Midwifery Integration Data

How to use the maps: Click here to watch the "how to" video

Navy blue buttons and the dropdown menu change the base maps to display state levels of integration, density of midwives, and access across birth locations.
Orange buttons identify states that are in the highest and lowest quartiles for the selected outcomes
Green outlines show the best rates and red outlines show the worst rates in the US.
Click on any state to see detailed information for that state.
Click on to zoom to Washington DC area and to zoom back to the full map.
To view individual state report cards and MISS scores click here

Sources:
Perinatal outcomes from 2014 CDC data except:
Neonatal mortality: 2013 CDC data
Breastfeeding at 6 months: National Immunization Survey, 2012 CDC
CNM/CM numbers: American Midwifery Certification Board 8/2016
CPM numbers: North American Registry of Midwives 2016. By residence, practice site might differ
Births per state: 2015 CDC data
CPM and CM data: 2014 Area Health Resource File, Centers for Medicaid Services
Births attended: 2014 CDC data

Definitions:
VBAC: vaginal birth after cesarean section
Physiologic birth: not induced, labor started spontaneously, vaginal delivery without forceps or vacuum
Premature birth: before 37 weeks gestation
Low Birth Weight: less than 2500 grams
Neonatal mortality: up to 28 days
Breastfeeding: exclusive