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

TABLE 6. Number, percentage, and proportion of infants born with use of assisted reproductive technology, by preterm gestational age category and female patient’s area of residence at time of treatment — United States and Puerto Rico, 2018.

Patient’s area of residence* VPTB (<32 wks)
Early PTB (<34 wks)
Late PTB (34–36 wks)
PTB (<37 wks)
ART infants
All infants§
Proportion of ART infants among all infants
ART infants
All infants§
Proportion of ART infants among all infants
ART infants
All infants§
Proportion of ART infants among all infants
ART infants
All infants§
Proportion of ART infants among all infants
No. (%) No. (%) % No. (%) No. (%) % No. (%) No. (%) % No. (%) No. (%) %
Alabama
32 (8.3)
1,194 (2.1)
2.7
46 (11.9)
2,088 (3.6)
2.2
72 (18.6)
5,116 (8.9)
1.4
118 (30.5)
7,204 (12.5)
1.6
Alaska
(1.4)
131 (1.3)
0.8

236 (2.3)


697 (6.9)

12 (16.4)
933 (9.3)
1.3
Arizona
67 (5.0)
1,127 (1.4)
5.9
135 (10.2)
1,968 (2.4)
6.9
330 (24.8)
5,705 (7.1)
5.8
465 (35.0)
7,673 (9.5)
6.1
Arkansas
10 (4.1)
644 (1.7)
1.6
15 (6.1)
1,154 (3.1)
1.3
64 (26.1)
3,145 (8.5)
2.0
79 (32.2)
4,299 (11.6)
1.8
California
324 (3.3)
5,888 (1.3)
5.5
667 (6.7)
10,438 (2.3)
6.4
1,620 (16.3)
29,526 (6.5)
5.5
2,287 (23.0)
39,964 (8.8)
5.7
Colorado
40 (2.8)
887 (1.4)
4.5
100 (7.1)
1,551 (2.5)
6.4
305 (21.7)
4,244 (6.7)
7.2
405 (28.8)
5,795 (9.2)
7.0
Connecticut
40 (2.8)
517 (1.5)
7.7
112 (7.9)
905 (2.6)
12.4
213 (15.0)
2,346 (6.8)
9.1
325 (22.9)
3,251 (9.4)
10.0
Delaware
12 (5.3)
174 (1.6)
6.9
14 (6.1)
293 (2.8)
4.8
29 (12.7)
722 (6.8)
4.0
43 (18.9)
1,015 (9.6)
4.2
District of Columbia
(0.5)
181 (2.0)
1.1
8 (1.9)
311 (3.4)
2.6
60 (14.1)
619 (6.7)
9.7
68 (15.9)
930 (10.1)
7.3
Florida
180 (5.6)
3,804 (1.7)
4.7
318 (9.9)
6,457 (2.9)
4.9
673 (20.9)
16,244 (7.3)
4.1
991 (30.8)
22,701 (10.2)
4.4
Georgia
67 (3.7)
2,539 (2.0)
2.6
125 (6.8)
4,340 (3.4)
2.9
416 (22.8)
10,169 (8.1)
4.1
541 (29.6)
14,509 (11.5)
3.7
Hawaii
29 (6.8)
270 (1.6)
10.7
48 (11.3)
459 (2.7)
10.5
85 (20.0)
1,285 (7.6)
6.6
133 (31.3)
1,744 (10.3)
7.6
Idaho
27 (8.7)
265 (1.2)
10.2
50 (16.0)
463 (2.2)
10.8
71 (22.8)
1,470 (6.9)
4.8
121 (38.8)
1,933 (9.0)
6.3
Illinois
156 (3.5)
2,401 (1.7)
6.5
330 (7.4)
4,292 (3.0)
7.7
811 (18.2)
11,153 (7.7)
7.3
1,141 (25.6)
15,445 (10.7)
7.4
Indiana
43 (5.2)
1,307 (1.6)
3.3
73 (8.8)
2,254 (2.8)
3.2
199 (24.0)
6,097 (7.5)
3.3
272 (32.8)
8,351 (10.2)
3.3
Iowa
31 (4.5)
