San Antonio, TX
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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.

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