 8.9
Percentages may not add to 100 percent due to not stated cases.
**Married includes separated but not legally divorced.
***Gestation computed from last menstrual period.
3-2
REPORTED INDUCED ABORTIONS
BY DEHNR REGION, PERINATAL CARE REGION,
AND COUNTY OF OCCURRENCE
NORTH CAROLINA, 1992
TOTAL TOTAL
COUNTY
CHOWAN —
CLAY —
CLEVELAND 3
COLUMBUS —
CRAVEN 11
CUMBERLAND 2,719
CURRITUCK —
DARE —
DAVIDSON 5
DAVIE —
DUPLIN —
DURHAM 2,233
EDGECOMBE —
FORSYTH 2,775
FRANKLIN —
GASTON —
GATES —
GRAHAM —
GRANVILLE —
GREENE —
GUILFORD 4.653
HALIFAX —
HARNETT 1
HAYWOOD —
HENDERSON —
HERTFORD —
HOKE —
HYDE —
IREDELL 49
JACKSON 2
JOHNSTON 7
JONES —
LEE 6
LENOIR 1
LINCOLN —
MCDOWELL —
MACON —
MADISON —
MARTIN —
MECKLENBURG 8,062
TOTAL
COUNTY
MTTCHELL —
MONTGOMERY —
MOORE 29
NASH 6
NEW HANOVER 1,105
NORTHAMPTON —
ONSLOW 2,142
ORANGE 3324
PAMUCO —
PASQUOTANK —
PENDER —
reRQUIMANS —
PERSON —
PTTT 16
POLK —
RANDOLPH —
RICHMOND —
ROBESON 21
ROCKINGHAM —
ROWAN —
RUTHERFORD —
SAMPSON 2
SCOTLAND —
STANLY —
STOKES —
SURRY —
SWAIN —
TRANSYLVANL\ —
TYRRELL —
UNION 4
VANCE 1
WAKE 4,893
WARREN —
WASHINGTON —
WATAUGA —
WAYNE 2
WILKES —
WILSON 337
YADKIN —
YANCEY —
TOTAL 35,253
DEHNR REGION
I ASHEVILLE 2,822
n CHARLOTTE 8,142
mWINSTON-SALEM 7,433
IV RALEIGH 10,807
VFAYETTEVILLE 2,772
VI GREENVILLE 30
Vn WILMINGTON 3,247
PC REGION
I WESTERN 2,772
n NORTHWESTERN 7,553
m SOUTHWESTERN 8,072
TV NORTHEASTERN 10,464
V SOUTHEASTERN 3,877
VI EASTERN 2^15
COUNTY
ALAMANCE —
ALEXANDER —
ALLEGHANY —
ANSON —
ASHE —
AVERY —
BEAUFORT —
BERTIE —
BLADEN —
BRUNSWICK —
BUNCOMBE 2,770
BURKE 50
CABARRUS 3
CALDWELL —
CAMDEN —
CARTERET —
CASWELL —
CATAWBA 21
CHATHAM —
CHEROKEE —
3-3
The remainder of the data appearing in this publication will be resident data. The base year
appearing in the trend graphs is 1982 to reflect changes during the past decade.
Place of Residence
During 1992, a total of 3,169 (9%) of abortions performed in North Carolina were to residents of other
states. Of these, 52 percent were residents of South Carolina and 35 percent were residents of Virginia.
Tennessee accounted for 7. 1 percent of North Carolina' s nonresident abortions and Georgia, 1 .0 percent
All other states represented less than one percent of the total.
Among abortions to residents of North Carolina, the distribution by county of residence varied widely
during 1992 with all 100 counties represented. The most populous counties accounted for the greatest
frequencies, as shown below.
REPORTED INDUCED ABORTION
NUMBER OF ABORTIONS
BY COUNTY OF RESIDENCE
3,373 to 3,588
@ 1,568 to 2,540
^ 606 to 877
H 129 to 447
8 to 115
NORTH CAROLINA
1992
Race
Ofthe 32,730 North Carolina women known to have had abortions during 1992, a total of 18,064 (55%)
were white; 12,901 (39%) were black; 235 (1%) were Indian; and 946 (3%) were other races. For the
remainder, race of the abortee was unknown. Nonwhite women have higher abortion rates and fractions
than white women (see page 2-1).
