6 Sites and U.S. Results
MH/Pre MC NC IH Fetal-Infant MR
Detroit 1999-2001
5.8 1.5 1.7 3.7 12.7
Cook County 1998-2000
5.2 2.8 1.7 2.4 12.2
Marion County 1998-2000
4.4 2.2 1.7 2.5 10.7
United States 1998-2000
3.7 2.3 1.4 1.9 9.3
Alameda County 1999-2001
3.2 2.6 1.1 1.6 8.5
Tulsa 1996-2000
2.7 2.1 1.4 1.7 7.9
San Antonio 1999-2001
2.4 1.4 0.9 1.9 6.6
PPOR Map of Feto-Infant MortalityAmong Births to Bexar County Mothers 1999 -
2001
Total Feto-Infant Deaths 479
Total Fetal Deaths and Live Births
71,753
Source: San Antonio Metropolitan Health District and
Texas Department of Health
PPOR Map of Feto-Infant MortalityAmong Births to Bexar County Mothers 1999 -
2001
500-1499 g
1500+ g
Fetal Death Neonatal
Post- neonatal
172
103 67 137
Source: San Antonio Metropolitan Health District and
Texas Department of Health
PPOR Map of Feto-Infant MortalityAmong Births to Bexar County Mothers 1999 -
2001
500-1499 g
1500+ g
Fetal Death Neonatal
Post- neonatal
Maternal Health/Prematurity
2.4Maternal
Care1.4
Newborn Care.93
Infant Health
1.9
Source: San Antonio Metropolitan Health District and
Texas Department of Health
San Antonio, Texas PPOR 1999-2001
MH/Pre MC NC IH Fetal-Infant MR
San Antonio 1999-2001
2.4 1.4 0.9 1.9 6.6
US Reference Group 1998-2000
2.2 1.5 1.1 1.0 5.9
Excess Rates (San Antonio Rate – US Rate)
0.2 -0.1 -0.2 0.9 0.7
% Excess (excess rate/ total excess rate)
18% 0 0 82%
San Antonio Total Deaths 1999-2001 = 479
Overall Distribution and Rates of Fetal-Infant Mortality
Maternal Health/ Prematurity
210/3.2
MaternalCare167/2.6
Newborn Care74/1.1
Infant Health101/1.6
552 total deaths64,492 total birthsRate=8.5 deaths per 1,000 births
Alameda County, 1999-2001
Fetal-Infant Mortality Rates by Race
Maternal Health/ Prematurity
7.1 vs 2.4
MaternalCare
4.6 vs 2.2
Newborn Care1.3 vs 1.5
Infant Health
3.0 vs 0.9
African American vs White, Alameda County 1999-2001
Total Rate:16.1 vs 7.1
Fetal-Infant Mortality Rates
Maternal Health/ Prematurity
7.1 vs 1.9
MaternalCare
4.6 vs 1.9
Newborn Care
1.3 vs 1.0
Infant Health
3.0 vs 1.0
African American vs Internal Reference Group: Asian women 20+, 13+ yrs education, Alameda County 1999-2001
Total Rate:16.1 vs 5.9
Alameda County PPOR 1999-2001
MH/Pre MC NC IH Fetal-Infant MR
Alameda County 1999-2001
3.2 2.6 1.1 1.6 8.5
US Reference Group 1998-2000
2.2 1.5 1.1 1.0 5.9
Excess Rates (Alameda County Rate – US Rate)
1.0 0.9 0 0.6 2.6
% Excess (excess rate/ total excess rate)
38% 35% 0 23%
Alameda Total Deaths 1999-2001 = 552
Overall Distribution and Rates of Fetal-Infant Mortality
Maternal Health/ Prematurity
244/5.8
MaternalCare63/1.5
Newborn Care72/1.7
Infant Health158/3.7
537 total deaths42,177 total birthsRate=12.7 deaths per 1,000 births
City of Detroit, 1999-2001
1999-2001 Birth CohortPrepared by: DHWP-FHS on 3/15/04 For internal planning use only.
