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The available data for the state of Missouri on the issues linked to motherhood paint a contradictory picture. In 2008, the state of Missouri saw its live births decrease slightly to 80, 944 in comparison to 81, 883 the previous year, bringing the rate to 13.7 (down by 0.2 compared to 2007). This represented a 1-percent reduction and the first decrease in births since 2002. Hispanic births also decreased in 2008 (by 3 percent) for the first time since 1991.

The infant death rate declined from 7.5 per 1,000 live births in 2007 to 7.2 in 2008, matching the low record set in 2000. Despite this slight improvement, the state ranked 33rd in children's health and well-being, according to the 2009 Kids Count report, which takes into account teen birth rate, child poverty, infant mortality rate, and high school dropout rate. In addition, the 7.2 infant death rate is still 9 percent higher than the national rate of 6.6 per 1,000 live births in 2007. Among ethnic groups, African Americans had an infant death rate of 15 per 1,000 live births, which was more than 2.5 times the rate for whites (5.9). However, this represented an 8 percent decrease in 2008 while the rate among whites remained constant.

In 2008, 9,246 babies were born to mothers under age 20, compared to 9,339 in 2007. Despite this slight decrease, the figure was still 6 percent above the low of 8,707 in 2005. Women younger than 18 years of age gave birth to 2,754 babies in 2008, compared to 2,792 in 2007, but this total was 4 percent higher than the 2005 low of 2,660.

Social and Welfare Issues

The rate of out-of-wedlock births rose to 40.9 of all Missouri births compared with 40.5 percent in 2007 and 34.1 percent in 1998. Spacing of less than 18 months between births remained at 12.8 percent of 2007 and 2008 live births, but such percentage increased constantly over the decade. Births under Medicaid and Supplemental Food for Women, Infants, and Children (WIC) schemes, as well as the rate of mothers using Food Stamps, all increased. The Food Stamps program witnessed the largest increase.

When compared to 11,470 in 2007, the number of abortions in 2008 (11,508) represented a slight increase. However, the 2008 number marks nearly a 10-percent decrease from 12,751 just 10 years ago. The rate of inadequate prenatal care did not change between 2007 and 2008, remaining at 11.9 percent, but was slightly higher than the rate of 10.9 percent in 1998. Over the past decade, marriages have declined by 8 percent and divorces by 13 percent.

A study in the trends of Missouri fertility rates between 1990 and 2002 reveals that while these remained constant overall (with a 3 percent variation over the 12 years), they varied greatly with regards to specific age and racial groups. For example, fertility for women aged 30 or higher reached its highest level since the 1960s. The highest fertility rates among ethnic groups were found among Hispanic women, followed by African Americans. Missouri rural counties had the highest fertility rates, while rates were lowest in counties with large university populations.

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