3^
North Carolina resident induced abortions by race of abortee for 1982 through 1992 are given below.
Resident Induced Abortions
By Race of Abortee
North Carolina, 1982-1992
Year Total White Nonwhite
1982 29,890 18,925 10,369
1983 31,892 20,038 11,235
1984 34,138 20,705 12,825
1985 32,478 19,648 12,328
1986 32,849 19,816 12,353
1987 34,344 20,457 13,346
1988 36,066 20,988 14,711
1989 34,907 19,966 14,242
1990 34,565 19,792 13,764
1991 34,369 19,453 14,199
1992 32,730 18,064 14,082
NOTE: Race-specific counts do not add to the total due to cases of unknown race.
PERCENT INDUCED ABORTIONS BY AGE OF ABORTEE
NORTH CAROUNA, 1982 - 1992
Percent
Age
The average age of North Carolina residents
having abortions during 1992 was 24.2 years.
The highest percentage of abortions was to
women between 20 and 24 years of age. The
percentage of abortions at younger ages has
declined since 1982.
The table on the following page shows abor-tion
rates and abortion fractions by age of moth-er
for the period 1982-1992. The highest abor-tion
rate occurred to women ages 20-24. The
abortion fraction was highest among women
ages 15-19.
82 83 84 85 86 87 88 89 90 91 92
Year
3-5
ABORTION RATES AND ABORTION FRACTIONS BY AGE
NORTH CAROLINA, 1982-1992
Rates
Fractions
Age 19S2
15-19 34.1
3714
1983
36.9
398.4
1984
39.6
416.0
1985
38.1
399.9
1986
37.6
400.6
1987
38.7
402.2
1988
40.1
399.5
1989
37.0
365.1
1990
36.5
346.4
1991 1992
33.4 30.7
330.5 312.0
Rates 20-24 37.7 39.0
FVactions 265.1 280.9
41.4 38.7 38.0 39.9 427 415 44.8 45.8 43.3
291.3 271.5 268.7 274.0 283.1 274.6 2718 283.1 271.5
Rates
FVadions
25-29 21.2
179.5
216 24.2
189.2 206.1
217
189.5
217 24.1
190.1 194.3
25.3 24.8 24.2
196.9 186.8 182.6
24.6 23.9
193.2 184.2
Rates 30-34 10.7 11.8 115 11.8 116 13.1
R-actions 1712 187.0 189.0 174.7 1819 179.1
13.9 14.0 13.0 13.4 13.1
185.3 179.0 164.6 167.0 160.9
Rates 35^ 3.9 4.1 4.2 4.0 4.2 4.4 4.6 4.3 4.6 4.7 4.5
Fractions 295.6 303.0 292.9 281.5 284.6 279.1 276.1 246.9 255.1 254.0 239.3
Rates AllAges 20.8 21.9 23.1 21.7
Fractions 268.2 273.6 2814 264.8
21.4 212 23.1 211 21.7 21.4 20.3
265.2 267.0 268.2 253.1 247.0 249.8 237.9
Educational Attainment
The average education level of residents re-ceiving
abortions during 1992 was 12.6 years.
Sixty-five percent had at least 12 years ofeduca-tion,
compared to 64 percent during 1982.
Education level has remained a high non-response
variable in the reporting of abortions.
Twenty-one percent of North Carolina resident
abortion reports for 1992 did not specify the
education level of the abortee.
PERCENT INDUCED ABORTIONS
BY EDUCATION OF ABORTEE
NORTH CAROUNA, 1982-1992
Percent
50
10
13 and ovar
11 and undar
82 83 84 85 86 87 88 89 90 91 92
Year
3-6
Marital Status
Only 22. 1 percent of North Carolina residents receiving abortions during 1992 were legally married at
the time of the procedure. This compares to 26.5 percent in 1982. Unmarried women (those widowed,
divorced or never married) constituted 71.9 percent of North Carolina resident abortees during 1992.
Number of Living Children
In 1992, 49 percent of North Carolina residents who received abortions had no living children. The
percentage having three or more living children has increased from 5.6 in 1982 to 6.4 in 1992.
