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Scientific Data Documentation
Fetal Death Detail Record, 1989
DSN: CC36.FETDTH89


Documentation of the Fetal Death Tape File for 1989 Data

Information on the fetal death data tape file was abstracted from the Report 
of Fetal Death forms received in all the States and the District of Columbia, 
with a record on the data file for each report of a fetal death received.   
The data is provided to the National Center for Health Statistics (NCHS) through 
the Vital Statistics Cooperative Program by the registration offices of all 
States, the District of Columbia, and New York City.   Data from New York,  
excluding New York City, were submitted in machine readable form.   All other 
1989 data were coded and keyed by the U.S. Bureau of the Census.

Fetal death data are limited to deaths occurring within the United States to U.S.
residents and nonresidents.   Fetal deaths occurring to U.S.  citizens outside 
the United States are not included in this data file.

In NCHS tabulations by place of residence,  fetal deaths to nonresidents of the 
United States are excluded.   The foreign resident records can be identified by 
code 4 in tape location 7 of the data tape.   In addition,  the majority of fetal 
death tables published by NCHS include only those fetal deaths with stated or 
presumed gestation of 20 weeks or more  (see the Technical Appendix).  Those 
records identified with a 2 in tape location 5 are included in these tabulations.
All other records are excluded.

Effective January 1,  1989,  a revised U.S.  Standard Report of Fetal Death 
replaced the 1978 revision.   The 1989 revision provides a wide variety of new 
information on maternal and fetal health characteristics.  Questions on 
complications of labor and delivery and congenital anomalies of fetus were 
changed from an open-ended question to a checkbox format to improve reporting 
of information.   Several new items were added that improve the data file's 
value for monitoring and research of factors affecting fetal mortality.

NCHS has adopted a new policy on release of vital statistics unit record data 
files.  This new policy is being implemented for the 1989 vital event files to 
prevent the inadvertent disclosure of individuals and institutions.   As a result,  
this file does not contain the actual day of the death.   The geographic detail 
is also restricted; only counties,  cities, and SMSA's of 100,000 or more
population based on the 1980 Census are identified.


List of Data Elements and Tape Locations

    Tape
    Data Items Locations

 1.  General
     a.   Data year
     b.   Tabulation flag
     c.   Record type
     d.   Resident status

 2.  Occurrence
     a.   NCHS State     17-18
     b.   Expanded NCHS State 15-16
     c.   NCHS County    19-21
     d.   Population size - county 27
     e.   Division  13
     f.   Region    12
          FIPS State     22-23
     h.   Fips County    24-26

 3.  Residence
     a.   NCHS state     33-34
     b.   Expanded NCHS State 31-32
     c.   NCHS County    35-37
     d.   NCHS   City    38-40
     e.   Population size - city   41
     f.   Population size - county 59
     g.   NCHS SMSA 357-359
     h.   Met/Nonmet county   42
     i.   Division  29
     j.   Region    28
     k.   FIPS State     43-44
     1.   FIPS County    45-47
     m.   FIPS SMSA 55-58

 4.  Prenatal Care
     a.    Month began   113-116
     b.    Number of visits   117-120

 5.  Fetus
     a.   Sex       202-203
     b.   Race      204-206
     c.   Plurality      214-215
     d.   Weight  at     delivery  207-213
     e.   Gestation      197-201,216-217
     f.   Month/year of delivery        186-187,190-193
          Day of week of delivery       194


 6.  Mother
     a.   Age  69-76,87-88
     b.   Race 79-81
     c.   Marital status 86
     d.   Education 82-84
     e.   Hispanic origin     76-77

 7.  Pregnancy History
     a.   Born alive, now living   98-99
     b.   Born alive,  now dead    100-101
     c.   Other terminations  102-103
     d.   Total birth order   109-111
     e.   Live birth order    105-107

 8.  Father
     a.   Age  160-164,173-174
     b.   Race 167-169
     c.   Education 170-172
     d.   Hispanic origin     965-166

 9.  Other Items
     a.   Residence reporting flags     315-339
     b.   Attendant at delivery    10-11
     c.   Place of delivery   8-9
     d.   Interval since last live birth     135-139

 10. Medical and Health Data
     a.   Method of delivery  220-226
     b.   Medical risk factors     228-244
     c.   Other risk factors
          Tobacco   245-248
          Alcohol   249-252
          Weight gain during pregnancy  253-255
     d.   Obstetric procedures     256-262
     e.   Complications of labor and/or delivery  263-278
     f.   Congenital anomalies     279-300



1989  FETAL DEATHS DETAIL RECORD

 Item       Item     Variable Name,
 Location    Length  Item and Code Outline

 1-4          4     DATAYEAR
                    Year of Delivery (Data Year)

                     1989        . . .      1989

 5            1     TABFLAG
                    Tabulation Inclusion Flag

                    The majority of fetal death tables published by 
                    NCHS/DVS include only those fetal 
                    deaths with stated or presumed gestation 
                    of 20 weeks or more. This position is 
                    used to indicate which records to include 
                    in these tables.

                     1   ...     Under 20 weeks  (excluded)
                     2   ...     20 weeks or more  (included)

 6            1      RECTYPE
                     Record Type

                     1   ...  RESIDENTS:   State and county of
                              occurrence and residence are the
                              same
                     2   ...  NONRESIDENTS:   State and/or county
                              of occurrence and residence are
                              different.

 7            1    RESTATUS
                   Resident Status

                    1  ...  RESIDENTS:   State and county of
                            occurrence and residence are the same.
                    2  ...  INTRASTATE NONRESIDENTS:   State of
                            occurrence and residence are the
                            same, but county is different.
                    3  ...  INTERSTATE  NONRESIDENTS:    State  of
                            occurrence and residence are
                            different, but both are in the U.S.
                    4  ...  FOREIGH RESIDENTS:   State of
                            occurrence is one of the 50 States
                            or the District of Columbia, but
                            place of residence of mother is
                                 outside of the U.S.



 Item        Item        Variable Name,
 Location    Length      Item and Code Outline

 8             1        PLDEL
                        Place or Facility of Delivery

                         1   ...  Hospital delivery
                         2   ...  Doctor's offices, mother's
                                   residence,  Fire Department, public
                                   place, etc.
                         3   ...  Delivery occurred en route to or on
                                  arrival at a facility
                         9   ...  Unknown or not stated

 9             1        PLDEL2
                        Place or Facility of Delivery Recode

                         1   ...      In hospital
                         2   ...      Not in a hospital  (includes unknown)

 10            1        FATTND
                        Attendant at Delivery

                         1   Doctor of Medicine  (M.D.)
                         2   Doctor of Osteopathy (D.O.)
                         3   Certified Nurse Midwife  (C.N.M.)
                         4   Other Midwife
                         5   Other
                         9   Unknown or not stated

 11            1      FATTNDR
                      Attendant at Delivery Recode

                          1   ...  Physician
                          2   ...  Midwife
                          3   ...  Other
                          9   ...  Unknown or not stated




 12-27         16       FOCCUR
                        Place of Occurrence

                        Refer to the Geographic Code Outline further back in 
                        this document for a detailed list of areas and codes.

