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San Antonio, TX

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Overall Rank: 44
Affordability
A-
Fertility Laws/Resources
B
Maternal and Infant Health Risk
F+
Access to Hospitals/Doctors
D
Breastfeeding
C
Child Care
D-
Birthing Options
F
Safety
D+
Stroller Friendliness
F

What's Good

  • State laws require health insurance companies to provide or offer at least some coverage for fertility-related services.
  • San Antonio lacks access to fertility clinics that offer advanced reproductive technology, as reported to the CDC.
  • Hospital costs here are among the lowest in our survey.
  • Housing in San Antonio is more affordable than most places: When comparing household incomes to home values, a key measure of affordability, San Antonio has the 9th highest ratio in our survey.
  • 3 percent of pregnant women here receive late or inadequate prenatal care. That's the 10th best score in our survey.
  • Women in San Antonio are 61 percent less likely than average to smoke during pregnancy. That's the 7th lowest rate in our survey. Nationwide, about 1 out of every 12 pregnant women smokes.

Needs Improvement

  • 30 percent of babies in Texas are born via Cesarean section. That rate is 12 percent more than average, and among the highest in our survey.
  • By six months of age, 69 percent of San Antonio babies aren't being breastfed at all. That's the 8th poorest percentage of any city in our report.
  • Expecting and new moms have few parks for exercise or stroller time: San Antonio has 53 percent fewer public parks than average, relative to population.
  • Midwifery is less widely available than most cities, with 59 percent fewer midwives than average.
  • Babies here are 14 percent more likely than average to be born prematurely.
  • Relative to the number of live births per year, San Antonio has 58 percent fewer doulas than average--that figure is the 4th lowest in our survey.
  • Once San Antonio mothers begin breastfeeding, they are 19 percent less likely than average to continue through 6 months. That's the 4th lowest level of follow-through of any city in our report.
  • Texas devotes less money relative to population than most states to child car-seat-check stations.
  • San Antonio has fewer OB-GYNs than average, the 3rd lowest in our survey.
  • San Antonio has a 17 percent higher property crime rate than average, the 10th highest in our survey.