2021 MARCH OF DIMES REPORT CARD

This year’s Report Card offers a comprehensive overview of the health of moms and babies across the U.S. The report grades the U.S. states, Puerto Rico and 100 cities on preterm birth rates, and includes other information such as infant death, social vulnerability, low-risk cesarean births, and state efforts on Medicaid expansion and extension, doula and midwives legislation/policies, among other factors and outlines important policy solutions that can make a difference. 

Choose your state to see how it ranks on this year’s Report Card.

Grades:

Select your state to view details

State of Alabama
GRADE
F
PRETERM
BIRTH RATE
12.9
State of Alaska
GRADE
C
PRETERM
BIRTH RATE
9.8
State of Arizona
GRADE
C+
PRETERM
BIRTH RATE
9.5
State of Arkansas
GRADE
F
PRETERM
BIRTH RATE
11.8
State of California
GRADE
B
PRETERM
BIRTH RATE
8.8
State of Colorado
GRADE
B-
PRETERM
BIRTH RATE
9.1
State of Connecticut
GRADE
B-
PRETERM
BIRTH RATE
9.2
State of Delaware
GRADE
D+
PRETERM
BIRTH RATE
10.4
State of Florida
GRADE
D+
PRETERM
BIRTH RATE
10.5
State of Georgia
GRADE
D-
PRETERM
BIRTH RATE
11.4
State of Hawaii
GRADE
C
PRETERM
BIRTH RATE
10.0
State of Idaho
GRADE
B+
PRETERM
BIRTH RATE
8.5
State of Illinois
GRADE
C-
PRETERM
BIRTH RATE
10.3
State of Indiana
GRADE
D+
PRETERM
BIRTH RATE
10.4
State of Iowa
GRADE
C
PRETERM
BIRTH RATE
9.9
State of Kansas
GRADE
C
PRETERM
BIRTH RATE
10.0
State of Kentucky
GRADE
D
PRETERM
BIRTH RATE
11.0
State of Louisiana
GRADE
F
PRETERM
BIRTH RATE
12.9
State of Maine
GRADE
B-
PRETERM
BIRTH RATE
9.0
State of Maryland
GRADE
C-
PRETERM
BIRTH RATE
10.1
State of Massachusetts
GRADE
B
PRETERM
BIRTH RATE
8.8
State of Michigan
GRADE
C-
PRETERM
BIRTH RATE
10.2
State of Minnesota
GRADE
B-
PRETERM
BIRTH RATE
9.1
State of Mississippi
GRADE
F
PRETERM
BIRTH RATE
14.2
State of Missouri
GRADE
D
PRETERM
BIRTH RATE
11.0
State of Montana
GRADE
C
PRETERM
BIRTH RATE
9.8
State of Nebraska
GRADE
D+
PRETERM
BIRTH RATE
10.5
State of Nevada
GRADE
D+
PRETERM
BIRTH RATE
10.7
State of New Hampshire
GRADE
B+
PRETERM
BIRTH RATE
8.4
State of New Jersey
GRADE
C+
PRETERM
BIRTH RATE
9.3
State of New Mexico
GRADE
C+
PRETERM
BIRTH RATE
9.6
State of New York
GRADE
B-
PRETERM
BIRTH RATE
9.2
State of North Carolina
GRADE
D
PRETERM
BIRTH RATE
10.8
State of North Dakota
GRADE
C
PRETERM
BIRTH RATE
9.8
State of Ohio
GRADE
C-
PRETERM
BIRTH RATE
10.3
State of Oklahoma
GRADE
D-
PRETERM
BIRTH RATE
11.2
State of Oregon
GRADE
B+
PRETERM
BIRTH RATE
8.2
State of Pennsylvania
GRADE
C+
PRETERM
BIRTH RATE
9.6
State of Puerto Rico
GRADE
F
PRETERM
BIRTH RATE
11.6
State of Rhode Island
GRADE
B-
PRETERM
BIRTH RATE
9.1
State of South Carolina
GRADE
F
PRETERM
BIRTH RATE
11.8
State of South Dakota
GRADE
C+
PRETERM
BIRTH RATE
9.4
State of Tennessee
GRADE
D
PRETERM
BIRTH RATE
10.9
State of Texas
GRADE
D
PRETERM
BIRTH RATE
10.8
State of Utah
GRADE
C+
PRETERM
BIRTH RATE
9.3
State of Vermont
GRADE
A
PRETERM
BIRTH RATE
7.6
State of Virginia
GRADE
C+
PRETERM
BIRTH RATE
9.6
State of Washington
GRADE
B
PRETERM
BIRTH RATE
8.6
State of Washington, DC
GRADE
C
PRETERM
BIRTH RATE
9.8
State of West Virginia
GRADE
F
PRETERM
BIRTH RATE
12.0
State of Wisconsin
GRADE
C
PRETERM
BIRTH RATE
9.9
State of Wyoming
GRADE
C-
PRETERM
BIRTH RATE
10.1

Download the full March of Dimes 2021 Report Card. (pdf, 14.8 mb)

Download Spanish version of March of Dimes 2021 Report Card. (pdf, 4.5 mb)

You can take action now to raise awareness of the maternal and infant health crisis and create change in your community.

  • Share: Use our social toolkit to share the Report Card and your state’s information on social media—be sure to tag @marchofdimes and use #PrematurityAwarenessMonth and #WorldPrematurityDay.
  • Advocate: Demand #BlanketChange from Congress at BlanketChange.org.
  • Give: Join us to fight for all moms and babies by donating today.