the silent epidemic uniting to reduce infant mortality
TRANSCRIPT
![Page 1: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/1.jpg)
The Silent EpidemicUniting to Reduce Infant Mortality
![Page 2: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/2.jpg)
Infant Mortality in Virginia
![Page 3: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/3.jpg)
Significance of Infant MortalityWorld View
![Page 4: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/4.jpg)
Infant Mortality: The ProblemWorld Rank
![Page 5: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/5.jpg)
Infant Mortality: The Problem World Rank
29th
23th
12th1960
1990
2004
![Page 6: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/6.jpg)
• Only ranks within the top 30 states for protecting the lives of infants
• Infant mortality rate ranked 18th highest in the nation by the CDC in 2006
• Infant mortality rate twice as high for African-Americans
Infant Mortality: The Problem – Virginia
![Page 7: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/7.jpg)
Infant Mortality: Comparative Deaths
![Page 8: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/8.jpg)
Just the Beginning of the Uphill Climb
123 more babies lived in 2008
![Page 9: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/9.jpg)
Healthy People 2010: 4.5
Total Infant Mortality Rates Per 1,000 Births in Virginia
![Page 10: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/10.jpg)
Infant Mortality: 5 Year Death Rates by Race/Ethnicity
![Page 11: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/11.jpg)
Infant Mortality Rates Per 1,000 BirthsBy Race/Ethnicity 1998-2008
5.4
14.5
12.912.4
13.8
15.5
12.2
3.9
6.1
14.413.9
14.4
15.5
14.5
0
2
4
6
8
10
12
14
16
18
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
White
Black
Asian
Hispanic
![Page 12: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/12.jpg)
Cause of Death 2007 2008
Disorders Related to Short Gestation and Low Birth Weight
194 163
Congenital Malformations, Deformations, and Chromosomal Abnormalities
135 130
SIDS 81 60
Maternal Complications of Pregnancy 63 48
Other Conditions in the Perinatal Period 42 24
Abnormal Clinical Findings 29 36
Complications of Placenta, Cord, and Membranes 26 24
Unintentional Injury (Accidents) 25 25
Top Causes of Death
![Page 13: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/13.jpg)
Infant Mortality by Age at Death
![Page 14: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/14.jpg)
Infant Mortality: Maternal Age 2008
![Page 15: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/15.jpg)
Infant Mortality by Education and Race/Ethnicity
Less than 12 Years 12 Years > 12 Years
![Page 16: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/16.jpg)
Resident Infant Death Rates by Method of Payment and Race/Ethnicity
Medicaid Private Insurance Self Pay
![Page 17: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/17.jpg)
Infant Mortality: By GeographyInfant Deaths 2008 VA residents by number of live births
![Page 18: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/18.jpg)
Prematurity: The Rising Trend
0
2
4
6
8
10
12
1990 1995 2005 2006 2007 2008
![Page 19: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/19.jpg)
Virginia Resident and Cesarean Births
35%
22%1996
2008
![Page 20: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/20.jpg)
Prematurity and Late Preterm Births
35 Weeks 39 Weeks
![Page 21: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/21.jpg)
• A premature infant less than 37 weeks sleeping prone is 85 times more likely to die of SIDS
• A premature infant lying on its side is 40 times more likely to die of SIDS
Prematurity and SIDS
![Page 22: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/22.jpg)
Prematurity: SIDS Rate and Sleep Position
Rates of SIDS Deaths
Babies Sleeping on their Backs
![Page 23: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/23.jpg)
Engage• Healthcare
Providers• Pregnant women
and their families• Community
Groups• Health Insurers
Changing Attitudes
![Page 24: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/24.jpg)
• Accessible prenatal care
• Promote breastfeeding
• Education about preterm labor signs and symptoms
• Decrease smoking and exposure to second-hand smoke
Interventions that May Reduce Prematurity/Infant Deaths
![Page 25: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/25.jpg)