 12-14          3       RDSSCOCC
                        Reqion, Division,  and State Subcode of Occurrence

 12             1       REGNOCC
                        Region of Occurrence

 13             1       DIVOCC
                        Division of Occurrence

 14             1       STSUBOCC
                        State Subcode of Occurrence

                        States are coded within division and the code 
                        structure is designed to sequence the States as
                        they appear in NCHS publications.

                        1              NORTHEAST
                          1              New Enqland
                            1              Maine
                            2              New Hampshire
                            3              Vermont
                            4              Massachusetts
                            5              Rhode Island
                            6              Connecticut
                          2              Middle Atlantic
                            1              New York
                            2              New Jersey
                            3              Pennsylvania
                        2               MIDWEST
                          3               East North Central
                            1              Ohio
                            2              Indiana
                            3              Illinois
                            4              Michigan
                            5              Wisconsin
                          4               West North Central
                            1              Minnesota
                            2              Iowa
                            3              Missouri
                            4              North Dakota
                            5              South Dakota
                            6              Nebraska
                            7              Kansas

 12-14          3        RDSSCOCC
                         Region, Division,  State Subcode of Occurrence
                         (Cont'd)

                        3               SOUTH
                          5              South Atlantic
                            1              Delaware
                            2              Maryland
                            3              District of Columbia
                            4              Virginia
                            5              West Virginia
                            6              North Carolina
                            7              South Carolina
                            8              Georgia
                            9              Florida
                          6              East South Central
                            1              Kentucky
                            2              Tennessee
                            3              Alabama
                            4              Mississippi
                          7              West South Central
                            1              Arkansas
                            2              Louisiana
                            3              Oklahoma
                            4              Texas
                        4               WEST
                          8              Mountain
                            1              Montana
                            2              Idaho
                            3              Wyoming
                            4              Colorado
                            5              New Mexico
                            6              Arizona
                            7              Utah
                            8              Nevada
                          9              Pacific
                            1              Washington
                            2              Oregon
                            3              California
                            4              Alaska
                            5              Hawaii



 Item        Item        Variable Name,
 Location    Length      Item and Code Outline

 15-16         2        STFETEXP
                        Expanded State of Occurrence

                         This item is designed to separately identify New
                         York city records from other New York State records.

                          01       Alabama
                          02       Alaska
                          03       Arizona
                          04       Arkansas
                          05       California
                          06       Colorado
                          07       Connecticut
                          08       Delaware
                          09       District of Columbia
                          10       Florida
                          11       Georgia
                          12       Hawaii
                          13       Idaho
                          14       Illinois
                          15       Indiana
                          16       Iowa
                          17       Kansas
                          18       Kentucky
                          19       Louisiana
                          20       Maine
                          21       Maryland
                          22       Massachusetts
                          23       Michigan
                          24       Minnesota
                          25       Mississippi
                          26       Missouri
                          27       Montana
                          28       Nebraska
                          29       Nevada
                          30       New Hampshire
                          31       New Jersey
                          32       New Mexico
                          33       New York
                          34       New York city
                          35       North Carolina
                          36       North Dakota
                          37       Ohio
                          38       Oklahoma



 Item        Item         Variable Name,
 Location    Length       Item and Code Outline

 15-16         2          STFETEXP
                          Expanded State of Occurrence Cont'd

                          39       Oregon
                          40       Pennsylvania
                          41       Rhode Island
                          42       South Carolina
                          43       South Dakota
                          44       Tennessee
                          45       Texas
                          46       Utah
                          47       Vermont
                          48       Virginia
                          49       Washington
                          50       West Virginia
                          51       Wisconsin
                          52       Wyoming

 17-18        2           STATEFET
                          State of Occurrence

                          01       Alabama
                          02       Alaska
                          03       Arizona
                          04       Arkansas
                          05       California
                          06       Colorado
                          07       Connecticut
                          08       Delaware
                          09       District of Columbia
                          10       Florida
                          11       Georgia
                          12       Hawaii
                          13       Idaho
                          14       Illinois
                          15       Indiana
                          16       Iowa
                          17       Kansas
                          18       Kentucky
                          19       Louisiana
                          20       Maine
                          21       Maryland
                          22       Massachusetts
                          23       Michigan
                          24       Minnesota

 Item          Item        Variable Name,
 Location      Length      Item and Code Outline

 17-18           2        STATEFET
                          State of Occurrence Cont'd

                          25       Mississippi
                          26       Missouri
                          27       Montana
                          28       Nebraska
                          29       Nevada
                          30       New Hampshire
                          31       New Jersey
                          32       New Mexico
                          33       New York
                          34       North Carolina
                          35       North Dakota
                          36       Ohio
                          37       Oklahoma
                          38       Oregon
                          39       Pennsylvania
                          40       Rhode Island
                          41       South Carolina
                          42       South Dakota
                          43       Tennessee
                          44       Texas
                          45       Utah
                          46       Vermont
                          47       Virginia
                          48       Washington
                          49       West Virginia
                          50       Wisconsin
                          51       Wyoming

  19-21         3         CNTYFET
                          County of Occurrence

                           OOl-nnn ...  Counties and county equivalents
                                    (independent and coextensive cities)
                                    are numbered alphabetically within
                                    each State and identify each county
                                    with a population of 100,000 or more
                                    in 1980.   (Note:  to Uniquely
                                    identify a county, both and State
                                    and county codes must be used.)   A
                                    complete list of counties is shown
                                    in the Geographic Code Outline
                                    further back in this document.


 22-26          5         FIPSOCC
                          Federal Information Processin.q Standards
                          (FIPS)  Geographic Codes  (Occurrence)

                          Refer to the Geographic Code Outline Further back 
                          in this document for a detailed list of areas
                          and codes.  For an explanation of FIPS codes, 
                          reference should be made to various National Institute  
                          of Standards and Technology (NIST)  publications.

 22-23          2         STOCCFIP
                          State of Occurrence  (FIPS)

                          01       Alabama
                          02       Alaska
                          04       Arizona
                          05       Arkansas
                          06       California
                          08       Colorado
                          09       Connecticut
                          10       Delaware
                          11       District of Columbia
                          12       Florida
                          13       Georgia
                          15       Hawaii
                          16       Idaho
                          17       Illinois
                          18       Indiana
                          19       Iowa
                          20       Kansas
                          21       Kentucky
                          22       Louisiana
                          23       Maine
                          24       Maryland
                          25       Massachusetts
                          26       Michigan
                          27       Minnesota
                          28       Mississippi
                          29       Missouri
                          30       Montana
                          31       Nebraska
                          32       Nevada
                          33       New Hampshire


 22-23         2          STOCCFIP
                          Sate of Occurrence  (Cont'd)

                          34       New Jersey
                          35       New Mexico
                          36       New York
                          37       North Carolina
                          38       North Dakota
                          39       Ohio
                          40       Oklahoma
                          41       Oregon
                          42       Pennsylvania
                          44       Rhode Island
                          45       South Carolina
                          46       South Dakota
                          47       Tennessee
                          48       Texas
                          49       Utah
                          50       Vermont
                          51       Virginia
                          53       Washington
                          54       West Virginia
                          55       Wisconsin
                          56       Wyoming

 24-26         3          CNTOCFIP
                          County of Occurrence  (FIPS)

                           OOl-nnn ---  Counties and county equivalents
                                   (independent and coextensive cities)
                                   are numbered alphabetically within
                                   each State and identify each county
                                   with a population of 100,000 or more
                                   in 1980.   (Note:   To uniquely
                                   identify a county, both the State
                                   and county codes must be used.)   A
                                   complete list of counties is shown
                                   in the Geographic Code Outline
                                   further back in this document.

