Perinatal, Sexual and Reproductive Health

(Sources: Much of the data in this section are retrieved from the 2020 MN health statistics annual summary available here).

Top Four Countries of Origin
for Women Giving Birth in MN (source)

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In 2020, the state counted 72,039 pregnancies to MN residents, and 79.8% were from birthing people of U.S. origin, and 20.2% were from birthing people of foreign origin (source). The pregnancy rate was 66.2 per 1,000 females ages 15-44). 

In 2020, among 63,462 live births to MN residents, 9.1% were premature (less than 37 weeks of gestation), 6.7% were low birth weight (less than 2,500 grams/ 5 pounds, 8 ounces), and 1.1% were very low birth weight (source).  

Healthy People 2030 reduced the number of objectives to prioritize the most pressing public health issues. Low birthweight and very-low birthweight targets were in the objectives that were removed.

  • Healthy People 2030 targets (source)
    • Total preterm birth: 9.4%

In 2020, 6% of young MN women of reproductive age used a LARC (Long-Acting Reversible Contraceptive) via state Medicaid programs (source)

Maternal Mortality in MN

In 2022, MDH released its first-ever MN Maternal Mortality Report, which examined maternal deaths during pregnancy or within one year of the end of pregnancy, irrespective of cause from 2017 to 2018. While the report shows the state’s overall maternal mortality rate is much lower than the national average, it revealed the stark disparities in maternal mortality, especially among Black and American Indian Minnesotans. Black Minnesotans represent 13% of the birthing population but makeup 23% of pregnancy-associated deaths, and American Indian Minnesotans represent 2% of the birthing population, but 8% of pregnancy-associated deaths (source).

Gestational Diabetes and Sexually Transmitted Infections (STIs)

In 2020, 8.5% of MN births were to mothers with gestational diabetes; this does not include women who had type 1 or type 2 diabetes before pregnancy (source).  

In 2021, there were 22,578 cases of chlamydia, which was a 3% increase from 2020. The rate of gonorrhea in MN has decreased by 5% since 2020, and there were 9,671 reported cases in 2020. There were 1,457 cases in 2021, a 33% increase from 2020. There were also 15 reported cases of congenital syphilis in infants in 2021, a 114% increase from 2020 (source). Syphilis cases in MN increased by 33%, with 1,457 cases in 2021 compared to 1,093 in 2020. New infections continued to be centered within the Twin Cities metropolitan area and among males, particularly men who have sex with men (source). 

In 2021, females aged 20-24 had the highest rate of chlamydia in the state (~5,425 cases per 100,000 people) as well as the highest rate of gonorrhea (~1,193 cases per 100,00) (source).

Among females in MN, the highest percentage of syphilis was found in White non-Hispanic individuals (45%), followed by Black non-Hispanic (20%) and American Indian individuals (20%). An outbreak was declared in the Duluth area in September 2019 and continues. The annual number of diagnoses is listed below for each year (source):

  • 2019: 1,105
  • 2020: 1,088
  • 2021: 1,447 

HIV/AIDS

  • % of females ever tested for HIV went from 36% to 32% since 2020 MN-WHRC (n=2,288) (source)
  • In 2021, 64 people assigned female at birth were diagnosed with HIV, which was about 27% of total cases in the state (source)
  • of these cases in people assigned female at birth, 39% were Black or African American, non-Hispanic descent and 27% were White, non-Hispanic

Health status for postpartum care

  • Private insurance: 72.9% (17.7% increase)
  • Medicaid: 19.4% (9.7% decrease)
  • No insurance: 1.6 % (13.3% decrease)

The numbers reported here come from MDH and were also retrieved from the 2020 MN Health Statistics Annual Summary and the CDC BRFSS). They include the sexually transmitted infections (STIs) reported in different services throughout the state. It should be noted that the All Payers Claim Database would be a better resource to capture the number of individuals tested.

Details/Sources

  • Fertility rate: 58.4 births per 1,000 (women ages 15-44 years) (source)
  • Crude birth rate: 11.2 per 1,000 total population (source)
  • Birth rate: 11.2 per 1,000 population (source
  • 79.2% of pregnant people received prenatal care in the first trimester (source)
  • Of all live births in MN during 2018-2020 (average), 7.8% were Hispanic, 68.3% were White, 13.1% were Black, 1.6% were American Indian/Alaska Native and 8.1% were Asian/Pacific Islander (source)
  • 13.8% of mothers reported symptoms of depression after birth in 2020 (source)
  • 35.6 % of sexual minority women screened positive for perinatal depression (source)
  • 24.9% of women were obese pre-pregnancy in 2020 (source)