13b

Composite “Pictures” of Infant Mortality in Mississippi: 

Composite “Pictures” of Infant Mortality in Mississippi Marianne Zotti, DrPH, MS, RN Jaime C. Slaughter, MPH

Perinatal Periods of Risk: 

Perinatal Periods of Risk Fetal Neonatal Post neonatal Age @ Death Birthweight < 1500g >1500g

MS Feto-Infant Mortality Rate: 

MS Feto-Infant Mortality Rate 13.8 Feto-Infant deaths per 1,000 Live Births & Fetal Deaths

Excess Feto-Infant Mortality Rate: 

Excess Feto-Infant Mortality Rate 6.4 Feto-Infant deaths per 1,000 Live Births & Fetal Deaths

MS White Feto-Infant Mortality Rate: 

MS White Feto-Infant Mortality Rate 9.5 Feto-Infant deaths per 1,000 Live Births & Fetal Deaths

MS White Excess Feto-Infant Mortality Rate: 

MS White Excess Feto-Infant Mortality Rate 2.1 Feto-Infant deaths per 1,000 Live Births & Fetal Deaths

MS Black Feto-Infant Mortality Rate: 

MS Black Feto-Infant Mortality Rate 18.4 Feto-Infant deaths per 1,000 Live Births & Fetal Deaths

MS Black Excess Feto-Infant Mortality Rate: 

MS Black Excess Feto-Infant Mortality Rate 11.0 Feto-Infant deaths per 1,000 Live Births & Fetal Deaths

How did we use what we learned?: 

How did we use what we learned? Reviewed studies programs policies Discussed plans for next year

Maternal Health/ Prematurity: 

Maternal Health/ Prematurity Maternal Health/Prematurity Perinatal Care Preconceptional Health Unintended Pregnancies Maternal Risk Factors Interpregnancy Interval Prematurity Maternal Health/ Prematurity 2.8

Maternal Health/ PrematurityPerinatal Care: 

Maternal Health/ Prematurity Perinatal Care Perinatal Regionalization Study 40% VLBW infants are born in Level A hospital Decreasing hospital levels significantly increases mortality Even when controlling for <1000 gm Infants Exception: large volume Level B hospitals Infants <1000 gm mortality incrementally increases as hospital level decreases

Maternal Health/ PrematurityPreconceptional Care: 

Maternal Health/ Prematurity Preconceptional Care Folic Acid Intake Smoking Alcohol use

Maternal Health/ PrematurityPreconceptional Care: 

Maternal Health/ Prematurity Preconceptional Care Folic Acid study of Family Planning Clients 47% of FP did not know the benefits of folic acid ~50% don’t know best time to take folic acid 86% of FP clients don’t take a multivitamin

Maternal Health/ PrematurityPreconceptional Care: 

Maternal Health/ Prematurity Preconceptional Care Smoking study (1995-1997) Overall prenatal smoking rate is decreasing … But increased among young pregnant women aged 15-19 years old Smokers’ infants experience more LBW SIDS

Maternal Health/ PrematurityUnintended Pregnancies: 

Maternal Health/ Prematurity Unintended Pregnancies Future information available on PRAMS Unintended pregnancies Alcohol use Prenatal experiences Stressors Abuse

Maternal Health/ Prematurity Interpregnancy Interval (<1500 grams): 

Maternal Health/ Prematurity Interpregnancy Interval (<1500 grams)

Maternal Health/ Prematurity  Prematurity (<1500 grams): 

Maternal Health/ Prematurity Prematurity (<1500 grams)

Maternal Care: 

Maternal Care Maternal Care Prenatal Care Referral of High Risk Pregnancies Maternal Health Risks Maternal Care 1.5

Maternal CarePrenatal Care: 

Maternal Care Prenatal Care

Maternal CareInterpregnancy Interval: 

Maternal Care Interpregnancy Interval

Infant Health: 

Infant Health Infant Health SIDS Risk Reduction Activities Breastfeeding Promotion Access to Medical Homes Injury Prevention Infant Health 1.7

Infant HealthSIDS: 

Infant Health SIDS Mississippi SIDS Coalition/MSDH SIDS Study 55 % stopped smoking while they were pregnant Only 53 % of women put their baby down to sleep on its back 82 % were told about keeping smoke away from the baby and having a safe baby bed environment

Infant HealthBreastfeeding: 

Infant Health Breastfeeding Ross Mothers Survey From 1995 to 2000 the Mississippi’s breastfeeding rate has increased for all infants. 1995 2000 In hospital 35.8 % 48.8 % 6 months 9.5 % 15.4 %