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San Francisco, CA

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Overall Rank: 2
Affordability
D
Fertility Laws/Resources
A
Maternal and Infant Health Risk
B+
Access to Hospitals/Doctors
A
Breastfeeding
A
Child Care
C
Birthing Options
A
Safety
C+
Stroller Friendliness
C+

What's Good

  • 18.1 percent of San Francisco mothers breastfeed their babies exclusively (meaning no solids, formula or other liquids) for 6 months or longer as recommended by the American Academy of Pediatrics. That's among the top 20 percent of cities in our survey.
  • 2 percent of pregnant women here receive late or inadequate prenatal care. That's the 5th best score in our survey.
  • 86 percent of San Francisco mothers attempt breastfeeding. That's the 2nd highest percentage of any city in our report. Moms here are 16 percent more likely than average to try breastfeeding.
  • Air quality here is better here than most cities in our survey. Air quality has been linked to childhood asthma and fertility rates, among other health effects.
  • Babies here are 22 percent less likely than average to be born prematurely.
  • By six months of age, 49 percent of San Francisco babies are still being breastfed. That's the 4th highest percentage of any city in our report.
  • California allows greater dependent-related tax breaks than most.
  • California has among the most generous family-leave and disability laws in our survey.
  • California has particularly progressive laws guaranteeing a nursing mother the right to breastfeed in public.
  • California stands out in a measure of legislation related to cord blood education, research and related issues.
  • San Francisco has more lactation consultants than average--compared to the number of babies born, the 6th highest ratio in our survey.
  • Midwifery is more widely available than most cities, with 19 percent more midwives than average.
  • Once San Francisco mothers begin breastfeeding, they are 10 percent more likely than average to continue through 6 months. That's the 7th highest level of follow-through of any city in our report.
  • San Francisco has lots of NICU beds, 52 percent more than average, 8th highest in our survey.
  • San Francisco has more OB-GYNs than average, the 2nd highest in our survey.
  • San Francisco has plenty of high-risk pediatricians, 136 percent more than average and the 3rd highest in our survey.
  • The CDC reports very low infant mortality rates for California.
  • The local climate is especially mild - perfect for getting out and working off pregnancy weight gain.
  • There are 60 percent more fertility doctors per capita here than average--the 3rd highest ratio in our survey.
  • There are more fertility clinics per capita here than average.

Needs Improvement

  • Housing in San Francisco is less affordable than most places: When comparing household incomes to home values, a key measure of affordability, San Francisco has the 8th lowest ratio in our survey.
  • According to the Urban Mobility Report from Texas A&M University, San Francisco has one of the worst commutes of any city in our survey. It takes 54 percent longer to drive the same route during rush hour than in free-flowing traffic. That puts a lot more pressure on parents rushing to day care at the end of the day.
  • Hospital costs here are the highest in our survey.
  • San Francisco has 5 miles of stroller-friendly trails and public pathways, according to our survey of parks departments. In a per capita comparison, that's 94 percent less than the average city in our survey (lowest overall relative to population).

User Comments:

It seems to me that San Francisco, California is the best place have a kids... (View Full Comments)
-- Josephine