  27           1           CNTOCPOP
                           Population Size of County of Occurrence

                           Based on the results of the 1980 Census

                            0 . . .     County cf 1,000,000 or more
                            1 . . .     County of 500,000 to 1,000,000
                            2 . . .     County of 250,000 to 500,000
                            3 . . .     County of 100,000 to 250,000
                            9 . . .     County of Less than 100,000



 Item         Item           Variable Name,
 Location     Length         Item and Code Outline

 28-59          32          FRESID
                            Place of Residence

                            Refer to the Geographic Code Outline further back 
                            in this document for a detailed list of areas
                            and codes.

 28-30          3           RDSCRES
                            Region, Division, and State Subcode of Residence

 28             1           REGNRES
                            Region of Residence

 29             1           DIVRES
                            Division of Residence

 30             1           STSUBRES
                            State Subcode of Residence

                            States are coded within Division and the code 
                            structure is designed to sequence the States as they
                            appear in NCHS publications.

                            000        ...   Foreign residents

                            1            NORTHEAST
                             1             New England
                               1              Maine
                               2              New Hampshire
                               3              Vermont
                               4              Massachusetts
                               5              Rhode Island
                               6              Connecticut
                             2             Middle Atlantic
                               1              New York
                               2              New Jersey
                               3              Pennsylvania
                           2              MIDWEST
                             3              East North Central
                               1              Ohio
                               2              Indiana
                               3              Illinois
                               4              Michigan
                               5              Wisconsin
                             4              West North Central
                               1              Minnesota
                               2              Iowa
                               3              Missouri
                               4              North Dakota
                               5              South Dakota
                               6              Nebraska
                               7              Kansas

 28-30           3          RDSCRES
                            Region, Division,  State Subcode of
                            Residence  (Cont'd)

                            3              SOUTH
                              5             South Atlantic
                               1              Delaware
                               2              Maryland
                               3              District of Columbia
                               4              Virginia
                               5              West Virginia
                               6              North Carolina
                               7              South Carolina
                               8              Georgia
                               9              Florida
                             6              East South Central
                               1              Kentucky
                               2              Tennessee
                               3              Alabama
                               4              Mississippi
                             7              West South Central
                               1              Arkansas
                               2              Louisiana
                               3              Oklahoma
                               4              Texas
                           4              WEST
                             8              Mountain
                               1              Montana
                               2              Idaho
                               3              Wyoming
                               4              Colorado
                               5              New Mexico
                               6              Arizona
                               7              Utah
                               8              Nevada
                             9              Pacific
                               1              Washington
                               2              Oregon
                               3              California
                               4              Alaska
                               5              Hawaii


 31-32          2         STRESEXP
                          Expanded State of Residence

                          This item is designed to separately identify New
                          York city records from other New York State records.

                          01       Alabama
                          02       Alaska
                          03       Arizona
                          04       Arkansas
                          05       California
                          06       Colorado
                          07       Connecticut
                          08       Delaware
                          09       District of Columbia
                          10       Florida
                          11       Georgia
                          12       Hawaii
                          13       Idaho
                          14       Illinois
                          15       Indiana
                          16       Iowa
                          17       Kansas
                          18       Kentucky
                          19       Louisiana
                          20       Maine
                          21       Maryland
                          22       Massachusetts
                          23       Michigan
                          24       Minnesota
                          25       Mississippi
                          26       Missouri
                          27       Montana
                          28       Nebraska
                          29       Nevada
                          30       New Hampshire
                          31       New Jersey
                          32       New Mexico
                          33       New York
                          34       New York city
                          35       North Carolina


 Item          Item        Variable Name,
 Location      Length      Item and Code Outline

 31-32           2        STRESEXP
                          Expanded State of Residence Cont'd

                          36       North Dakota
                          37       Ohio
                          38       Oklahoma
                          39       Oregon
                          40       Pennsylvania
                          41       Rhode Island
                          42       South Carolina
                          43       South Dakota
                          44       Tennessee
                          45       Texas
                          46       Utah
                          47       Vermont
                          48       Virginia
                          49       Washington
                          50       West Virginia
                          51       Wisconsin
                          52       Wyoming
                          53-58,60      Foreign Residents
                          53       Puerto Rico
                          54       Virgin Islands
                          55       Guam
                          56       Canada
                          57       Cuba
                          58       Mexico
                          60       Remainder of the world


 33-34          2         STATERES
                          State of Residence

                          01       Alabama
                          02       Alaska
                          03       Arizona
                          04       Arkansas
                          05       California
                          06       Colorado
                          07       Connecticut
                          08       Delaware
                          09       District of Columbia
                          10       Florida
                          11       Georgia
                          12       Hawaii
                          13       Idaho
                          14       Illinois
                          15       Indiana
                          16       Iowa
                          17       Kansas
                          18       Kentucky
                          19       Louisiana
                          20       Maine
                          21       Maryland
                          22       Massachusetts
                          23       Michigan
                          24       Minnesota
                          25       Mississippi
                          26       Missouri
                          27       Montana
                          28       Nebraska
                          29       Nevada
                          30       New Hampshire
                          31       New Jersey
                          32       New Mexico
                          33       New York
                          34       North Carolina
                          35       North Dakota
                          36       Ohio
                          37       Oklahoma
                          38       Oregon
                          39       Pennsylvania
                          40       Rhode Island
                          41       South Carolina
                          42       South Dakota


 Item          Item        Variable Name,
 Location      Length      Item and Code Outline

   33-34          2        STATERES
                           State of Residence Cont'd

                            43          Tennessee
                            44          Texas
                            45          Utah
                            46          Vermont
                            47          Virginia
                            48          Washington
                            49          West Virginia
                            50          Wisconsin
                            51          Wyoming
                            52-57,59    Foreign Residents
                            52          Puerto Rico
                            53          Virgin Islands
                            54          Guam
                            55          Canada
                            56          Cuba
                            57          Mexico
                            59          Remainder of the world

   35-37         3         CNTYRES
                           County of Residence
                           A complete list of counties is shown in the
                           Geographic Code Outline further back in this
                           document.

                             OOl-nnn    ...  Counties and county equivalents
                                        (independent and coextensive cities)
                                        are numbered alphabetically within
                                        each State and identify each county
                                        with a population of 100,000 or more
                                        in 1980.   (Note: To uniquely
                                        identify a county, both the State
                                        and county codes must be used.)

                             ZZZ        ...    Foreign Residents

    38-40         3        CITYRES
                           City of Residence

                           A complete list of cities is shown in the 
                           Geographic Code Outline further back in this document.

