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. 2022 Feb 18;71(4):1–19. doi: 10.15585/mmwr.ss7104a1

TABLE 3. Number, proportion, and percentage of infants born with use of assisted reproductive technology, by female patient’s area of residence at time of treatment — United States and Puerto Rico, 2018.

Patient’s area of residence* Total infants born†,§
ART infants born
Proportion of ART infants among all infants
Singleton infants among ART infants
Singleton infants among all infants
Proportion of ART singleton infants among all singleton infants
No. No. % No. (%) No. (%) %
Alabama
57,761
389
0.7
284 (73.0)
55,655 (96.4)
0.5
Alaska
10,086
76
0.8
56 (73.7)
9,741 (96.6)
0.6
Arizona
80,723
1,329
1.6
898 (67.6)
78,082 (96.7)
1.2
Arkansas
37,018
246
0.7
149 (60.6)
35,854 (96.9)
0.4
California
454,920
10,016
2.2
8,046 (80.3)
440,699 (96.9)
1.8
Colorado
62,885
1,418
2.3
1,097 (77.4)
60,867 (96.8)
1.8
Connecticut
34,725
1,426
4.1
1,133 (79.5)
33,429 (96.3)
3.4
Delaware
10,621
229
2.2
215 (93.9)
10,323 (97.2)
2.1
District of Columbia
9,212
428
4.6
380 (88.8)
8,887 (96.5)
4.3
Florida
221,542
3,236
1.5
2,450 (75.7)
214,480 (96.8)
1.1
Georgia
126,172
1,843
1.5
1,422 (77.2)
121,778 (96.5)
1.2
Hawaii
16,972
425
2.5
274 (64.5)
16,443 (96.9)
1.7
Idaho
21,403
312
1.5
203 (65.1)
20,690 (96.7)
1.0
Illinois**
144,815
4,474
3.1
3,591 (80.3)
139,561 (96.4)
2.6
Indiana
81,646
831
1.0
598 (72.0)
78,876 (96.6)
0.8
Iowa
37,785
689
1.8
543 (78.8)
36,433 (96.4)
1.5
Kansas
36,261
401
1.1
333 (83.0)
35,097 (96.8)
0.9
Kentucky
53,922
533
1.0
369 (69.2)
52,091 (96.6)
0.7
Louisiana
59,615
539
0.9
430 (79.8)
57,526 (96.5)
0.7
Maine
12,311
206
1.7
152 (73.8)
11,884 (96.5)
1.3
Maryland
71,080
2,192
3.1
1,840 (83.9)
68,592 (96.5)
2.7
Massachusetts**
69,109
3,543
5.1
2,996 (84.6)
66,664 (96.5)
4.5
Michigan
110,032
1,778
1.6
1,194 (67.2)
105,973 (96.3)
1.1
Minnesota
67,344
1,396
2.1
1,047 (75.0)
65,015 (96.5)
1.6
Mississippi
37,000
244
0.7
196 (80.3)
35,697 (96.5)
0.5
Missouri
73,269
968
1.3
670 (69.2)
70,611 (96.4)
0.9
Montana
11,513
133
1.2
110 (82.7)
11,184 (97.1)
1.0
Nebraska
25,488
347
1.4
239 (68.9)
24,551 (96.3)
1.0
Nevada
35,682
567
1.6
421 (74.3)
34,638 (97.1)
1.2
New Hampshire
11,995
438
3.7
328 (74.9)
11,579 (96.5)
2.8
New Jersey**
101,223
4,239
4.2
3,625 (85.5)
97,667 (96.5)
3.7
New Mexico
23,039
186
0.8
148 (79.6)
22,453 (97.5)
0.7
New York
226,238
7,742
3.4
6,266 (80.9)
218,244 (96.5)
2.9
North Carolina
118,954
1,855
1.6
1,436 (77.4)
114,948 (96.6)
1.2
North Dakota
10,636
133
1.3
90 (67.7)
10,290 (96.7)
0.9
Ohio
135,134
1,840
1.4
1,483 (80.6)
130,554 (96.6)
1.1
Oklahoma
49,800
393
0.8
271 (69.0)
48,129 (96.6)
0.6
Oregon
42,188
756
1.8
534 (70.6)
40,698 (96.5)
1.3
Pennsylvania
135,673
2,538
1.9
2,142 (84.4)
131,199 (96.7)
1.6
Puerto Rico
21,424
84
0.4
46 (54.8)
20,977 (97.9)
0.2
Rhode Island**
10,506
301
2.9
240 (79.7)
10,123 (96.4)
2.4
South Carolina
56,669
692
1.2
535 (77.3)
54,785 (96.7)
1.0
South Dakota
11,893
129
1.1
91 (70.5)
11,466 (96.4)
0.8
Tennessee
80,751
794
1.0
601 (75.7)
78,042 (96.6)
0.8
Texas
378,624
6,173
1.6
4,704 (76.2)
366,664 (96.8)
1.3
Utah
47,209
1,091
2.3
786 (72.0)
45,580 (96.5)
1.7
Vermont
5,432
120
2.2
91 (75.8)
5,249 (96.6)
1.7
Virginia
99,843
2,339
2.3
1,946 (83.2)
96,370 (96.5)
2.0
Washington
86,085
1,733
2.0
1,408 (81.2)
83,506 (97.0)
1.7
West Virginia
18,248
121
0.7
87 (71.9)
17,657 (96.8)
0.5
Wisconsin
64,098
917
1.4
665 (72.5)
61,795 (96.4)
1.1
Wyoming
6,562
98
1.5
66 (67.3)
6,332 (96.5)
1.0
Total 3,813,136 74,926 2.0 58,925 (78.6) 3,685,628 (96.7) 1.6

Abbreviation: ART = assisted reproductive technology.

* In cases of missing patient’s residence data (0.3%), the patient’s residence was assigned as the location where the ART procedure was performed.

U.S. births exclude births to non-U.S. residents (Source: Martin JA, Hamilton BE, Osterman MJ, Driscoll AK. Births: final data for 2018. Natl Vital Stat Rep 2018;68:1–47).

§ U.S. births exclude births to non-U.S. residents (Source: National Center for Health Statistics, Vital statistics data available. Natality public use file and CD-ROM. Hyattsville, MD, National Center for Health Statistics).

Includes infants conceived from ART procedures performed in 2017 and born in 2018 and infants conceived from ART procedures performed in 2018 and born in 2018. Total ART births exclude births to non-U.S. residents.

** State with comprehensive insurance mandate requiring insurers to cover the costs associated with diagnosis and treatment of infertility inclusive of ART services for at least four oocyte retrievals.