INFANT MORTALITY FOLLOW-UP ALABAMA 2005
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Transcript of INFANT MORTALITY FOLLOW-UP ALABAMA 2005
INFANT MORTALITYFOLLOW-UP
ALABAMA 2005
ALABAMA DEPARTMENT OF PUBLIC HEALTH
CENTER FOR HEALTH STATISTICS
Center for Health Statistics
2
INFANT MORTALITY RATESALABAMA, 1996-2005
10.59.5
10.2 9.8 9.4 9.4 9.1 8.7 8.79.3
0
2
4
6
8
10
12
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
Year
Rat
e pe
r 1,
000
Liv
e B
irth
s
Center for Health Statistics
3
Infant Mortality Rates by Method of Delivery,Alabama 2000-2005
8.48.07.7
8.58.58.6 8.411.510.0
17.919.1
12.7
14.012.813.5
11.713.914.1
6.86.16.87.7
6.76.6
0
5
10
15
20
25
2000 2001 2002 2003 2004 2005
Year
Infa
nt
dea
ths
per
1,0
00 L
ive
Bir
ths
Vaginal VBAC Primary C-section Repeat C-section
Center for Health Statistics
4
Percent of Births Delivered by Cesarean,Alabama and the U.S., 1995-2005
32.331.830.129.128.026.625.024.224.023.5 23.4 29.127.526.124.422.922.021.220.820.720.8
0
10
20
30
40
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
Year
Per
cen
t of
Liv
e B
irth
s
Alabama United States
Center for Health Statistics
5
Percent of 1st Births Delivered by C-section by Mother’s Age, Alabama 2000-2005
23.623.122.320.718.9 21.2
34.834.632.531.831.230.2
56.756.854.752.952.148.1
0
10
20
30
40
50
60
2000 2001 2002 2003 2004 2005
Year
Per
cen
t of
1st
Bir
ths
<20 yrs. 20-34 yrs. 35+ yrs.
Center for Health Statistics
6
Infant Mortality Rates for 1st Births by Mother’s Ageand by Cesarean Delivery, Alabama 2000-2005
18.119.519.1
10.613.8
15.1
8.49.29.7
6.8
6.58.7
6.0
7.9
6.97.8
18.4
6.0
0
5
10
15
20
25
2000 2001 2002 2003 2004 2005
Infa
nt
Dea
ths
per
1,0
00 L
ive
Bir
ths
<20 yrs. 20-34 yrs. 35+ yrs.
Center for Health Statistics
7
Percent of Births by Delivery Type and Method of Payment, Alabama 2005
69.8 63.276.3
29.4 36.022.5
1.2
0.80.8
0%
20%
40%
60%
80%
100%
Medicaid Private Insurance Self pay
Per
cen
t of
Liv
e B
irth
s
Vaginal VBAC All c-sections
Center for Health Statistics
8
Infant Mortality Rates by Method of Payment, Alabama 2005
6.6
10.8
20.6
0
15
30
Medicaid Private Insurance Self Pay
Method of Payment
Rat
e pe
r 1,
000
Liv
e B
irth
s
Center for Health Statistics
9
Percent Low Birth Weight Births by Method of Delivery, Alabama 2005
8.39.9
20.1
8.7
0
10
20
Vaginal VBAC Primary C-section Repeat C-section
Per
cent
LB
W B
irth
s
Center for Health Statistics
10
28-364 days3.6
7-27 days1.0
1-6 days1.2
<1 day2.9
Infant Mortality Rates (per 1,000 Live Births) by Age at Death, Alabama 2004 and 2005
1-6 days1.4
7-27 days1.2
28-364 days3.6
<1 day3.1
20052004
Center for Health Statistics
11
Infant Mortality Rates for Hispanic Infants,Alabama 1996-2005
5.3 5.2 5.0 4.7 4.85.7 5.4
6.5
8.4
2.8
0123456789
10
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
Year
Rat
e p
er 1
,000
Liv
e B
irth
s
Center for Health Statistics
12
Number of Hispanic Births Alabama 1990-2005
346 400 458 578 590774
939
4,050
3,375
2,9722,651
2,293
1,9311,595
1,3431,055
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
4,500
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
Nu
mb
er o
f L
ive
Bir
ths
Center for Health Statistics
13
Percent of Births by Hispanic Ethnicity and Birth Weight, Alabama 2005
7.2 10.9
92.8 89.1
0
50
100
Hispanic Non-Hispanic
Per
cent
of
Liv
e B
irth
s
Low Birth Weight Normal Birth Weight
Center for Health Statistics
14
Percent of Births by Hispanic Ethnicity and Trimester Prenatal Care Begun, Alabama 2005
51.8
85.1
26.6
12.09.22.0
12.4
0.90
102030405060708090
Hispanic Non-Hispanic
Per
cent
of
Liv
e B
irth
s
1st Trimester 2nd Trimester 3rd Trimester No Care
Center for Health Statistics
15
Infant Mortality Rates by Hispanic Ethnicity and Trimester Prenatal Care Begun, Alabama 2005
7.2 8.61.9
9.210.86.2
24.1
70.1
0
20
40
60
80
Hispanic Non-Hispanic
Rat
e p
er 1
,000
Liv
e B
irth
s
1st Trimester 2nd Trimester 3rd Trimester No Care
Center for Health Statistics
16
Percent of Births by Hispanic Ethnicity and Method of Payment for Delivery,Alabama 2005
56.3
47.9
14.9
50.0
28.5
1.70
10
20
30
40
50
60
Hispanic Non-Hispanic
Per
cen
t of
Liv
e B
irth
s
Medicaid Private Insurance Self Pay
Center for Health Statistics
17
Infant Mortality Rates by Hispanic Ethnicity and Method of Payment of Delivery, Alabama 2005
4.5
11.3
6.8 6.6
14.2
28.7
0
15
30
Hispanic Non-HispanicRat
e pe
r 1,
000
Liv
e B
irth
s
Medicaid Private Insurance Self Pay
Center for Health Statistics
18
Percent of Births and Infant Deaths by Mother’s Medical Risk Factors, Alabama 2005
1.6
6.2
3.4
6.4
1.6
3.30.0
1.0
3.7
1.6
5.5
0.3
0.3
1.3
0.2
0.2
0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0
Herpes
Diabetes
Chronic HTN
Preg.-related HTN
Eclampsia
Incompetent Cervix
Previous Preterm
Renal Disease
2005 Births 2005 Infant Deaths
Center for Health Statistics
19
Percent Intendedness, Alabama PRAMS 2004
Did Not Want13.5%
Sooner13.9%
Later36.5%
Then36.1%
Intended 50.0%
Unintended 50.0%
Center for Health Statistics
20
Infant Mortality Rates by Maternal Drug UsageDuring Pregnancy, Alabama 2003-2005
11.1
18.2 19.316.8
8.6 8.5 9.1 8.7
0
5
10
15
20
25
2003 2004 2005 2003-2005Combined
Rat
e p
er 1
,000
Liv
e B
irth
s
Yes No