                            OOl-nnn   ...  Cities are numbered alphabetically
                                      within each State and identify each
                                      city with a population of 100,000 or
                                      more in 1980.   (Note:   To uniquely
                                      identify a city, both the State and
                                      city codes must be used.   State,
                                      county and city codes may also be
                                      used.)
                            999  ...  Balance of county
                            ZZZ  ...  Foreign residents


 41           1           CITRSPOP
                          Population Size of City of Residence

                          Based on the results of the 1980 census

                          0   Place of  1,000,000 or more
                          1   Place of  500,000 to 1,000,000
                          2   Place of  250,000 to    500,000
                          3   Place of  100,000 to    250,000
                          9   All other areas in the U.S.
                          Z   Foreign residents

 42          1            METRORES
                          Metropolitan - Nonmetropolitan County of Residence

                          1   Metropolitan county
                          2   Nonmetropolitan county
                          Z   Foreign residents

 43-58       16           FIPSRES
                          Federal Information Processin.q Standards  (FIPS)
                          Geographic Codes  (Residence)
 
                          Refer to the Geographic Code Outline further back in 
                          this document for a detailed list of areas
                          and codes. For an explanation of FIPS codes, reference
                          should be made to various National Institute of 
                          Standards and Technology (NIST) publications.

 43-44        2           STRESFIP
                          State of Residence  (FIPS)

                          00  Foreign residents
                          01  Alabama
                          02  Alaska
                          04  Arizona
                          05  Arkansas
                          06  California
                          08  Colorado
                          09  Connecticut
                          10  Delaware


 Item         Item         Variable Name,
 Location     Length       Item and Code Outline

 43-44          2         STRESFIP
                          State of Residence  (Cont'd)

                          11       District of Columbia
                          12       Florida
                          13       Georgia
                          15       Hawaii
                          16       Idaho
                          17       Illinois
                          18       Indiana
                          19       Iowa
                          20       Kansas
                          21       Kentucky
                          22       Louisiana
                          23       Maine
                          24       Maryland
                          25       Massachusetts
                          26       Michigan
                          27       Minnesota
                          28       Mississippi
                          29       Missouri
                          30       Montana
                          31       Nebraska
                          32       Nevada
                          33       New Hampshire
                          34       New Jersey
                          35       New Mexico
                          36       New York
                          37       North Carolina
                          38       North Dakota
                          39       Ohio
                          40       Oklahoma
                          41       Oregon
                          42       Pennsylvania
                          44       Rhode Island
                          45       South Carolina
                          46       South Dakota
                          47       Tennessee
                          48       Texas
                          49       Utah
                          50       Vermont
                          51       Virginia
                          53       Washington
                          54       West Virginia
                          55       Wisconsin
                          56       Wyoming


 45-47          3         CNTYRFIP
                          County of Residence  (FIPS)

                          000      ...  Foreign residents
                          OOl-nnn  ...  Counties and county equivalents
                                   (independent and coextensive cities)
                                   are numbered alphabetically within
                                   each State and identify each county
                                   with a population of 100,000 or more
                                   in 1980.   {Note:   To uniquely
                                   identify a county, both the State
                                   and county codes must be used.)   A
                                   complete list of counties is shown
                                   in the Geographic Code Outline
                                   further back in this document.

 48-54          7         R1
                          Reserved Positions

 55-58          4         SMSARFIP
                          SMSA of Residence  (FIPS)

                          Standard Metropolitan Statistical Areas are those 
                          established by the U.S. Office of Management
                          and Budget  (OMB) using final 1980 Census population 
                          counts and identify SMSA's of 100,000 or more 
                          population. For New England, the New England County 
                          Metropolitan Areas (NECMA)  are used.

                          Further back in this document is a list of SMSA's 
                          and their component counties.

                          0000     ...   Nonmetropolitan counties or foreign
                                         residents
                          0040-9340  ... Code range

 59              1        CNTRSPOP
                          Population Size of County of Residence

                          Based on the results of the 1980 Census.

                          0   ...  County of 1,000 000 or more
                          1   ...  County of 500 000 to 1,000,000
                          2   ...  County of 250 000 to     500,000
                          3   ...  County of 100 000 to     250,000
                          9   . . .     County of Less than 100,000
                          Z   ...  Foreign resident

 60-68           9        RIA
                          Reserved Positions

 69              1        MAGERFLG
                          Reported Age of Mother Used Flag
                          This position is flagged whenever the mother's
                          reported age is used. The reported age is used, 
                          if valid, when age could not be computed or when 
                          the computed age is outside the 10-49 code range.

                          Blank     ... Reported age is not used
                          1         ... Reported age is used

 70              1        MAGEIMP
                          Age of Mother Imputation Flag

                          Blank    ... Age is not imputed
                          1        ... Age is imputed

 71-72           2        DMAGE
                          Age of Mother
                          This item is: a)  computed using dates of birth of
                          mother and of delivery; b)  reported; or c)  imputed.
                          This is the age item used in NCHS publications.

                          10-49         ... Age is single years


 73-74           2        MAGE12
                          Age of Mother Recode 12

                          01  ..   Under 15 years
                          02  ..   15 years
                          03  ..   16 years
                          04  ..   17 years
                          05  ..   18 years
                          06  ..   19 years
                          07  ..   20 - 24 years
                          08  ..   25 - 29 years
                          09  ..   30 - 34 years
                          10  ..   35 - 39 years
                          11  ..   40 -  44 years
                          12  ..   45 - 49 years

 75            1          MAGE 8
                          Age of Mother Recode 8

                          1   Under 15 years
                          2   15 - 19 years
                          3   20 - 24 years
                          4   25 - 29 years
                          5   30 - 34 years
                          6   35 - 39 years
                          7   40 - 44 years
                          8   45 - 49 years

 76            1         ORMOTH
                         Hispanic Origin of Mother

                         Origin is not reported by all areas.   See reporting 
                         flags.

                          0   ...  Non-Hispanic
                          1   ...  Mexican
                          2   ...  Puerto Rican
                          3   ...  Cuban
                          4   ...  Central or South American
                          5   ...  Other and unknown Hispanic
                          9   ...  Origin unknown or not stated


 Item         Item        Variable Name,
 Location     Lenqth      Item and Code Outline

 77            1         ORRACEM
                         Hispanic Origin and Race of Mother Recode

                         Origin's not reported by all areas. See reporting flags.

                          1   ..   Mexican
                          2   ..   Puerto Rican
                          3   ..   Cuban
                          4   ..   Central or South American
                          5   ..   Other and unknown Hispanic
                          6   ..   Non-Hispanic White
                          7   ..   Non-Hispanic Black
                          8   ..   Non-Hispanic other races
                          9   ..   Origin unknown or not stated

 78            1         MRACEIMP
                         Race of Mother Imputation Flag

                         Black ... Race is not imputed 
                         1    ...  Race is imputed

 79-80         2         MRACE
                         Race of Mother

                         Race codes effective with 1989 data differ 
                         from previous years.