The number of North Carolina women obtaining abortions in 1992 was inversely related to the number
of living children. This pattern has prevailed since 1982.
Previous Abortions
The issue of repeat abortion is a matter of concern; 36 percent of North Carolina women having
abortions during 1992 reported at least one previous abortion. This compares to 28 percent in 1982.
Of the 11,698 women reporting a prior abor- «,-„«,-»r^ ....,». .«.-,^ .„«„,.^..«
tion, 7 1 percent reported one. 2 1 percentreport- b? vSl^EKS OF GESWIoS
ed two, and eight percent reported three or NORTH CAROLINA, 1982 - 1992
more.
Percent
Gestation
During 1992, 86 percent of North Carolina
resident abortions were performed within the
first 12 weeks of gestation. Eight percent of
women obtained abortions in the 13-16 week
interval, two percent obtained later abortions,
and the remaining four percent had unknown
gestational age. In 1982, 85 percent of women
obtained abortions within 12 weeks ofgestation.
In 1992, the percentage of women obtaining
abortions beyond the 20th week ofgestation was
0.4. The average gestational weeks of preg-nancy
was 8.9 in 1992.
60
50
40
30
20
10
9-12
13 and over
82 83 84 85 86 87 88 89 90 91 92
Year
3-7
Complications
Abortion providers report relatively few complications associated with abortion. Compared to 0.7
percent in 1982, only 0.3 percent ofresident abortions during 1992 involved reported complications. The
most frequentiy reported condition was "retained products."
Terminating Procedures r
Suction curettage accounted for 95.3 percent ofall resident abortion procedures reportedfor 1 992. This
was followed by other procedures not specified (0.9%), prostaglandin injection (0.7%), saline injection
(0.3%) and sharp curettage (0.2%). Hysterotomy and hysterectomy each accounted for less than 0.01
percent of total abortion procedures.
3-8
SELECTED CHARACTERISTICS OF RESIDENT LIVE BIRTHS
AND FETAL DEATHS
LIVE BIRTHS
The upward trend in the state's fertility rates amounts to an increase in absolute numbers of 21 percent
since 1982 to 103,925 resident live births in 1992. Here we examine several live birth trends that cause
particular public health concern because ofpossible economic, emotional, and health consequences to the
mother/child. Several other publications available from this office offer more detail about live births and
their maternal and medical characteristics. Region, county, and some city data are also available.
Race
The table below shows the absolute numbers oflive births by race. The white numberrose 22 percent, while
the nonwhite number rose 20 percent between 1982 and 1992.
Resident Live Births by Race of Child
North Carolina, 1982-1992
YEAR TOTAL WHITE NONWHITE
1982 85,908 58,149 27,759
1983 83,854 57,446 26,408
1984 85,986 59,399 26,587
1985 89,391 61,766 27,625
1986 90,228 61,746 28,482
1987 93,481 63,876 29,605
1988 97,560 65,937 31,623
1989 102,091 68,455 33,636
1990 104,439 71,095 33,344
1991 102,309 69,233 33,076
1992 103,925 70,687 33,238
Maternal Age
The graphs on the next page show trends in age-specific white and nonwhite fertility rates. A slight
increase was observed at aU ages for whites from 1991 to 1992. Nonwhites showed decreases for 15-19
and 20-24 age groups, while fertility rates for other nonwhites increased.
Of particular concern are the rising rates among younger and older mothers, among whom health
consequences to mother and her child are often more frequent and severe. Fetal death rates of older
mothers arc shown in the table on page 4-4.
4-1
WHITE FERTIUTY RATES BY AGE
NORTH CAROUNA, 1982-1992
NONWHFTE FERTILITY RATES BY AGE
NORTH CAROUNA, 1982-1992
Percent Percent
120
100
82 83 84 85 86 87 88 89 90 91 92
Year
82 83 84 85 86 87 88 89 90 91 92
Year
Unmarried Mothers
High divorce rates and the widespread tendency to delay marriage to older ages have both contributed
to growth in the unmarried female population. In addition, the fertility rate of urunarried women has
increased. Together, these factors have resulted in a steady rise in the percentage of live births occurring
out of wedlock.
