As part of the Title V Block Grant, states report on maternal and child health (MCH) 18 national performance measures annually. Since states report on the percentage of women who smoke in the last three months of pregnancy, reducing maternal smoking has become an even bigger state priority. The 2006 map on page three shows the percentage of women who smoked during the last three months of pregnancy by state. Each State also reports on seven to 10 state performance measures that they develop and have approved by the Maternal and Child Health Bureau (MCHB). These state performance measures.