Reproductive Health Indicators
Community Health Status Report Issue #14, June 2007, Executive Summary
This report presents reproductive health indicators for babies born to residents of Renfrew County and District (RCD). It illustrates trends over a 16-year period from 1991 to 2006.
The data in this report comes from two sources: the Provincial Health Planning Database (PHPDB) and the Niday Perinatal Database. The Niday Database contains more recent records (2004 – 2006), and information about maternal smoking and breastfeeding that is not available from the PHPDB.
Reproductive health statistics in RCD for the years 1991 to 2006 indicate that:
- The number of births/year has been declining since 1994, and as of 2006 is well under 1000 births/year.
- Crude birth rates have been declining. Since 2002, they have been under 10 births/1,000 people in the population. A similar decline has occurred in Ontario and Canada.
- General fertility rates have been declining. RCD rates have been very similar to Ontario’s and since 2002 have been close to 40 births/1,000 women age 15 – 49.
- Teen fertility rates have declined substantially since 1994 (from 30 to 12 births/1,000 females age 15 – 19). They were higher than in Ontario as a whole for most years between 1991 and 2003.
- Teen pregnancy rates in RCD (1996 to 2001) were close to the provincial average, but teen abortion rates were lower. This would account for teen fertility rates in RCD being higher than in Ontario as a whole.
- Low birth weight rates have generally been below Ontario rates. The average low birth weight rate for single births for the 16-year period was 3.9%, slightly lower than in Ontario as a whole (4.6%). Low birth weight rates for multiples varied considerably, and averaged out to under 50% over the 16-year period. This compares favourably to Ontario’s low birth weight rate for multiples of 50% or slightly higher.
- Preterm birth rates have been close to those for Ontario as a whole (1999 to 2003). The average preterm birth rate for single births for the eight years between 1999 and 2006 was just over 6%. Multiple preterm birth rates in RCD varied considerably but averaged out to 59% for the period 1999 to 2006.
- Between one third and one-half of teen moms smoked after the 20th week of their pregnancy, while less than one fifth of older moms did so.
- Over 80% of new moms indicated that they planned to breastfeed their babies. Intent to breastfeed has risen slightly since 1999-2001. However, only 60 to 65% practiced exclusive breastfeeding while in the hospital and at the last feeding before discharge (2005 and 2006).