                           01 ...  White
                           02 ...  Black
                           03 ...  American Indian (includes Aleuts and
                                   Eskimos)
                           04 ...  Chinese
                           05 ...  Japanese
                           06 ...  Hawaiian  (includes Part-Hawaiian)
                           07 ...  Filipino
                           08 ...  Other Asian or Pacific Islander
                           09 ...  All other Races


 81           1          MRACE3
                         Race of Mother Recode

                          1   White
                          2   Races other than White or Black
                          3   Black

 82-83                   2    DMEDUC
                         Education of Mother

                         Education is not reported by all areas. See 
                         reporting flags.

                          00  No formal education
                          01-08    Years of elementary school
                          09  1 year of high school
                          10  2 years of high school
                          11  3 years of high school
                          12  4 years of high school
                          13  1 year of college
                          14  2 years of college
                          15  3 years of college
                          16  4 years of college
                          17  5 or more years of college
                          99  Not stated

 84          1           MEDUC6
                         Education of Mother Recode

                         Education is not reported by all areas. See 
                         reporting flags.

                          1   0 - 8 years
                          2   9  - 11 years
                          3   12 years
                          4   13 - 15 years
                          5   16 years and over
                          6   NoE seated

 85           1          R1C
                         Reserved Position


 86           1          DMAR
                         Marital Status of Mother

                         Marital status is not reported by all areas. See 
                         reporting flags.

                          1   ...  Married
                          2   ...  Unmarried
                          9   ...  Unknown or not stated

 87-88          2        DMAGERPT
                         Reported Aqe of Mother

                          10-49     ...    Age in single years
                          99        ...    Unknown or not stated

 89-97          9        R2
                         Reserved Positions

 98-99          2        NLBNL
                         Number of Live Births, Now Livinq

                         00-30     ...  Stated number of children
                         99        ...  Unknown or not stated

 100-101        2        NLBND
                         Number of Live Births, Now Dead

                          00-30     ...    Stated number of children
                          99        ...    Unknown or not stated

 102-103        2        NOTERM
                         Number of Other Terminations

                         Includes spontaneous and induced at any time after 
                         conception.

                          00-30     ...    Stated number of other terminations
                          99        ...    Unknown or not stated

  104           1        R2A
                         Reserved Position

 105-106        2        DLIVORD
                         Detail Live Birth Order

                         Sum of live births now living and now dead. If 
                         either item is unknown,  this item is made
                         unknown.

                          00-40    ...  Number of children born alive to
                                        mother
                          99       ...  Unknown live birth order

 107            1        LIVORD9
                         Live Birth Order Recode

                          0        No children born alive to mother
                          1        One
                          2        Two
                          3        Three
                          4        Four
                          5        Five
                          6        Six
                          7        Seven
                          8        Eight or more
                          9        Unknown Live Birth Order

 108            1        R2B
                         Reserved Position

 109-110        2        DTOTORD
                         Detail Total Birth Order

                         Sum of live birth order and other terminations of 
                         pregnancy plus one (for this pregnancy).   If
                         either item is unknown, this item is made unknown.

                          01-41    ...  Number of live births and other
                                        terminations of pregnancy
                          99       ...  Unknown total birth order


 111            1        TOTORD9
                         Total Birth Order Recode

                          1        One
                          2        Two
                          3        Three
                          4        Four
                          5        Five
                          6        Six
                          7        Seven
                          8        Eight or more
                          9        Unknown Total Birth Order

 112            1        R2C
                         Reserved Position

 113-114        2        MONPRE
                         Detail Month of Pregnancy Prenatal Care Began

                         Month prenatal care began is not reported by all 
                         areas. See reporting flags.

                           00 ...  No prenatal care
                           01 ...  1st month
                           02 ...  2nd month
                           03 ...  3rd month
                           04 ...  4th month
                           05 ...  5th month
                           06 ...  6th month
                           07 ...  7th month
                           08 ...  8th month
                           09 ...  9th month
                           99 ...  Unknown or not stated

  115           1         MPRE6
                          Month Prenatal Care Began Recode 6

                          Month prenatal care began is not reported by all 
                          areas. See reporting flags.

                           1  ...  1st - 2nd month
                           2  ...  3rd month
                           3  ...  4th - 6th month
                           4  ...  7th - 9th month
                           5  ...  No prenatal care
                           6  ...  Unknown or not stated


 116            1         MPRE5
                          Month Prenatal Care Began Recode 5

                          Month prenatal care began is not reported by all 
                          areas.   See reporting flags.

                          1   ...  1st Trimester (1st-3rd month)
                          2   ...  2nd Trimester  (4th-6th month)
                          3   ...  3rd Trimester  (7th-9th month)
                          4   ...  No prenatal care
                          5   ...  Unknown or not stated

 117-118         2        NPREVIST
                          Total Number of Prenatal Visits

                          Number of prenatal visits is not reported by all 
                          areas.   See reporting flags

                          00     ...  No prenatal visits
                          01-48  ...  Stated number of visits
                          49     ...  49 or more visits
                          99     ...  Unknown or not stated

 119-120         2        NPREV12
                          Number of Prenatal Visits Recode

                          Number of prenatal visits is not reported by all 
                          areas.   See reporting flags

                          01  No visits
                          02  1 - 2 visits
                          03  3 - 4 visits
                          04  5 - 6 visits
                          05  7 - 8 visits
                          06  9 - 10 visits
                          07  11 - 12 visits
                          08  13 - 14 visits
                          09  15 - 16 visits
                          10  17 - 18 visits
                          11  19 visits or more
                          12  Unknown or not stated

	    
 121-128         8        LMPDATE
                          Date Last Normal Menses Began

                          Date of last normal menses is not reported by all 
                          areas.   See reporting flags.

 121-122         2        LMPMON
                          Month

                          01  January
                          02  February
                          03  March
                          04  April
                          05  May
                          06  June
                          07  July
                          08  August
                          09  September
                          10  October
                          11  NoVember
                          12  December
                          99  Unknown or not stated month of LMP

 123-124         2        LMPDAY
                          Day
                          01-31       ...    As applicable to month of LMP
                          99          ...    Unknown or not stated day of LMP

 125-128         4        LMPYR
                          Year

                           1988    ...     1988
                           1989    ...     1989
                           9999    ...     Unknown or not stated year of LMP


 129-134         6        LLBDATE
                          Date of last Live Birth

                          Date of last live birth is not reported by all 
                          areas.   See reporting flags

                          777777      ...    No previous live birth

 129-130         2        LLBMON
                          Month of Last Live Birth

                          01       January
                          02       February
                          03       March
                          04       April
                          05       May
                          06       June
                          07       July
                          08       August
                          09       September
                          10       October
                          11       November
                          12       December
                          99       Unknown or not stated

 131-134         4        LLBYR
                          Year of Last Live Birth

                          1900-1989 ...    Stated year
                          9999      ...    Unknown or not seated

 135-137         3        DISLLB
                          Interval Since Last Live Birth

                          This item is computed from date of delivery and date 
                          of last live birth.

