Instructions by Table: Table 7 - Perinatal Profile

This table provides detail on pregnant and postpartum women patients and their newborn infants, as well as services rendered by grantees that provide prenatal care. Table 7 is included in the Universal Report only.

Data Reported by All Grantees

Total Patients Known to be Pregnant - NO LONGER REPORTED

Total Patients Known to be HIV-Positive and Pregnant (Line 2) - Report the total number of patients known to have been both pregnant and infected with HIV at some time during the reporting period, regardless of whether the woman received services from the grantee directly related to the pregnancy or to HIV infection.

Note : All grantees, whether or not they provide or assume primary responsibility for a client's perinatal care services, complete Line 2. Requesting this information does not mean that the grantee must provide pregnancy or HIV testing if those services are not in the scope of their services.

Data Reported ONLY by Grantees Who Provide Prenatal Care

Only grantees that provide or assume primary responsibility for some or all of a patient's prenatal care services, whether or not the grantee does the delivery, complete the remaining sections of Table 7. All data reported apply only to patients who received prenatal care services during the reporting period.

Demographic Characteristics of Prenatal Care Patients

Age of Prenatal Care Patients (Lines 3-8) - Report the total number of patients who received prenatal care services, at any time during the reporting period , by age group. Be sure to include women who began prenatal care during the previous reporting period and continued into this reporting period as well as women who began their care in this reporting period but will not / did not deliver until the next year. To determine the appropriate age group, use the woman's age on June 30 of the reporting period.

Race / Ethnicity of Prenatal Care Patients (Lines 9-15) - Report the number of prenatal care patients during the reporting period in each race / ethnicity category. The total women reported on line 15 must equal the total by age reported on line 8 above. Data on race / ethnicity may be estimated where not fully known. Asian, Native Hawaiian and Other Pacific Islander patients should be reported separately on Lines 9a, 9b and 9c; the total number of Asian, Native Hawaiian and Other Pacific Islander patients will be reported on Line 9.

Trimester of Entry into Prenatal Care

Trimester of First Visit (Lines 16-18) - All patients who received prenatal care during the reporting period, are reported on lines 16 - 18. The reporting trimester (line) is determined by the trimester of their pregnancy that they were in when they began prenatal care either at one of the grantee's service delivery locations or with another provider. A woman who begins her prenatal care with the grantee is reported in Column A. A woman who begins her prenatal care at another provider and then comes to the center, is counted once and only once in Column B, and is not counted in Column A. Prenatal care is considered to have begun at the time the patient has her first visit with the obstetrical care giver, not when she registers for care at the center or has lab tests done. A woman is counted only once regardless of the number of trimesters during which she receives care.

•  First Trimester - Includes women who received prenatal care during the reporting period and whose first visit occurred when she was estimated to be anytime less than 13 weeks after conception. If the woman began prenatal care during the first trimester at the grantee's service delivery location, she is reported on Line 16 Column A; if she received prenatal care from another provider before coming to the grantee's service delivery location, she is reported on Line 16 Column B.

•  Second Trimester - Includes women who received prenatal care during the reporting period and whose first visit occurred when she was estimated to be between the 13th and through the 26th week after conception. If the woman began prenatal care during the second trimester at the grantee's service delivery location, she is reported on Line 17 Column A; if she received prenatal care from another provider before coming to the grantee's service delivery location, she is reported in Column B under the trimester of entry (second (Line 17)).

•  Third Trimester - Includes women who received prenatal care during the reporting period and whose first visit occurred when she was estimated to be 27 weeks or more after conception. If the woman began prenatal care during the third trimester at the grantee's service delivery location, she is reported on Line 18 Column A; if she received prenatal care from another provider before coming to the grantee's service delivery location, she is reported in Column B under the trimester of entry (third (Line 18)).

Note : Line 8 (total prenatal care patients by age) and the sum of Lines 16-18 Column A + Column B (total prenatal care patients by trimester) must be the same.

Delivery, Postpartum and WELL CHILD CARE

This section reports on deliveries, infant birthweight, and infant and postpartum visits. All data except line 19a, center deliveries, are to be reported by race / ethnicity subcategories to enable BPHC to account for impact on racial disparities.

Prenatal Care Patients Who Delivered During the Year (Line 19) - Report the total number of women who both received prenatal care from the grantee during the reporting period and who were known to have delivered during the year, even if the delivery was done by another provider. Include all deliveries, regardless of the outcome, but do not include deliveries where you have no documentation that the delivery occurred (for example, for women who may have moved out of the area and/or who were lost to follow-up.)

