Preterm Birth
Preterm Disparities
Prenatal Care
Substance Use During Pregnancy
Breastfeeding
ACTION STRATEGY
ECAS TEAM 1, The Hawaiʻi Maternal Infant Health Collaborative, is working to improve maternal and infant health outcomes, while advancing health equity and reproductive justice, by enhancing systems and supports for Hawaiʻi’s families and communities.
ACTION Strategy
ECAS Team 1: Support the implementation of recommendations to prevent preterm birth and maternal/infant mortality
“The preterm birth rate in Hawaiʻi is highest among Asian/Pacific Islanders and African Americans.”
“Preterm birth rates are highest on Hawaiʻi Island, and increased from 2018 to 2019.”
In Hawaii, 72.0% of pregnant women receive prenatal care in the first three months of pregnancy (Peristats 2019). This percentage has declined over the past five years.
“Native Hawaiian and Pacific Islander mothers are less likely to receive early prenatal care.”
“The share of mothers who report alcohol and tobacco use during the last trimester has remained relatively constant in Hawaiʻi.”
ACTION STRATEGY
ECAS Team 1: Improve systems of care and support for perinatal women with substance use disorder
89.1% of HI mothers reported that they ever breastfed their baby (PRAMS, 2017 [most recent year available])
57.4% of HI mothers reported that they continued to feed their baby breast milk exclusively at 3 months postpartum (PRAMS, 2017 [most recent year available])
“Mothers insured through Medicaid are more likely to receive a discussion about breastfeeding during a prenatal care visit than mothers on private insurance or without health insurance.”
ACTION STRATEGY
ECAS Team 1 Strategic Response: Promote and support breastfeeding
