perinatal periods of risk starting over in miami-dade county
DESCRIPTION
Perinatal Periods of Risk Starting Over in Miami-Dade County. Presented by:. Study Population. Live births and infant deaths 1998-2002 1998, 1999, 2000, 2001 and 2002 Birth-Prenatal-Fetal Death-Infant Death Matched Files 500 grams or larger Fetal deaths 1998-2002 - PowerPoint PPT PresentationTRANSCRIPT
Perinatal Periods of Risk Perinatal Periods of Risk
Starting Over in Starting Over in Miami-Dade CountyMiami-Dade County
Presented by:
Live births and infant deaths 1998-20021998, 1999, 2000, 2001 and 2002 Birth-Prenatal-Fetal Death-Infant Death Matched Files 500 grams or larger
Fetal deaths 1998-2002 24 weeks or greater gestational age500 grams or larger
Residents of Miami-Dade County at time of birth
Study Population
Reference Groups
External
Residents of Florida (Dept. of Health)
1995-98
White (regardless of ethnicity)
At least 20 years old
More than 12 years of education
Reference Groups
White (regardless of
ethnicity) (1)
Residents of Miami- Dade County
1998-2002
White, regardless of ethnicity
At least 20 years old
More than 12 years of education
White Hispanic (2)
Residents of Miami-Dade County
1998-2002
White Hispanic
At least 20 years old
More than 12 years of education
Overall Distribution and Rates of Fetal-Infant Mortality
Maternal Health/ Prematurity
626/3.9
MaternalCare
428/2.6
Newborn Care
181/1.1
Infant Health
227/1.4
1,462 Fetal Infant deaths
162,431 Live Births and Fetal Deaths
Rate=9.0 deaths per 1,000 births and fetal deaths
Miami-Dade County, 1998-2002
Source: 1998, 1999, 2000, 2001 and 2002 Birth and Fetal Death Records Linked to Infant Deaths, Healthy Start Prenatal and Infant Screens and Healthy Start Prenatal Services with Medicaid, WIC, and Census Tract Information. Prepared by the Florida Department of Health, Office of Planning, Evaluation, and Data Analysis.
All Races
3.93.9
2.62.6 1.11.1 1.41.4
Florida DOH Reference
2.32.3
1.61.6 0.90.9 1.01.0
Excess
1.61.6
1.01.0 0.20.2 0.40.4
9.09.0 _ 5.85.8 = 3.23.2
Excess Fetal-Infant Rate Miami-Dade vs. External Reference Group
Ref Group 1: White, Age 20-50 years, Education >=13 years
1998-2002
Maternal Health & Prematurity
123 (2.3)
Maternal Care
77 (1.4)
Newborn Care
40 (0.7)
Infant Care
31 (0.6)
271 Fetal-Infant Deaths
53,938 Live Births & Fetal Deaths
Fetal-Infant Mortality Rate5.0 deaths per
1,000 births and fetal deaths
Non-White,Education
<=12 years,Age <=19 White (RG1) Excess
11.1 5.0 6.1_ =
4.7
3.3 1.3 1.8 1.4 0.7 0.6 1.9 0.6 1.3
2.3 2.4
Excess Fetal-Infant Mortality Rates (RG1) 1998-2002
Ref Group 2: White Hispanic, Age 20-50 years, Education >=13
years, 1998-2002
Maternal Health & Prematurity
92 (2.3)
Maternal Care
56 (1.4)
Newborn Care
29 (0.7)
Infant Care
18 (0.5)
195 Fetal-Infant Deaths
39,684 Live Births & Fetal
Deaths
Fetal-Infant Mortality
Rate4.9 deaths per 1,000
births
Non-White and White Non-Hispanics
White Hispanic Excess
5.0
3.5 1.4 2.0 1.4 0.7 0.5 2.1 0.7 1.5
11.8 4.9 6.9_ =
2.3 2.7
Excess Fetal-Infant Mortality Rates (RG2), 1998-2002
Excess Fetal-Infant Mortality Rates (RG1)
All Races 4.0 2.6 1.1 1.1 8.8
White (RG1) 2.3 1.4 0.7 0.6 5.0
Non-White 4.7 3.3 1.3 1.8 11.1
Excess Rate
(I nternal RG1)2.4 1.9 0.6 1.2 6.1
Excess Number
(I nternal)390 309 97 195 991
Infant
Care
Fetal- I nfant
MortalityGroups
Maternal
Health
Prematurity
Maternal
Care
Newborn
Care
Overall Fetal-Infant Mortality RatesOverall Fetal-Infant Mortality Rates
All Races 4.0 2.6 1.1 1.1 8.8
White (RG1) 2.3 1.4 0.7 0.6 5.0
Non-White 4.7 3.3 1.3 1.8 11.1
White Hispanic
(RG3)2.3 1.4 0.7 0.5 4.9
Non-Hispanic and
Other Hispanic5.0 3.5 1.4 2.0 11.8
External
Reference*2.3 1.6 0.9 1.0 5.8
Groups
Maternal
Health
Prematurity
Maternal
Care
Newborn
Care
Infant
Care
Fetal- I nfant
Mortality
(*): Residents of Florida, 1995-1998, White (regardless of ethnicity), at least 20 years old, and completed at least 12 years of education
Fetal-Infant Mortality Rates, Excess Rate and Number (RG2)
White Hispanic
(RG2)2.3 1.4 0.7 0.5 4.9
Non-Hispanic and
Other Hispanic5.0 3.5 1.4 2.0 11.9
Excess Rate
(I nternal RG2)2.7 2.1 0.7 1.5 7.0
Excess Number
(I nternal)439 341 114 244 1,137
Infant
Care
Fetal- Infant
MortalityGroups
Maternal
Health
Prematurity
Maternal
Care
Newborn
Care
Data Analysis Steps
•Re-do birth weight distribution analysis (Kitagawa)
•Link PPOR data with FIMR data
Next Steps?
Next Steps, con’tNext Steps, con’t
Prevention Strategies
• Evaluate current and match with findings from PPOR
Community Action Steps
• Take PPOR findings to FIMR Community Action Group for consideration.
• Include PPOR implementation strategies in 2005 MCH Needs Assessment.
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Phone: (305) 541-0210
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