530 (1.4)
5.8
70 (10.2)
993 (2.6)
7.0
140 (20.3)
2,752 (7.3)
5.1
210 (30.5)
3,745 (9.9)
5.6
Kansas
12 (3.0)
511 (1.4)
2.3
29 (7.2)
922 (2.5)
3.1
70 (17.5)
2,518 (6.9)
2.8
99 (24.7)
3,440 (9.5)
2.9
Kentucky
21 (4.0)
878 (1.6)
2.4
54 (10.2)
1,607 (3.0)
3.4
105 (19.8)
4,502 (8.3)
2.3
159 (30.0)
6,109 (11.3)
2.6
Louisiana
29 (5.4)
1,293 (2.2)
2.2
50 (9.3)
2,167 (3.6)
2.3
119 (22.2)
5,576 (9.4)
2.1
169 (31.6)
7,743 (13.0)
2.2
Maine
7 (3.4)
140 (1.1)
5.0
15 (7.3)
266 (2.2)
5.6
36 (17.6)
788 (6.4)
4.6
51 (24.9)
1,054 (8.6)
4.8
Maryland
85 (3.9)
1,308 (1.8)
6.5
159 (7.3)
2,189 (3.1)
7.3
342 (15.6)
5,042 (7.1)
6.8
501 (22.9)
7,231 (10.2)
6.9
Massachusetts
85 (2.4)
921 (1.3)
9.2
199 (5.6)
1,682 (2.4)
11.8
556 (15.7)
4,490 (6.5)
12.4
755 (21.4)
6,172 (8.9)
12.2
Michigan
76 (4.3)
1,686 (1.5)
4.5
176 (9.9)
2,973 (2.7)
5.9
351 (19.8)
8,066 (7.3)
4.4
527 (29.8)
11,039 (10.0)
4.8
Minnesota
70 (5.0)
890 (1.3)
7.9
125 (9.0)
1,551 (2.3)
8.1
246 (17.6)
4,453 (6.6)
5.5
371 (26.6)
6,004 (8.9)
6.2
Mississippi
19 (7.8)
888 (2.4)
2.1
32 (13.2)
1,536 (4.2)
2.1
45 (18.5)
3,733 (10.1)
1.2
77 (31.7)
5,269 (14.2)
1.5
Missouri
33 (3.4)
1,184 (1.6)
2.8
85 (8.8)
2,072 (2.8)
4.1
216 (22.5)
5,777 (7.9)
3.7
301 (31.3)
7,849 (10.7)
3.8
Montana
(3.0)
123 (1.1)
3.3
14 (10.5)
257 (2.2)
5.4
19 (14.3)
790 (6.9)
2.4
33 (24.8)
1,047 (9.1)
3.2
Nebraska
9 (2.6)
370 (1.5)
2.4
27 (7.8)
665 (2.6)
4.1
111 (32.0)
1,999 (7.8)
5.6
138 (39.8)
2,664 (10.5)
5.2
Nevada
41 (7.3)
532 (1.5)
7.7
64 (11.4)
962 (2.7)
6.7
102 (18.1)
2,654 (7.4)
3.8
166 (29.5)
3,616 (10.1)
4.6
New Hampshire
11 (2.5)
152 (1.3)
7.2
30 (6.9)
276 (2.3)
10.9
68 (15.6)
719 (6.0)
9.5
98 (22.4)
995 (8.3)
9.8
New Jersey
136 (3.2)
1,518 (1.5)
9.0
258 (6.1)
2,655 (2.6)
9.7
660 (15.6)
6,963 (6.9)
9.5
918 (21.8)
9,618 (9.5)
9.5
New Mexico
(2.2)
327 (1.4)
1.2
12 (6.5)
580 (2.5)
2.1
49 (26.5)
1,674 (7.3)
2.9
61 (33.0)
2,254 (9.8)
2.7
New York
270 (3.5)
3,266 (1.4)
8.3
494 (6.4)
5,799 (2.6)
8.5
1,206 (15.7)
14,482 (6.4)
8.3
1,700 (22.1)
20,281 (9.0)
8.4
North Carolina
77 (4.2)
2,095 (1.8)
3.7
157 (8.5)
3,581 (3.0)
4.4
364 (19.7)
8,759 (7.4)
4.2
521 (28.2)
12,340 (10.4)
4.2
North Dakota
11 (8.3)
128 (1.2)
8.6
18 (13.6)
262 (2.5)
6.9
32 (24.2)
756 (7.1)
4.2
50 (37.9)
1,018 (9.6)
4.9
Ohio
66 (3.6)
2,262 (1.7)
2.9
139 (7.6)
3,896 (2.9)
3.6
300 (16.3)
9,949 (7.4)
3.0
439 (23.9)
13,845 (10.2)
3.2
Oklahoma
18 (4.6)
823 (1.7)
2.2
38 (9.7)
1,478 (3.0)
2.6
93 (23.7)
4,192 (8.4)
2.2
131 (33.4)