Beginning at 20.2 in 1982, the percentage of North Carolina live births to unmarried mothers reached
31.3 in 1992. By race, the white percentage more than doubled, from 7.1 to 16.1, while the nonwhite
percentage rose by 33 percent, from 47.8 to 63.7.
Birthweight
Low birthweight (5 pounds, 8 ounces or less) is the single greatest contributor to infant mortality and
morbidity. Thus, it is a matter of urgent concern that North Carolina ' s low-birthweight rate of 8.4 percent
in 1992 was no better than that observed over the past decade. North Carolina's rate is also among the
highest in the nation.
Very low-weight births (3 pounds, 4 ounces or less) also showed a steady rate in the past few years. The
percent of newborns at these weights has remained around 1.5 over the 1982-1992 period.
4-2
PERCENT UVE BIRTHS WITH NO PRENATAL CARE
BY RACE
NORTH CAROUNA, 1982-1992
Percent
No Prenatal Care
Although still representing a relatively small
fraction of all live births, the increasing percent-age
of births to mothers who had no prenatal care
is a major concern. As shown in the graph, that
percentage has risen sharply since 1984 to
almost twice its level. Starting in 1989, percent-ages
began a downward trend. The decline has
continued from 1991 to 1992 with percentages
falling from 0.8 to 0.6 percent for whites and 3.3
to 2.8 percent for nonwhites.
FETAL DEATHS
As shown in the table on page 4-4, both whites and nonwhites experienced some reduction in fetal
mortality over the 1982-1992 period. However, the state's overall rate remains one of the highest in the
nation.
This section examines trends in white and nonwhite fetal death by race and maternal age. Race-specific
fetal death rates for regions, counties, and cities are available in North Carolina Vital Statistics, Volume
1. Counties are urged to use 5-year fetal death rates, rather than the less stable single-year rates.
4-3
Race
Since 1982, fetal mortality (fetal deaths per 1,000 deliveries) has decreased by 21 percent in whites,
while there was a 6.8 percent increase for nonwhites from 1982 to 1992. As shown in the table below,
the number of fetal deaths has increased by 28.6 percent for nonwhites from 1982 to 1992. For the same
period, the number of white fetal deaths is 4.3 percent lower.
Resident Fetal Deaths by Race
North Carolina, 1982-1992
YEAR TOTAL WHITE NONWHITE
492 371
449 369
461 305
445 330
440 360
477 337
443 429
455 444
463 448
465 419
471 477
Maternal Age
Because of the instability of the fetal death rates by race and age, they are not graphed here. However,
the table below serves to point up the higher rates among mothers 35 and older as well as the age-race-specific
declines since 1982.By 1992, the rate for whites 35 and older had dropped 56 percent since 1982
to the lowest rate in a decade. However, the rate for older nonwhites has not decreased significantly since
1982.
Fetal Death Rates by Age and Race
North CaroUna, 1982-1992
Year
AGE and RACE 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992
15-19
20-24
1982 863
1983 818
1984 766
1985 775
1986 800
1987 814
1988 872
1989 899
1990 911
1991 884
1992 948
25-29
30-34
35-44
White 9.7 7.5 10.5 9.3 7.2 8.1 7.5 8.5 9.0 8.0 8.8
Nonwhite 11.3 13.2 10.1 12.5 12.8 10.4 14.9 12.5 12.3 11.8 14.1
White 8.6 7.6 6.9 7.6 7.2 6.2 6.6 5.9 6.2 5.0 7.0
Nonwhite 13.1 12.8 10.1 11.6 10.8 9.3 12.2 12.7 12.5 10.5 12.5
White 6.9 7.3 6.5 5.9 6.3 7.4 5.9 6.3 5.5 6.5 5.3
Nonwhite 14.8 12.2 11.0 10.0 12.5 11.8 11.9 12.0 12.2 13.3 12.9
White 7.7 7.6 8.2 6.8 7.5 7.2 6.3 5.8 6.1 7.4 6.4
Ncmwhite 9.8 18.5 13.4 11.0 13.3 13.8 10.2 13.9 14.4 13.1 16.5
White 14.9 11.5 11.3 8.5 8.8 11.7 8.0 8.1 7.8 8.6 6.6
Nonwhite 23.0 22.6 20.9 19.3 18.2 18.1 18.5 16.7 21.3 21.3 21.2
4-4
STATE
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