Fetal-Infant Mortality Rates by Race
Maternal Health/ Prematurity
6.2 vs 3.7
MaternalCare
1.3 vs 2.4
Newborn Care1.7 vs 1.8
Infant Health
4.0 vs 2.9
Black American vs White American , Detroit 1999-2001
Total Rate:13.1 vs 10.7
1999-2001 Birth CohortPrepared by: DHWP-FHS on 3/15/04 For internal planning use only.
Detroit PPOR 1999-2001
MH/Pre MC NC IH Fetal-Infant MR
Detroit 1999-2001
5.8 1.5 1.7 3.7 12.7
US Reference Group 1998-2000
2.2 1.5 1.1 1.0 5.9
Excess Rates (Detroit Rate – US Rate)
3.6 0 0.6 2.7 6.8
% Excess (excess rate / total excess rate)
53% 0 9% 40%
Detroit Total Deaths 1999-2001 = 537
Deaths 74 Deaths
OVERALL IMRt= Totalt = 351 Deaths 44,571
Fetal Losses & Stillbirths:
2.13
Total Stillbirths, Fetal and Infant Deaths Meeting PPOR t Model Criteria, 1996-2000:
29 - 365 days of life24 weeks gestation - 28 days of life
Infant Health
29 - 365 days of life
1.66
Tulsa County Residents
(1 lb
1.5
oz
- 3 lb
s 4
oz)
(> 3
lbs
5 oz
)
Deaths119per 1000 eligible live and stillbirths
Maternal Health/Prematurity
2.67
(Sum of 4 Blocks) (reported live births, stillbirths and fetal losses > 500 grams and > 24 weeks gestation)
Denominatort=7.88
130 Excluded Birth Outcomes (< 500 grams and/or < 24 weeks gestation)
500-
1499
gra
ms
Newborn Care
(Sum of 4 Blocks)
95 Deaths1.41
Birt
h W
eigh
t
Live Births:
> 15
00 g
ram
s
63
24 weeks gestation - 28 days of life> 24 weeks gestation(fetal losses & stillbirths)
Maternal Care
> 24 weeks gestation
Number Rate
90 2.6635 5.308 2.85
16 4.591 1.12
Number Rate Number Rate Number RateWhite 64 1.89 White 61 1.80 White 56 1.65Black 20 3.03 Black 15 2.27 Black 20 3.03
8 2.85 Native American 3 1.07 Native American 9 3.21Other 3 3.37 Hispanic 3 0.86 Hispanic 7 2.01
31 8.89 Other 2 2.25 Other 1 1.12
WHITE IMRt = White Total t = 90 Deaths 33867BLACK IMRt = Black Total t = 28 Deaths Black Denominator t = 6607
NAT. AMERICAN IMRt = Nat. Am. Totalt = 29 Deaths Nat. American Denominator t = 2807HISPANIC IMRt = Hispanic Total t = 57 Deaths Hispanic Denominator t = 3488
OTHER IMRt = Other Total t = 7 Deaths Other Denominator t = 889
Birt
h W
eigh
t
(> 3
lbs
5 oz
)Native American
Maternal Health/Prematurity
White
OtherHispanic
500-
1499
gra
ms
Newborn Care
(< 3
lbs
4 oz
)Black
> 15
00 g
ram
s
24 weeks gestation - 28 days of life> 24 weeks gestation(fetal losses & stillbirths)
Maternal Care
Native American
Hispanic
Total Stillbirths, Fetal and Infant Deaths Meeting PPORt Model Criteria, 1996-2000:
29 - 365 days of life24 weeks gestation - 28 days of life
Tulsa County Residents by Race
Fetal Losses & Stillbirths: Live Births:
> 24 weeks gestation
9.9813.62
Infant Health
White Denominator t =
29 - 365 days of life
130 Excluded Birth Outcomes (< 500 grams and/or < 24 weeks gestation)Race and Hispanic Ethnicity determined by mother's race and ethnicity as coded on the birth certificate.
