Infant Mortality – Lake County Statistics Infant Mortality Conference 4 April 2014
US Infant Mortality Number of infant deaths – 24,586 per 100,000 Leading causes Birth defects Congenital malformations Deformations Chromosomal abnormalities CDC, 2010
US Infant Mortality Number of infant deaths – 24,586 per 100,000 Leading causes Birth defects Short gestation, low birthweight SIDS CDC, 2010
Lake County Data BIRTHSINFANT DEATHS ALL White3615 (58.5%)28 (54%) Black1914 (30.9%)20 (38%) Hispanic1128 (18.2%)12 (23%) ISDH, 2011
Leading Causes of Infant Mortality in Indiana ALLWHITEBLACKHISPANIC Birth Defects Prematurity/LBW SIDS Maternal Pregnancy Complications SIDS Maternal Pregnancy Complications AccidentsSIDS Maternal Pregnancy Complications ISDH, 2011
Congenital Malformations, Deformations, and Chromosomal Abnormalities Congenital Heart Defects – 27% Chromosomal Abnormalities – 15% Central Nervous System – 14% Skeletal Defects – 11% Genitourinary Malformations – 10% Pulmonary Malformations – 8%
Complications of Pregnancy 46% of all infant deaths result of “conditions originating in the perinatal period” Leading Causes Low birth weight – 33% Premature rupture of membranes – 8% Infection – 6%
Lake County Child Fatality Review Committee Review deaths of all children <18 Sudden, unexpected and unexplained Drowning Ingestions Infant sleep-related Deaths investigated by DCS – child abuse and neglect Deaths classified as Homicide Suicide Accident
Lake County Child Fatality Review Committee Team members Coroner, pathologist with forensic experience Law enforcement, fire department, EMS Pediatrician/family practice, mental health, health department Prosecuting attorney, school district, DCS
Lake County Child Fatality Review Committee Team members share information Try to identify trends Suggest action for community to take Goal – prevent similar future deaths
Back to Sleep – By Myself Project Purdue University School of Nursing and St. Anthony Medical Center (2009) Kinney and Thach (NEJM, 2009) 85% of 209 sudden infant deaths associated with circumstances “consistent with asphyxia” 50% of sudden infant deaths occur when infants share a bed, sofa or sofa chair with another
Positional Asphyxia as Cause of Death 20 infants identified Male – 11 Female - 9 Death from positional asphyxia – 18 cases Contributing factor – 2 cases Age at time of death Range: 3 wks - 10 mos Average: 2 1/2 mos
Back to Sleep By Myself