• Assess for substance use and intervene
• Assess for domestic violence and intervene
• Reduce major stress levels
• Refer to community services
Interventions That May Reduce Prematurity/Infant Deaths
![Page 26: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/26.jpg)
Breastfeeding: The Benefits
• Lower rates of SIDS
• Fewer ear infections
• Fewer asthma/allergy cases
• Less obesity
• Less diabetes
• Fewer childhood leukemia cases
• Fewer infections in premature babies
![Page 27: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/27.jpg)
• Educate mothers before birth
• Provide support from family, friends, healthcare workers, employers, society
• Provide safe places to nurse and pump
Promote Breastfeeding
![Page 28: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/28.jpg)
Prematurity and Smoking
Exposure to smoking is associated with
• 20% of all low birth weight babies
• 8% of preterm births
• SIDS
![Page 29: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/29.jpg)
Prematurity: Smoking and Pregnancy
Successful treatment of tobacco dependence
• 20% reduction in low-birth-weight babies
• 17% decrease in preterm births
![Page 30: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/30.jpg)
• Prematurity
• Birth Defects
• SIDS
Infant Mortality: Causes
![Page 31: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/31.jpg)
• Good prenatal nutrition
• Maternal health behaviors/effects
• Planned pregnancy with early, quality prenatal care
• Prevention of preterm & low birth weight babies
Infant Mortality: Solutions
![Page 32: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/32.jpg)
• Infant sleep position and environment
• Family/caretaker violence prevention & safe home
• Home visiting nurses
Infant Mortality: Solutions
![Page 33: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/33.jpg)
“Saving Babies” Initiative•Save babies from dying in their first year of life
•Focus on results
•Targeting 10 localities with the highest number of infant deaths
•Collaborating with other stakeholders
![Page 34: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/34.jpg)
“Saving Babies” Outcomes•Determining women at high risk
•Increasing awareness of signs/symptoms of premature labor
•Promoting safe sleep education
![Page 35: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/35.jpg)
“Saving Babies” Outcomes•Improving coordination/ efforts of private and public providers
•Enhancing outcomes through folic acid promotion, insurance coverage and transportation to prenatal care
![Page 36: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/36.jpg)
•Communicate the facts
•Provide intervention tips
•Support the Commissioner’s Infant Mortality Workgroup
Infant Mortality Reduction: Raise Awareness
![Page 37: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/37.jpg)
Infant Mortality Reduction: Spread the Word• Control Weight
• Don’t Smoke
• Don’t Drink
• Take Vitamins with Folic Acid
• Visit Your Dentist
• Breastfeed
![Page 38: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/38.jpg)
Infant Mortality Reduction: Practice Safe Sleep Habits
Baby should…
• Sleep alone
• Sleep on his/her back
• Sleep in a crib without soft toys, bumper pads or quilts
![Page 39: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/39.jpg)
The Silent EpidemicUniting to Reduce Infant Mortality
![Page 40: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/40.jpg)
Optional Slides Follow
![Page 41: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/41.jpg)
Healthy 2010 Goal: 4.5
Infant Mortality – Recent History
14.1
5.7
3.4
5.6
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
1998-2002 1999-2003 2000-2004 2001-2005 2002-2006 2003-2007 2004-2008
White
Black
Asian
Hispanic
![Page 42: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/42.jpg)
Prematurity*- the problem
*Less than 37 weeks
Healthy 2010 Goal: 7.6
![Page 43: The Silent Epidemic Uniting to Reduce Infant Mortality](https://reader036.vdocument.in/reader036/viewer/2022062404/5515962c550346a1418b5c6e/html5/thumbnails/43.jpg)
Top 4 Causes of Infant Death, Virginia 1998-2008
0
50
100
150
200
250
1998 2000 2002 2004 2006 2008
Disorders Related to Short Gestation and Low Birth Weight P07
Congenital Malformations, Deformations, and Chromosomal Abnormalities Q00-Q99
Sudden Infant Death Syndrome R95
Newborn Affected By Maternal Complications of Pregnancy P01