Infant Mortality – Lake County Statistics
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Infant Mortality –Lake County Statistics
Infant Mortality Conference4 April 2014
US Infant Mortality
Number of infant deaths – 24,586 614.7 per 100,000
Leading causes Birth defects
Congenital malformations Deformations Chromosomal abnormalities
CDC, 2010
US Infant Mortality
Number of infant deaths – 24,586 614.7 per 100,000
Leading causes Birth defects Short gestation, low birthweight SIDS
CDC, 2010
Lake County Data
BIRTHS INFANT DEATHS
ALL 6183 52
White 3615 (58.5%) 28 (54%)
Black 1914 (30.9%) 20 (38%)
Hispanic 1128 (18.2%) 12 (23%)
ISDH, 2011
Leading Causes of Infant Mortality in Indiana
ALL WHITE BLACK HISPANICBirth Defects Birth Defects Birth Defects Birth Defects
Prematurity/LBW Prematurity/LBW Prematurity/LBW Prematurity/LBW
SIDS SIDSMaternal
Pregnancy Complications
SIDS
Maternal Pregnancy
ComplicationsAccidents SIDS
Maternal Pregnancy
Complications
ISDH, 2011
Congenital Malformations, Deformations, and Chromosomal Abnormalities
Congenital Heart Defects – 27% Chromosomal Abnormalities – 15% Central Nervous System – 14% Skeletal Defects – 11% Genitourinary Malformations – 10% Pulmonary Malformations – 8%
Prevalence of Spina Bifi da and Anencephaly Among 26 Participating Surveillance Programs
National Birth Def ect Prevention Network
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Spina bifidaAnencephaly
1995 1996 1997 1998 1999 2000 2001
Pre- fortification Optional Fortification Mandatory Fortification
Year & quarter of birth
Complications of Pregnancy
46% of all infant deaths result of “conditions originating in the perinatal period”
Leading Causes Low birth weight – 33% Premature rupture of membranes – 8% Infection – 6%
Lake County Child Fatality Review Committee Review deaths of all children <18
Sudden, unexpected and unexplained Drowning Ingestions Infant sleep-related
Deaths investigated by DCS – child abuse and neglect
Deaths classified as Homicide Suicide Accident
Lake County Child Fatality Review Committee Team members
Coroner, pathologist with forensic experience Law enforcement, fire department, EMS Pediatrician/family practice, mental health, health
department Prosecuting attorney, school district, DCS
Lake County Child Fatality Review Committee Team members share
information Try to identify trends Suggest action for community
to take Goal – prevent similar future
deaths
Back to Sleep – By Myself Project
Purdue University School of Nursing and St. Anthony Medical Center (2009)
Kinney and Thach (NEJM, 2009) 85% of 209 sudden infant deaths
associated with circumstances “consistent with asphyxia”
50% of sudden infant deaths occur when infants share a bed, sofa or sofa chair with another
Positional Asphyxia as Cause of Death
20 infants identified Male – 11 Female - 9
Death from positional asphyxia – 18 cases Contributing factor – 2 cases
Age at time of death Range: 3 wks - 10 mos Average: 2 1/2 mos
Back to Sleep
By Myself
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