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. 2017 Feb 10;66(6):1–24. doi: 10.15585/mmwr.ss6606a1

TABLE 1. Number* and outcomes of assisted reproductive technology procedures, by female patient’s reporting area of residence at time of treatment — United States and Puerto Rico, 2014.

Patient’s reporting area of residence No. of ART clinics§ No. of ART procedures performed No. of ART embryo transfer procedures No. of ART pregnancies No. of ART live-birth deliveries No. of ART singleton live-birth deliveries No. of ART multiple live-birth deliveries No. of ART live-born infants ART procedures per 1 million women aged 15–44 yrs**
Alabama
6
1,060
849
431
361
262
99
462
1,102.9
Alaska
1
198
176
80
67
50
17
86
1,344.1
Arizona
11
2,116
1,808
972
794
605
189
993
1,617.7
Arkansas
1
457
388
187
165
118
47
212
795.1
California††
65
21,018
17,429
8,972
7,230
5,700
1,530
8,793
2,607.2
Colorado
8
1,889
1,578
1,048
856
683
173
1,031
1,741.6
Connecticut
9
3,554
2,680
1,316
1,077
849
228
1,311
5,194.7
Delaware
2
646
520
283
239
220
19
260
3,580.9
District of Columbia
3
1,183
932
398
316
280
36
353
6,662.2
Florida
28
7,559
6,191
2,950
2,374
1,770
604
3,002
2,050.1
Georgia††
8
3,640
3,065
1,579
1,293
1,022
271
1,574
1,729.6
Hawaii††
5
1,119
847
486
407
291
116
527
4,179.9
Idaho
1
455
397
218
177
104
73
250
1,445.1
Illinois
26
10,671
8,476
4,096
3,317
2,542
775
4,098
4,109.8
Indiana
10
1,950
1,632
790
634
442
192
832
1,505.3
Iowa
2
1,217
1,007
634
512
394
118
630
2,078.1
Kansas
4
1,013
762
386
327
244
83
415
1,807.9
Kentucky
5
1,177
1,038
480
378
259
119
497
1,378.9
Louisiana
5
1,248
965
492
418
309
109
532
1,323.9
Maine
1
382
337
148
111
91
20
130
1,633.7
Maryland
7
5,590
4,519
2,200
1,720
1,481
239
1,965
4,650.9
Massachusetts
8
9,209
7,904
3,618
2,927
2,446
481
3,414
6,725.8
Michigan
12
3,616
3,006
1,454
1,164
851
313
1,484
1,915.5
Minnesota
4
2,012
1,775
993
853
663
190
1,045
1,910.1
Mississippi
3
593
482
229
194
134
60
254
986.3
Missouri
8
2,111
1,811
881
712
549
163
881
1,794.8
Montana
1
258
207
123
101
76
25
125
1,389.6
Nebraska
2
786
621
353
303
208
95
401
2,158.9
Nevada
5
1,246
957
544
449
341
108
560
2,200.4
New Hampshire
1
735
620
285
245
197
48
294
3,016.9
New Jersey
19
8,863
6,914
3,735
3,068
2,430
638
3,708
5,143.3
New Mexico
1
280
242
123
107
88
19
127
704.3
New York
36
20,814
16,212
6,982
5,447
4,349
1,098
6,558
5,144.6
North Carolina
12
3,693
2,903
1,542
1,261
968
293
1,556
1,862.4
North Dakota
1
311
252
128
99
76
23
123
2,157.8
Ohio
12
3,732
3,226
1,577
1,313
949
364
1,687
1,687.5
Oklahoma
3
815
696
351
309
206
103
415
1,068.6
Oregon
4
1,304
1,118
683
597
413
184
787
1,680.2
Pennsylvania
18
6,521
5,282
2,532
2,004
1,624
380
2,389
2,709.1
Puerto Rico
3
260
230
103
77
51
26
104
363.7
Rhode Island
1
701
599
266
210
165
45
256
3,336.3
South Carolina
5
1,394
1,175
589
483
361
122
608
1,477.5
South Dakota
1
266
217
95
78
62
16
96
1,684.7
Tennessee
9
1,525
1,264
660
568
416
152
724
1,177.0
Texas
42
12,750
10,223
5,406
4,471
3,341
1,130
5,636
2,254.8
Utah
3
1,492
1,309
809
668
471
197
870
2,333.5
Vermont
2
210
176
79
64
52
12
76
1,810.6
Virginia
13
5,904
4,781
2,238
1,795
1,493
302
2,103
3,505.7
Washington
12
3,261
2,620
1,414
1,161
946
215
1,381
2,331.8
West Virginia
3
298
259
128
107
82
25
134
885.0
Wisconsin
7
1,759
1,473
759
650
489
161
819
1,617.8
Wyoming
0
124
107
62
52
41
11
64
1,118.9
Nonresident
NA
4,583
3,772
2,101
1,718
1,290
428
2,150
§§
Total 458 169,568 138,029 68,988 56,028 43,544 12,484 68,782 2,646.5

Abbreviations: ART = assisted reproductive technology; NA = not applicable.

* Excludes 35,406 egg/embryo-freezing and embryo-banking procedures, 3,596 oocyte thaw procedures, and 34 procedures performed in territories not included in this report.

In cases of missing residency data (0.6%), the patient’s residence was assigned as the location in which the ART procedure was performed.

§ The ART procedures and outcomes by patient's reporting area of residence do not necessarily reflect the procedures and outcomes of the ART clinics within the reporting area, as some patients seek treatment at a clinic in a location other than their area of residence.

Embryo transfer procedures include all procedures performed in which an attempt was made to transfer at least one embryo.

** On the basis of U.S. Census Bureau estimates (23).

†† In three states, >2% of residency information was missing for procedures performed: California (2.7%), Georgia (2.1%), and Hawaii (2.1%). Overall, residency information was missing for 963 (0.6%) procedures performed and 366 (0.7%) live-birth deliveries.

§§ Non-U.S. residents excluded from rate because the appropriate denominators were not available.