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Scientific Data Documentation
Fetal Death Detail Record, 1990
DSN: CC36.FETDTH90


Documentation of the Fetal Death Tape File for 1990 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 Data
     a.   Data year 1-4
     b.   Tabulation flag     5
     c.   Record type    6
     d.   Resident status     7

 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
     g.   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
     g.   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     165-166

 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


Record Layout

 Item         Item         Variable Name
 Location     Length       Item and Code Outline

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

                          1990        . . .      1990

 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,  
                          see the Technical Appendix. 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

                                 ...    RESIDENTS:   State and county of
                                        occurrence and residence are the
                                        same.
                                 ...    INTRASTATE NONRESIDENTS:  State of
                                        occurrence and residence are the
                                        same, but county is different.
                                 ...    INTERSTATE NONRESIDENTS:   State of
                                        occurrence and residence are
                                        different, but both are in the U.S.
                                 ...    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.


 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


 Item           Item       Variable Name,
 Location       Length     Item and Code Outline

 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
                          Region, 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



 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


 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


Item         Item         Variable Name,
Location     Length       Item and Code Outline

 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 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

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

                            000              Foreiqn residents

                            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


 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


 Item          Item        Variable Name,
 Location      Length      Item and Code Outline

 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


 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

 Item        Item          Variable Name,
 Location    Length        Item and Code Outline

 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 zhe 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.

 48-52          5         R1
                          Reserved Positions

 53-54          2         CMSA
                          CMSA of Residence  (FIPS)

                          Consolidated Metropolitan Statistical Areas are 
                          groupings of certain Primary Metropolitan
                          Statistical Areas and are defined by the U.S. Office 
                          of Management and Budget  (OMB)  as of
                          June 30, 1990.

                           00      Not a CMSA
                           07      Boston    Lawrence-Salem, MA-NH
                           10      Buffalo - Niagara Falls, NY
                           14      Chicago - Gary-Lake County,  IL-IN-WI
                           21      Cincinnati    Hamilton, OH-KY-IN
                           28      Cleveland   Akron-Lorain, OH
                           31 ..   Dallas  -  Fort Worth,  TX
                           34 ..   Denver - Boulder, CO
                           35 ...  Detroit    Ann Arbor, MI
                           41 ...  Hartford - New Britain-Middletown,
                                   CT
                           42 ...  Houston    Galveston-Brazoria, TX
                           49 ...  Los Angeles-Anaheim-Riverside, CA
                           56 ...  Miami - Fort Lauderdale,  FL
                           63 ...  Milwaukee - Racine, WI
                           70 ...  New York-Northern New Jersey-Long
                                   Island, NY-NJ-CT
                           77 ...  Philadelphia - Wilmington-Trenton,
                                   PA-NJ-DE-MD
                           78 ...  Pittsburgh    Beaver Valley,  PA
                           79 ...  Portland - Vancouver, OR-WA
                           80 ...  Providence    Pawtucket-Fall River,
                                   RI-MA
                           84 ...  San Francisco-Oakland-San Jose, CA
                           91 ...  Seattle    Tacoma, WA

 Item          Item         Variable Name,
 Location      Length       Item and Code Outline

 55-58           4         SMSARFIP
                           PMSA/MSA of Residence  (FIPS)

                           Primary Metropolitan Statistical Areas and 
                           Metropolitan Statistical Areas are those defined by the
                           U.S.  Office of Management and Budget as of June 
                           30, 1990.  For New England, the New England County 
                           Metropolitan Areas  (NE+MS's)  are used.

                           Further back in this document is a list of PMSA's, 
                           MSA's, NECMS s,  and their component	counties.

                          0000     ..   Nonmetropolitan counties or foreign
                                        residents
                          0040-9360  .. Code range
                          9999     ..   Area of less than 100,000 population

 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          R1A
                          Reserved Positions

 69            1          MAGERFLG
                          Reported Age of Mother Used Flaq

                          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           MAGE8
                          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 Oriqin 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     Length       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 Fla.q

                          Blank ... 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   Not stated

 85           1           R1C
                          Reserved Position


 Item        Item          Variable Name,
 Location    Length        Item and Code Outline

 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 Age 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 Birthsf Now Living

                          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  ..   Ist 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   ..   Ist - 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   ...  Ist Trimester (Ist-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

 Item          Item        Variable Name,
 Location      Length      Item and Code Outline

 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

                           1989    ...     1989
                           1990    ...     1990
                           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

                          1900-1990 ...    Stated year
                          9999      ...    Unknown or not stated

 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 monEhs
                           999     ..   Unknown

 138-139       2           ISLLBIO
                           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        20         R3
                           Reserved Positions

 160             1         FAGERFLG
                           Reported Age of Father Used Flaq

                           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

 Item         Item         Variable Name,
 Location     Length       Item and Code Outline

 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 Part-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


 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 Flay

                          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

                          1990         . . .     1990

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


 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

 Item         Item         Variable Name,
 Location     Length       Item and Code Outline

 213             1         BIRWT4
                           Weiqht 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 Flag

                           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


  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         VIBAC
                          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

 Item	     Item	  Variable Name,
 Location    Length       Item and Code Outline
                          
 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        Hysterotorny/Hysterectomy
                          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
                          Hemoqlobinopathy

 Item        Item         Variable Name,
 Location    Length       Item and Code Outline

 235           1          CHYPER
                          Hypertension, chronic

 236           1          PHYPER
                          Hypertension, pregnancy-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 Durinq 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 Number 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 Pregnancy

 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   ...  25-29 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 degrees 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

 Item         Item        Variable Namer
 Location     Length      Item and Code Outline

 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

 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          R5A
                          Reserved Positions

 Item       Item          Variable Name,
 Location   Length        Item and Code Outline

 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           ORIGM
                          Origin of mother

 317          1           ORIGF
                          Origin of father

 318          1           EDUCIM
                          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 be,qan

 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
                          UnderIying 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.  Primary 
                          Metropolitan Statistical Areas and Metropolitan
                          Statistical Areas are those defined by the U.S. 
                          Office of Managemnt and Budget  (OMB)  as of
                          June 30, 1990.  For New England, the New England 
                          county Metropolitan Areas (NECMA's) are used.

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

                          000      ...  Nonmetropolitan counties
                          001-320  ...  Code range
                          999      ...  Area of less than 100,000 population
                          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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