Infant Mortality – Lake County Statistics Infant Mortality Conference 4 April 2014

Infant Mortality –Lake County Statistics

Infant Mortality Conference

4 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 HISPANIC

Birth 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 bifida

Anencephaly

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