                          777      ...  No previous live birth
                          000      ...  Zero months  (plural birth)
                          001-500  ...  One - five hundred months
                          999      ...  Unknown

 138-139         2        ISLLB1O
                          Interval Since Last Live Birth Recode

                          00  ...  Not applicable  (no previous live
                                   birth)
                          01  ...  Zero months  (plural birth)
                          02  ...  1    11 months
                          03  ...  12   17 months
                          04  ...  18   23 months
                          05  ...  24   35 months
                          06  ...  36   47 months
                          07  ...  48   59 months
                          08  ...  60 - 71 months
                          09  ...  72 months and over
                          10  . . .     Unknown


 140-159         2        R3
                          Reserved Positions

 160             1        FAGERFLG
                          Reported Age of Father Used Flag

                          This position is flagged whenever the Father's 
                          reported age is used. The reported age is used,  if
                          valid, when age could not be computed or when the 
                          computed age is less than 10.

                          Blank    ...    Reported age is not used
                          1        ...    Reported age is used

 161-162         2        DFAGE
                          Age of Father

                          This item is either computed from date of birth of 
                          father and date of delivery or is the reported
                          age. This is the age item used in NCHS publications.

                           10-98     ...    Age is single years
                           99        ...    Unknown or not stated

 163-164         2        FAGE11
                          Age of Father Recode     

                           01 ...  Under 15 years
                           02 ...  15   19 years
                           03 ...  20   24 years
                           04 ...  25   29 years
                           05 ...  30   34 years
                           06 ...  35   39 years
                           07 ...  40   44 years
                           08 ...  45   49 years
                           09 ...  50 -  54 years
                           10 ...  55 - 59 years
                           11 ...  60  - 98 years
                           12 ...  Not  stated

  165            1         ORFATH
                           Hispanic Origin of Father

                           Origin is not reported by all areas. See reporting 
                           flags.

                           0  ...  Non-Hispanic
                           1  ...  Mexican
                           2  ...  Puerto Rican
                           3  ...  Cuban
                           4  ...  Central or South American
                           5  ...  Other and unknown Hispanic
                           9  ...  Origin unknown or not stated


 166           1          ORRACEF
                          Hispanic Origin and Race of Father Recode

                          Origin is not reported by all areas. See reporting 
                          flags.

                          1   ...  Mexican
                          2   ..   Puerto Rican
                          3   ..   Cuban
                          4   ..   Central or South American
                          5   ..   Other and unknown Hispanic
                          6   ..   Non-Hispanic White
                          7   ..   Non-Hispanic Black
                          8   ...  Non-Hispanic other or unknown race
                          9   ...  Origin unknown or not stated

 167-168        2         FRACE
                          Race of Father

                          Race codes effective with 1989 data differ 
                          from previous years.

                          01       White
                          02       Black
                          03       American Indian (includes Aleuts and
                                   Eskimos)
                          04       Chinese
                          05       Japanese
                          06       Hawaiian (includes Par~-Hawaiian)
                          07       Filipino
                          08       Other Asian or Pacific Islander
                          09       All other races
                          99       Unknown or not stated

 169           1          FRACE4
                          Race of Father Recode

                          1   ...    White
                          2   ...    Race other than White, Black, or unknown
                          3   ...    Black
                          4   ...    Unknown or not stated


 170-171       2          DFEDUC
                          Education of Father

                          Education is not reported by all areas. See 
                          reporting flags

                          00  No formal education
                          01-08    Years of elementary school
                          09  1 year of high school
                          10  2 years of high school
                          11  3 years of high school
                          12  4 years of high school
                          13  1 year of college
                          14  2 years of college
                          15  3 years of college
                          16  4 years of college
                          17  5 or more years of college
                          99  Non stated

 172          1           FEDUC6
                          Education of Father Recode

                          Education is not reported by all areas.  See 
                          reporting flags

                          1   0 -  8 years
                          2   9 -  11 years
                          3   12 years
                          4   13 - 15 years
                          5   16 years and over
                          6   Not stated

 173-174        2         DFAGERPT
                          Reported Age of Father

                           10-98     ...    Age in single years
                           99        ...    Unknown or not stated

  175-183        9        R4
                          Reserved Positions

  184            1        FDODMIMP
                          Month of Delivery Imputation Flag

                           Blank     ...    Month is not imputed
                           1         ...    Month is imputed

  185            1        R4A
                          Reserved Position

 186-187         2        DELMON
                          Month

                          01       January
                          02       February
                          03       March
                          04       April
                          05       May
                          06       June
                          07       July
                          08       August
                          09       September
                          10       October
                          11       November
                          12       December

 188-189          2       R4B
                          Reserved Positions

 190-193          4       DELYR
                          Year

                            1989         . . .    1989

 194              1       WEEKDAY
                          Day of Week of Delivery

                           1    ...  Sunday
                           2    ...  Monday
                           3    ...  Tuesday
                           4    ...  Wednesday
                           5    ...  Thursday
                           6    ...  Friday
                           7    ...  Saturday


 195             1        GESTESTM
                          Clinical Estimate of Gestation Used Flag

                          This position is flagged whenever the clinical 
                          estimate of gestation is used. It is used whenever
                          gestation could not be computed or when the computed 
                          gestation is outside the 02-47 code range.

                          Blank     ...    Clinical estimate is not used
                          1         ...    Clinical estimate is used

 196             1        GESTIMP
                          Gestation Imputation Flag

                          Blank     ...    Gestation is not imputed
                          1         ...    Gestation is imputed

 197-198         2        DGESTAT
                          Gestation

                          This item is: a)  computed using dates of delivery 
                          and last normal menses; b) the clinical estimate;
                          c)  imputed; or d) unknown when there is insufficient 
                          data to impute or no valid clinical estimate.  
                          This is the gestation item used in NCHS publications.

                          02-47     ...    2nd through 47th week of gestation
                          99        ...    Unknown

199-200          2        GESTAT12
                          Gestation Recode 12

                          01  ..   Under 16 weeks
                          02  ..   16-19 weeks
                          03  ..   20-23 weeks
                          04  ..   24-27 weeks
                          05  ..   28-31 weeks
                          06  ..   32-35 weeks
                          07  ..   36     weeks
                          08  ..   37-39 weeks
                          09  ...  40   weeks
                          10  ...  41   weeks
                          11  ...  42   weeks and over
                          12  ...  Unknown

 201            1         GESTAT5
                          Gestation Recode 5

                          1   ...  Under 20 weeks
                          2   ...  20-23 weeks
                          3   ...  24-27 weeks
                          4   ...  28 weeks and over
                          5   ...  Unknown

 202            1         FSEXIMP
                          Sex Imputation Flag
                          Sex is imputed only for those records with stated
                          or presumed period of gestation of 20 weeks or more.

                          Blank     ...  Sex is not imputed
                          1         ...  Sex is imputed
 203            1         FSEX
                          Sex

                          1   . .. Male
                          2   ...  Female
                          9   ...  Unknown or not stated


 Item          Item        Variable Name,
 Location      Lenqth      Item and Code Outline

 204-205         2        RACEF
                          Race of Fetus

                          Race code effective with 1989 data differ from 
                          previous years.

