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SOURCES AND RESOURCES:

The following sources were used in compiling the 2008 Best Cities to Have a Baby. To find local resources and information, check the links below.


American Academy of Pediatrics
http://www.aap.org/

American Association of Birth Centers
http://www.birthcenters.org

American College of Nurse-Midwives
http://www.acnm.org/

American College of Obstetricians and Gynecologists
http://www.acog.org/

American Fertility Association
http://www.theafa.org/

American Hospital Association
http://www.aha.org

American Medical Association
http://www.ama-assn.org/

Annie E. Casey Foundation
http://www.aecf.org/

Baby Friendly USA
http://www.babyfriendlyusa.org/

City parks and recreation departments

Columbia University Mailman School of Public Health
http://www.mailman.hs.columbia.edu/

Commission for the Accreditation of Birth Centers
http://www.birthcenters.org/open-abc/bc-accreditation/


Cord Blood Registry
http://www.cordblood.com/

DONA International
http://www.dona.org/

Federal Bureau of Investigation Uniform Crime Reporting Program
http://www.fbi.gov/ucr/ucr.htm

International Board of Lactation Consultant Examiners
http://www.iblce.org

La Leche League International
http://www.llli.org/

March of Dimes
http://www.marchofdimes.com/

Medela International
http://www.medela.com

National Association of Realtors
http://www.realtor.org

National Association of Children's Hospitals and Related Institutions
http://www.childrenshospitals.net/

National Association for Regulatory Administration
http://nara.affiniscape.com/index.cfm

National Center for Children in Poverty, Columbia University
http://www.nccp.org/

National Conference of State Legislators
http://www.ncsl.org/

National Highway Traffic Safety Administration
http://www.nhtsa.dot.gov/

National Newborn Screening and Genetics Resource Center
http://genes-r-us.uthscsa.edu/

National Weather Service
http://www.nws.noaa.gov/

National Women's Law Center
http://www.nwlc.org/ http://www.nwlc.org/

ReferenceUSA
http://www.referenceusa.com/

UNICEF/World Health Organization Baby Friendly Hospital Initiative
http://www.unicef.org/programme/breastfeeding/baby.htm

U.S. Census Bureau
http://www.census.gov/

U.S. Centers for Disease Control and Prevention Assisted Reproductive Technology Success Rates and Fertility Clinic Reports
http://www.cdc.gov/ART/index.htm

U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report (MMWR)
http://www.cdc.gov/mmwr/

U.S. Centers for Disease Control and Prevention National Center for Health Statistics
http://cdc.gov/nchs/

U.S. Centers for Disease Control and Prevention National Immunization Survey
http://www.cdc.gov/nis/

U.S. Centers for Disease Control and Prevention National Vital Statistics Reports
http://www.cdc.gov/nchs/products/pubs/pubd/nvsr/nvsr.htm

U.S. Department of Health and Human Services, Administration for Children and Families
http://www.acf.hhs.gov/
U.S. Department of Labor, Bureau of Labor Statistics
http://www.bls.gov/

U.S. Environmental Protection Agency
http://www.epa.gov/

The Urban Institute
http://www.urban.org/

Research conducted exclusively for Fit Pregnancy by RFG Research.
http://www.rfgresearch.com/



HOW WE CHOSE THE WINNERS

We assessed cities on the basis of these 52 weighted categories recommended by Fit Pregnancy Advisory Board experts, Childbirth Connection (childbirthconnection.org) and Julie Tupler, R.N.Data used were specific to each city, except when statistics were available only for an entire metropolitan area or state.

ACCESS TO HOSPITALS/DOCTORS

Access to OBGYNs

Access to NICUs

Access to hospitals with dedicated birthing rooms

Access to children’s hospitals

Access to perinatal pediatricians

Legislation affecting cord-blood education and research

AFFORDABILITY

Housing affordability, as measured by ratio of median home price to income

Daily hospital room cost

Doctor office visit cost

Laws affecting paid maternity leave, disability leave, paid and unpaid medical family leave

Child- and dependent-care tax provisions

Cost of Living Index

BIRTHING OPTIONS

Access to doulas

Access to midwives

Percentage of births attended by midwives

Proximity to American Association of Birth Centers member centers

Proximity to American Association of Birth Centers accredited childbirth centers

BREASTFEEDING

Access to lactation consultants

Access to breastfeeding support stores

Proximity to Baby-Friendly Hospitals (those that meet UNICEF/World Health Organization standards for supporting breastfeeding)

Laws supporting a mother’s right to breastfeed or pump in public, including workplaces; laws excusing breastfeeding mothers from jury service

Percentage of mothers who initiate breastfeeding

Percentage of mothers breastfeeding at 6 months

CHILD CARE

Ratio of licensed home day cares to children younger than 4

Ratio of licensed child-care centers to children younger than 4

Comparison of laws mandating ratio of caregivers to infants less than 9 months in licensed day-care centers

Comparison of laws requiring background checks for caregivers

Traffic congestion during commute hours

Number of family-friendly employers

Frequency of day-care facility inspections

Requirements for reducing the risk of SIDS in day-care centers

FERTILITY LAWS/RESOURCES

Access to fertility clinics

Access to fertility specialists

State laws affecting health insurance coverage for infertility

MATERNAL AND INFANT HEALTH RISK

Air quality

Percentage of women who receive late or no prenatal care

Percentage of women who smoke during pregnancy

Maternal mortality rate per 100,000 live births

Infant mortality rate per 100,000 live births

Percentage of babies with low birth weight

Percentage of babies born preterm

Percentage of live births by C-section

Percentage of VBAC (vaginal birth after Cesarean) births

Laws requiring screening of newborns for nine treatable disorders, as recommended by the March of Dimes

PARKS/STROLLER FRIENDLINESS

Climate

Access to pathways and trails

Park acreage per city population

Number of public parks per city population

SAFETY

Property crime rates

Violent crime rates

Pedestrian fatality rate

Availability of car seat check stations