Little is known about health at birth in China because comprehensive data on perinatal outcomes are unavailable.  We consider perinatal health among Chinese births in the United States using birth certificate and hospital discharge records.  Consistent with the previous work analyzing US Census data, we find sex ratios that are above the biological norm of 1.05 males per female, particularly at higher parities.   We decompose heightened sex ratios according to the timing of implied female attrition and argue that elevated sex ratios are not solely the result of sex selective abortion.  Finally, we consider pregnancy, birth outcomes and hospital treatments among Chinese newborns in the US and argue that they mirror the patterns observed for sex ratios. 



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