                          01  White
                          02  Black
                          03  American Indian (includes Aleuts and
                              Eskimos)
                          04  Chinese
                          05  Japanese
                          06  Hawaiian  (includes Part-Hawaiian)
                          07  Filipino
                          08  Other Asian or Pacific Islander
                          09  All other races

 206             1        FRACE3
                          Race of Fetus Recode

                          1   . . .    White
                          2   ...      Races other than White or Black
                          3   . . .    Black

 207-210         4        DBIRWT
                          Weight at Delivery

                           0000-8165   ...    Number of grams
                           9999        ...    Unknown or not stated

 211-212         2        BIRWT14
                          Weight at Delivery Recode 14

                           01      249 grams or less
                           02      250-349 grams
                           03      350-499 grams
                           04      500-999 grams
                           05      1000-1499 grams
                           06      1500-1999 grams
                           07      2000-2499 grams
                           08      2500-2999 grams
                           09      3000-3499 grams
                           10      3500-3999 grams
                           11      4000-4499 grams
                           12      4500-4999 grams
                           13      5000-8165 grams
                           14      Unknown or not stated

 213            1           BIRWT4
                           Weight at Delivery Recode 4

                            1    ...  1499 grams or less
                            2    ...  1500-2499 grams
                            3    ...  2500 gram or more
                            4    ...  Unknown or not stated

 214           1            PLURIMP
                            Plurality Imputation Flaq
                            Blank      ...    Plurality is not imputed
                            1          ...    Plurality is imputed

 215           1            DPLURAL
                            Plurality
                            Louisiana does not report plurality.

                            1    ..   Single
                            2    ..   Twin
                            3    ..   Triplet
                            4    ..   Quadruplet
                            5    ..   Quadruplet or higher
                            9    ..   Louisiana occurrence to resident

 216-217        2           CLINGEST
                            Clinical Estimate of Gestation

                            Clinical estimate is not reported by all areas. See
                            reporting flags.
                            02-47      ...    Estimated gestation in weeks
                            99         ...    Unknown or not stated

 218 -219       2           R5
                            Reserved Positions

 Item          Item          Variable Name,
 Location      Length        Item and Code Outline

 220-314        95          MEDINFO
                            Medical and Health Data

                            Some States do not report an entire item while other
                            States do not report all of the categories
                            within an item.

                            If an item is not reported, it is indicated by code 
                            zero in the appropriate reporting flag.

                            If a category within an item is not reported it is 
                            indicated by code 8 in the position for that
                            category.

 220-226        7           DELMETH
                            Method of Delivery

                            Each method is assigned a separate position, and the
                            code structure for each method  (position) is:

                            1    ...  The method was used
                            2    ...  The method was not used
                            8    ...  Method not on certificate
                            9    ...  Method unknown or not stated

 220            1           VAGINAL
                            Vaginal

 221            1           VBAC
                            Vaginal Birth After Previous C-Section

 222            1           PRIMAC
                            Primary C-Section

 223            1           REPEAC
                            Repeat C-Section

 224            1           FORCEP
                            Forceps

 225            1           VACUUM
                            Vacuum

 226            1           HYSTER
                            Hysterotomy/Hysterectomy

 227            1           DELMETH6
                            Method of Delivery Recode

                            1    ...  Vaginal (excludes Vaginal after previous
                                      C-section
                            2    ...  Vaginal birth after previous C-section
                            3    ...  Primary C-section
                            4    ...  Repeat C-Section
                            5    ...  Hysterotomy/HysEerectomy
                            6    ...  Not stated

 228-244        17          MEDRISK
                            Medical Risk Factors

                            Each risk factor is assigned a separate position,
                            and the code structure for each risk factor 
                            (position)  is:

                               1   ...  Factor reported
                               2   ...  Factor not reported
                               8   ...  Factor not on certificate
                               9   ...  Factor not classifiable

 228             1          ANEMIA
                            Anemia  (Hct.<30/Hgb.<10)

 229             1          CARDIAC
                            Cardiac disease

 230             1          LUNG
                            Acute or chronic lung disease

 231             1          DIABETES
                            Diabetes

 232             1          HERPES
                            Genital herpes

 233             1          HYDRA
                            Hydramnios/Oligohydramnios

 234             1          HEMO
                            Hemoglobinopathy


 Item          Item          Variable Name,
 Location      Length        Item and Code Outline

 235             1          CHYPER
                            Hypertension,  chronic

 236             1          PHYPER
                            Hypertension, preqnancy-associated

 237             1          ECLAMP
                            Eclampsia

 238             1          INCERVIX
                            Incompetent cervix

 239             1          PRE4000
                            Previous infant 4000+ grams

 240             1          PRETERM
                            Previous preterm or small-for-gestational-age infant

 241             1          RENAL
                            Renal disease

 242             1          RH
                            Rh sensitization

 243             1          UTERINE
                            Uterine bleeding

 244             1          OTHERMR
                            Other Medical Risk Factors

 245-255        11          OTHERRSK
                            Other Risk Factors For This Pregnancy
 245-248         4          TOBACRSK
                            Tobacco Risks
 245             1          TOBACCO
                            Tobacco Use During Pregnancy

                            1    Yes
                            2    No
                            9    Unknown or not stated

 246-247         2          CIGAR
                            Average Number of Cigarettes Per Day

                            00-97     As stated
                            98        98 or more cigarettes per day
                            99        Unknown or not stated

 248             1          CIGAR6
                            Average Number of Cigarettes Per Day Recode

                            0   Non smoker
                            1   1-5 cigarettes per day
                            2   6-10 cigarettes per day
                            3   11-20 cigarettes per day
                            4   21-40 cigarettes per day
                            5   41 or more cigarettes per day
                            6   Unknown or not stated

 249-252         4          ALCOHRSK
                            Alcohol

 249             1          ALCOHOL
                            Alcohol Use During Pregnancy

                             1    ...  Yes
                             2    ...  No
                             9    ...  Unknown or not stated


 250-251         2        DRINK
                          Average Number of Drinks Per Week

                          00-97    ...  As  stated
                          98  ...  98 or more drinks per week
                          99  ...  Unknown or not stated

 252             1        DRINK5
                          Average Numher of Drinks Per Week Recode

                          0   ...  Non drinker
                          1   ...  1 drink per week
                          2   ...  2 drinks per week
                          3   ...  3-4 drinks per week
                          4   ...  5 or more drinks per week
                          5   ...  Unknown or not stated

 253-255         3        WTGANRSK
                          Weight Gain During Preqnancy

 253-254         2        WTGAIN
                          Weight Gain

                           00-97   ...  Stated number of pounds
                           98      ...  98 pounds or more
                           99      ...  Unknown or not stated

 255             1        WTGAIN8
                          Weight Gain Recode

                           1  ..   Less than 10 pounds
                           2  ..   10-14 pounds
                           3  ..   15 - 19 pounds
                           4  ..   20-24 pounds
                           5  . .  2 5 - 2 9 pounds
                           6  ..   30-34 pounds
                           7  ...  35 or more pounds
                           8  ...  Unknown or not stated


 Item         Item         Variable Name,
 Location     Length       Item and Code Outline
 256-262         7        OBSTETRC
                          Obstetric Procedures

