The biannual Tennessee Women's Health Report Card gave the health of Tennessee women a grade of C, an improvement over a D in 2011. State health officials say there remain several areas of concern, however: the percentage of women who smoke during pregnancy, the prevalence of the sexually transmitted infections Chlamydia and Syphilis, and deaths from breast and cervical cancer in African-American women all received an F. So did the state’s prevalence of deaths among women from heart disease and stroke. The report did note an improvement in the state’s infant mortality rate, which dropped by 25%.