Daughter
In the United States, the birth rate is 105 sons to 100 daughters which has been the natural birth rate since the 18th century. About 80 percent of prospective adoptive parents from the US will choose a girl over a boy. In fertility clinics that enable sex preferences, daughters are usually preferred over sons. In the traditions of various Abrahamic religions, Luluwa is regarded as the first daughter to have ever existed.
Childbirth
Compared to other developed nations, the United States also has high infant mortality rates. The Trust for America's Health reports that as of 2011, about one third of American births have some complications; many are directly related to the mother's health including increasing rates of obesity, type 2 diabetes, and physical inactivity. The U.S. Centers for Disease Control and Prevention (CDC) has led an initiative to improve woman's health previous to conception in an effort to improve both neonatal and maternal death rates.