                          Each procedure is assigned a separate position, and
                          the code structure for each procedure (position) is:

                          1    ...  Procedure reported
                          2    ...  Procedure not reported
                          8    ...  Procedure not on certificate
                          9    ...  Procedure not classifiable

 256            1         AMNIO
                          Amniocentesis

 257            1         MONITOR
                          Electronic fetal monitoring

 258            1         INDUCT
                          Induction of labor

 259            1         STIMULA
                          Stimulation of labor

 260            1         TOCOL
                          Tocolysis

 261            1         ULTRAS
                          Ultrasound

 262            1         OTHEROB
                          Other Obstetric Procedures

 263-278        16        LABOR
                          Complications of Labor and/or Delivery

                          Each complication is assigned a separate position,
                          and the code structure for each complication 
                          (position)  is:

                          1   ...  Complication reported
                          2   ...  Complication not reported
                          8   ...  Complication not on certificate
                          9   ...  Complication not classifiable

 263             1        FEBRILE
                          Febrile (>100 degrees F. or 38 deqrees C.).

 264             1        MECONIUM
                          Meconium

 265             1        RUPTURE
                          Premature rupture of membrane  (>12 hours)

 266             1        ABRUPTIO
                          Abruptio placenta

 267             1        PREPLACE
                          Placenta previa

 268             1        EXCEBLD
                          Other excessive bleeding

 269             1        SEIZURE
                          Seizures during labor

 270             1        PRECIP
                          Precipitous labor  (<3 hours)

 271             1        PROLONG
                          prolonged labor  (>20 hours)

 272             1        DYSFUNC
                          Dysfunctional labor

 273             1        BREECH
                          Breech/Malpresentation

 274             1        CEPHALO
                          Cephalopelvic disproportion

 275             1        CORD
                          Cord prolapse


 276             1        ANESTHE
                          Anesthetic complications

 277             1        DISTRESS
                          Fetal distress

 278             1        OTHERLB
                          Other Complication of Labor and/or Delivery
 
 279-300        22        CONGENIT
                          CONGENITAL ANOMALIES

                          Each anomaly is assigned a separate position, and
                          the code structure for each anomaly (position)  is:

                          1    ...  Anomaly reported
                          2    ...  Anomaly not reported
                          8    ...  Anomaly not on certificate
                          9    ...  Anomaly not classifiable

 279             1        ANEN
                          Anencephalus

 280             1        SPINA
                          Spina bifida/Meningocele

 281             1        HYDRO
                          Hydrocephalus

 282             1        MICROCE
                          Microcephalus

 283             1        NERVOUS
                          Other central nervous system anomalies

 284             1        HEART
                          Heart malformations

 285             1        CIRCUL
                          Other circulatory/respiratory anomalies

 286             1        RECTAL
                          Rectal atresia/stenosis

 287             1        TRACHEO
                          Tracheo - esophageal fistula/Esophageal atresia

 Item           Item       Variable Name,
 Location       Lenqth     Item and Code Outline

 288             1        OMPHALO
                          Omphalocele/Gastroschisis

 289             1        GASTRO
                          Other gastrointestinal anomalies

 290             1        GENITAL
                          Malformed genitalia

 291             1        RENALAGE
                          Renal agenesis

 292             1        UROGEN
                          Other urogenital anomalies

 293             1        CLEFTLP
                          Cleft lip/palate

 294             1        ADACTYLY
                          polydactyly/Syndactyly/Adactyly

 295             1        CLUBFOOT
                          Club foot

 296             1        HERNIA
                          Diaphragmatic hernia

 297             1        MUSCULO
                          Other musculoskeletal/integumental anomalies

 298             1        DOWNS
                          Down's syndrome

 299             1        CHROMO
                          Other chromosomal anomalies

 300             1        OTHERCON
                          Other Congenital Anomalies

 301-314        14        RSA
                          Reserved Positions

 315-339        25        FLRES
                          REPORTING FLAGS FOR PLACE OF RESIDENCE
                          These positions contain flags to indicate whether or
                          not the specified item is included in the report of
                          fetal death of the State of residence identified in
                          positions 31-32.
                          The code structure for each flag  (position)  is:

                          0    ...  The item is not reported
                          1    ...  The item is reported

 315             1        GESTALL
                          All Gestations Reported

 316             1        ORIGIN
                          Origin of mother

 317             1        ORIGF
                          Origin of father

 318             1        EDUCM
                          Education of mother

 319             1        EDUCF
                          Education of father

 320             1        LLBF
                          Date of last live birth

 321             1        DMARF
                          Marital status

 322             1        DATELMP
                          Date of last normal menses

 323             1        PNCF
                          Month prenatal care began

 324             1        PNVF
                          Number of prenatal visits

 325             1        GESTE
                          Clinical estimate of gestation

 326             1        DELMETRF
                          Method of delivery

 327             1        MEDRSK
                          Medical risk factors

 Item           Item       Variable Name,
 Location       Length     Item and Code Outline

 328             1        TOBUSE
                          Tobacco use

 329             1        CIGARSF
                          Number of cigarettes

 330             1        ALCUSE
                          Alcohol use

 331             1        DRINKSF
                          Number of drinks

 332             1        WTGN
                          Weight gain

 333             1        OBSTRC
                          Obstetric procedures

 334             1        CLABOR
                          Complications of labor and/or delivery

 335             1        CONGAN
                          Congenital anomalies

 336             1        UCF
                          Underlying cause

 337             1        PLURALF
                          Plurality

 338-339         2        R8
                          Reserved positions

 340             1        ALLGOCC
                          ALL GESTATIONS REPORTING FLAG FOR PLACE OF OCCURRENCE
                          This position indicates whether or not all gestation
                          periods are reported by the State of occurrence
                          identified in positions 15-16.
                          0    ...    All gestations are not reported
                          1    ...    All gestations are reported


 341-356        16        R8A
                          Reserved Positions

 357-359         3        SMSARES
                          NCHS Standard Metropolitan Statistical Area (SMSA) OF 
                          Residence

                          Based on residence of the mother.   Standard 
                          Metropolitan Statistical Areas are those established
                          by the U.S. Office of Management and Budget (OMB) 
                          using final 1980 Census population counts and 
                          identify SMSA's of 100,000 population or more. For 
                          New England, the New England County Metropolitan 
                          Areas (NECMS) are used.

                          Further back in this document is a list of SMSA's 
                          and their component counties.

                          000      ...  Nonmetropolitan counties
                          001-305  ...  The 305 SMSA's established for 1980
                          ZZZ      ...  Foreigh residents

 360             1        POPSMAS
                          SMSA Population Size
                          Based on the results of the 1980 Census.

                          1   ...  SMSA of 250,000 and over
                          2   ...  SMSA of 100,000 to 250,000
                          9   ...  SMSA of less than 100,000 or
                                   Nonmetropolitan area
                          Z   ...  Foreigh resident




This page last reviewed: Thursday, January 28, 2016
This information is provided as technical reference material. Please contact us at cwus@cdc.gov to request a simple text version of this document.
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