There are approximately 8,600 births a year across Bradford and Airedale. The Infant Mortality Rate (number of deaths under one year per 1,000 live births) is slowly reducing in Bradford from 8.3 in to 7.9 in Between babies will die each year in Bradford. There is an excess of 22 deaths a year compared to a city our size in England and Wales. 58% of births are in the poorest 40% of the population. In the poorest 40% of the population, the IMR is above 10. Approximately 50 deaths occur in this population, compared to 15 in the other 60% of Bradford’s population. Summary

Number of births in Q2 of by Constituency

Infant Mortality Rate in 3 year Rolling Periods BRADFORD VISION BDIMC 2004 – 6 :

Stillbirth Rate in 3 year Rolling Periods

Infant Mortality Rate in Bradford compared to areas of similar population/deprivation Areas of similar population. Bradford has higher rate for all Periods. Areas of similar deprivation. Bradford has higher rates for most periods.

Inequalities in infant mortality by deprivation Source : NHS Bradford and Airedale Public Health Observatory

Infant mortality rates by Ward across Bradford City, Little Horton, Bradford Moor Tong Bowling & Barkerend Toller Manningham Keighley Central Great Horton Windhill & Wrose Eccleshill

Numbers of infant deaths Source: Health Intelligence and Analysis team NHS ABL PCT Where numbers are small, children centres have been aggregated

Ten recommendations provided guidance for Every Baby Matters steering group to implement. To reduce poverty and unemployment in families in Bradford To improve the availability of good quality and affordable housing for families To improve the nutritional status of pregnant women, babies and women planning a pregnancy and to increase the numbers of women breastfeeding To reduce the numbers of women and men smoking and to reduce the numbers of women with high levels of use of alcohol and/or non- prescribed drugs in pregnancy To increase community understanding of genetics, patterns of genetic inheritance and congenital anomalies To ensure equal access to all aspects of pre- conception, maternal and infant health care To improve social and emotional support for parents, especially those living in areas of social disadvantage To ensure these recommendations are shared widely and understood by communities across the District To develop further the data collection and monitoring procedures in Bradford District Future research to understand both the underlying and immediate causes of death

Child poverty (including unemployment, education & housing) – Recommendations 1 & 2 Nutrition and breast feeding (Recommendations 3a & 3b) Early access to pre-conception, maternity and infant care & prevention and early intervention for at risk families (Recommendations 4 & 5) Smoking, alcohol and substance misuse (Recommendations 6a & 6b) Genetic inheritance awareness (Recommendation 7) Key areas of action in the plan

% known to breastfeed at 6-8 weeks by children centre reach Q Source: Health Intelligence and Analysis team NHS ABL PCT

Hospital admissions for feeding problems (0-4years) Per 100 children

Gestation week at booking-in to BRI

Smoking during Pregnancy The following wards have significantly more smokers at delivery than Bradford District (shown in red above): Eccleshill, Keighley West, Royds, Thornton & Allerton, Tong, Wyke. Source: NHS Bradford and Airedale Health Intelligence and Analysis team