5,670 (11.4)
2.3
Oregon
51 (6.8)
437 (1.0)
11.7
81 (10.7)
813 (1.9)
10.0
119 (15.8)
2,491 (5.9)
4.8
200 (26.5)
3,304 (7.8)
6.1
Pennsylvania
85 (3.4)
2,124 (1.6)
4.0
161 (6.4)
3,688 (2.7)
4.4
446 (17.6)
9,227 (6.8)
4.8
607 (24.0)
12,915 (9.5)
4.7
Puerto Rico
9 (10.7)
459 (2.1)
2.0
15 (17.9)
863 (4.0)
1.7
26 (31.0)
2,235 (10.4)
1.2
41 (48.8)
3,098 (14.5)
1.3
Rhode Island
23 (7.6)
143 (1.4)
16.1
29 (9.6)
276 (2.6)
10.5
48 (15.9)
667 (6.3)
7.2
77 (25.6)
943 (9.0)
8.2
South Carolina
25 (3.6)
1,083 (1.9)
2.3
61 (8.9)
1,855 (3.3)
3.3
143 (20.8)
4,571 (8.1)
3.1
204 (29.6)
6,426 (11.3)
3.2
South Dakota
8 (6.3)
141 (1.2)
5.7
17 (13.3)
254 (2.1)
6.7
22 (17.2)
868 (7.3)
2.5
39 (30.5)
1,122 (9.4)
3.5
Tennessee
46 (5.8)
1,441 (1.8)
3.2
84 (10.6)
2,531 (3.1)
3.3
153 (19.3)
6,380 (7.9)
2.4
237 (29.9)
8,911 (11.0)
2.7
Texas
335 (5.4)
6,182 (1.6)
5.4
560 (9.1)
10,983 (2.9)
5.1
1,375 (22.4)
29,816 (7.9)
4.6
1,935 (31.5)
40,799 (10.8)
4.7
Utah
52 (4.8)
600 (1.3)
8.7
101 (9.3)
1,053 (2.2)
9.6
260 (24.0)
3,392 (7.2)
7.7
361 (33.3)
4,445 (9.4)
8.1
Vermont
(2.5)
66 (1.2)
4.5
12 (10.1)
116 (2.1)
10.3
20 (16.8)
346 (6.4)
5.8
32 (26.9)
462 (8.5)
6.9
Virginia
100 (4.3)
1,613 (1.6)
6.2
178 (7.6)
2,643 (2.6)
6.7
366 (15.7)
6,758 (6.8)
5.4
544 (23.3)
9,401 (9.4)
5.8
Washington
49 (2.8)
1,020 (1.2)
4.8
116 (6.7)
1,854 (2.2)
6.3
284 (16.4)
5,293 (6.1)
5.4
400 (23.1)
7,147 (8.3)
5.6
West Virginia
(2.5)
311 (1.7)
1.0
9 (7.5)
566 (3.1)
1.6
27 (22.5)
1,592 (8.7)
1.7
36 (30.0)
2,158 (11.8)
1.7
Wisconsin
32 (3.5)
924 (1.4)
3.5
82 (8.9)
1,664 (2.6)
4.9
206 (22.5)
4,684 (7.3)
4.4
288 (31.4)
6,348 (9.9)
4.5
Wyoming
(2.0)
92 (1.4)
2.2
5 (5.1)
157 (2.4)
3.2
29 (29.6)
489 (7.5)
5.9
34 (34.7)
646 (9.8)
5.3
Total 2,968 (4.0) 59,790 (1.6) 5.0 5,805 (7.8) 104,894 (2.8) 5.5 13,706 (18.4) 277,981 (7.3) 4.9 19,511 (26.1) 382,875 (10.0) 5.1

Abbreviations: ART = assisted reproductive technology; PTB = preterm birth; VPTB = very preterm birth.

* 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.

ART totals include 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 and include only infants with gestational age data available.

§ 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).

To protect confidentiality, cells with values of 1–4 for ART infants and cells with values of 0–9 for all infants are suppressed. Also suppressed are data that can be used to derive suppressed cell values. These values are included in the totals.