Parenting in America is difficult. Adding a new baby to your family is an expensive endeavor from the beginning, and there are so many other things to worry about, like access to quality pediatric health care and keeping your child safe from pollution. WalletHub, an online personal finance resource, just published their 2015 list of the best and worst states in which to have a baby, and the results are quite interesting. The company measured 21 different factors that contribute to a family’s financial responsibility associated with a new baby, including the cost of a hospital delivery, infant health statistics, and daycare availability. Read on to find out how your state ranked, and where you might want to considering moving before you have another baby.

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The list puts Vermont on top, with the highest cumulative rankings in each of the three categories measured: budget, health care, and baby-friendly environment. North Dakota and Oregon follow in second and third place, respectively. At the bottom of the list, you’ll find Mississippi occupying 50th place, particularly due to its abysmal scores in the area of children’s health care.

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Some of the winners seem a little surprising. Kentucky, for instance, emerged as the state where a new baby is easiest on the family budget. That’s a particularly important category to consider, especially since Americans pay more for birth-related costs than parents in any other country on Earth. The average hospital birth in the United States costs around $10,000, with a $15,000 average cost for Cesarean births. That’s nearly four times the cost of the same healthcare experience in places like the Netherlands and Spain.

With so many questions to answer when thinking about adding another carseat to your family’s road warrior, this report illustrates some clear answers for parents who might be considering a relocation prior to expanding their brood.

via WalletHub

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