NOTE: Some deaths may be included in a race category as well as in the Hispanic ethnicity catagory.
(Sum of 4 Blocks) (reported live births, stillbirths and fetal losses > 500 grams and > 24 weeks gestation)
7.8716.34
(Sum of 4 Blocks)
10.83
Tulsa, Oklahoma PPOR 1996-2000
MH/Pre MC NC IH Fetal-Infant MR
Tulsa 1996-2000
2.7 2.1 1.4 1.7 7.9
US Reference Group 1998-2000
2.2 1.5 1.1 1.0 5.9
Excess Rates (Tulsa Rate – US Rate)
0.5 0.6 0.3 0.7 2.0
% Excess (excess rate / total excess rate)
25% 20% 15% 35% NA
Tulsa Total Deaths 1996-2000 = 351
Age at Death
1500+ grams
500-1499 grams
Fetal-Infant Mortality Rates*All races, Marion County, Indiana 1998-
2000
Fetal Neonatal Post Neonatal
Maternal Health/Prematurity4.4 (189)
Maternal Care2.2 (92)
Newborn Care1.7 (72)
Infant Health2.5 (105)
Fetal Infant Mortality Rate=10.7 per 1,000 458 Fetal-Infant Deaths
42778 Fetal Deaths and Live Births
Birthw
eight
Fetal Neonatal Post Neonatal
Age at Death
Fetal-Infant Mortality Rates** Reference Group***
Maternal Health/Prematurity2.2
Maternal Care1.5
Newborn Care1.1
Infant Health1.0
*Note: Over 10% imputed combined deaths, 10% or more imputed fetal deaths. Units with 10% or more imputed deaths overall were considered having major reporting problems. ** Source, NCHS data, 1998-2000 Calculations by CityMatCH*** Reference group consists of non-Hispanic, white women with at least 13 years of education by residence at time of birth or fetal death (national standard).
Birthw
eight 1500+ grams
500-1499 grams
Fetal Infant Mortality Rate= 5.9 per 1,000 82 Fetal-Infant Deaths
13805 Fetal Deaths and Live Births
Fetal Neonatal Post Neonatal
Marion County PPOR 1998-2000
MH/Pre MC NC IH Fetal-Infant MR
Marion County 1998-2000
4.4 2.2 1.7 2.5 10.7
US Reference Group 1998-2000
2.2 1.5 1.1 1.0 5.9
Excess Rates (Marion County Rate – US Rate)
2.2 0.7 0.6 1.5 4.8
% Excess (excess rate/ total excess rate)
46% 15% 13% 31%
Marion County Total Deaths 1998-2000 = 458
Overall Distribution and Rates of Fetal-Infant Mortality
Maternal Health/ Prematurity
1344/5.2
MaternalCare729/2.8
Newborn Care426/1.7
Infant Health619/2.4
3,018 total deaths255,573 total birthsRate=12.2 deaths per 1,000 births
Cook County, IL 1998-2000
Cook County, Illinois PPOR 1998-2000
MH/Pre MC NC IH Fetal-Infant MR
Cook County 1998-2000
5.2 2.8 1.7 2.4 12.2
US Reference Group 1998-2000
2.2 1.5 1.1 1.0 5.9
Excess Rates (Cook County Rate – US Rate)
3.0 1.3 0.6 1.4 6.3
% Excess (excess rate / total excess rate)
48% 21% 10% 22%
Cook County Total Deaths 1998-2000 = 3,018
Cook County, Illinois PPOR Excess Examples 1998-2000
MH/Pre MC NC IH Fetal-Infant MR
Cook County 1998-2000
5.2 2.8 1.7 2.4 12.2
Excess (US as Reference)
3.0(48%)
1.3(21%)
0.6(10%)
1.4 (22%)
6.3
Excess (Illinois as Reference)
2.7(45%)
1.2(20%)
0.6(10%)
1.4(23%)
6.0
Excess (Cook County Reference Group)
2.6(43%)
1.3(22%)
0.4(7%)
1.6(27%)
6.0
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