1. Infant Mortality – Lake County Statistics Infant Mortality Conference 4 April 2014

2. US Infant Mortality Number of infant deaths – 24,586  614.7 per 100,000 Leading causes  Birth defects Congenital malformations Deformations Chromosomal abnormalities CDC, 2010

3. US Infant Mortality Number of infant deaths – 24,586  614.7 per 100,000 Leading causes  Birth defects  Short gestation, low birthweight  SIDS CDC, 2010

5. Lake County Data BIRTHSINFANT DEATHS ALL618352 White3615 (58.5%)28 (54%) Black1914 (30.9%)20 (38%) Hispanic1128 (18.2%)12 (23%) ISDH, 2011

6. 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

7. 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%

9. 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%

10. 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

11. 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

12. 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

13. 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

14. 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

16. Back to Sleep By Myself