NOTE : Line 8 (total prenatal care patients by age) and Line 19, Column H (total prenatal care patients who deliver during the year) should not be identical.

Deliveries by Center clinicians (Line 19a) - Report the total number of deliveries performed by center clinicians during the reporting period in Column H. (This line is not reported by the race / ethnicity of the women delivered.) On this line ONLY, grantee is to include deliveries of women who were not part of the grantee's prenatal care program during the calendar year. This would include such circumstances as the delivery of another doctor's patients when the clinic provider participates in a call group and is on call at the time of delivery and emergency deliveries when the clinic provider is on-call for the emergency room; and deliveries of "un-doctored" patients who are assigned to the provider as a requirement for privileging at a hospital. Include as "health center clinicians" any clinician who is paid by the provider, regardless of the method of compensation.

Birthweight of Infants Born to Prenatal Care Patients During the Year (Lines 20-22) - Report the total number of live births during the reporting period for women who received prenatal care from the grantee or referral provider during the reporting period, according to the appropriate birthweight group. NOTE: Grantees must report deliveries and the birthweight of children delivered for all women who were in their prenatal care program and who delivered during the reporting period, regardless of whether the grantee did the delivery themselves or referred the delivery to another provider. The number of deliveries reported on line 19 will normally not be the same as the total number of infants reported on lines 20 - 22 because of multiple births.

Prenatal Care Patients Who Returned for Postpartum Care During the Year (Line 23) - Report the total number of women who:

•  received prenatal care from the grantee during the reporting period ,

•  delivered during the reporting period,

•  and returned to the grantee within 8 weeks of delivery for postpartum care during the reporting period.

Infants Who Received a Newborn Visit (Line 24). Report the total number of infants who:

•  were born during the reporting period

•  to women who received prenatal care from the grantee during the reporting period,

•  who also received a newborn care visit from the grantee during the reporting period,

•  and who did so during the first 4 weeks after birth.

WIC Enrollees

This section of Table 7 tracks enrollment of prenatal care patients in the Special Supplemental Food Program for Women, Infants and Children (WIC). Report the total number of patients in the following three categories:

•  Prenatal care patients - Line 25 reports only women who are enrolled in the prenatal care program , not a grantee's total WIC program. It asks how many of the women reported on Line 8 (total prenatal care patients by age) were also enrolled in WIC, either at your center or elsewhere. The number is never more than the number reported on Line 8.

•  Infants - Line 26 reports only children born in a grantee's prenatal care program, not a grantee's total WIC program . It asks how many of the children reported on Lines 20-22 (infants by birthweight) were also enrolled in WIC, either at your center or elsewhere.

•  Postpartum Care Patients - Line 27 reports only women in the prenatal care program who delivered during the year, not a grantee's total WIC program . It asks how many of the women reported on Line 19 Column H as having delivered this year were also enrolled in WIC, either at your center or elsewhere.

NOTE : Grantees are expected to provide case management for their perinatal care patients and to track whether or not they received WIC services. Report on all successful referrals regardless of whether or not the grantee actually operates the WIC program to which the woman was referred. NOTE ALSO that a woman may be reported in more than one category (i.e. a woman may be reported as having been both a prenatal and a postpartum WIC program enrollee).

Questions and Answers for Table 7

•  Are there any changes to this table?

There are no changes to Table 7 for 2007.

•  If a prenatal patient in one year (e.g., 2006) gives birth in the next year (i.e., 2007) without having prenatal care in that year (i.e., 2007), is the delivery reported for that year (i.e., 2007)?

The delivery is NOT reported in 2007, nor was it to be reported in 2006. The table only includes data on women who received prenatal care during the year.

•  Are deliveries of women who are not in the grantee's prenatal care program excluded from Table 7?

Except for line 19a, the answer is "Yes". For example, women who are delivered by a center provider as a result of being in a call group or staffing the emergency room, are not counted on this form on the lines that report on patients, deliveries, or postpartum visits. They are counted only as a delivery on line 19a.

•  Are birth outcomes of prenatal care patients delivered by a non-grantee provider to be reported?

Yes. Comprehensive prenatal care includes case management and thus case tracking is a responsibility of all grantees.

TABLE 7 –PERINATAL PROFILE

Reporting Period: January 1, 2007 through December 31, 2007 OMB No. 0915-0193 Expiration Date: 8/31/10