1. Perinatal Periods of Risk Starting Over in Miami-Dade County Presented by:

2.  Live births and infant deaths 1998-2002   1998, 1999, 2000, 2001 and 2002 Birth- Prenatal-Fetal Death-Infant Death Matched Files   500 grams or larger  Fetal deaths 1998-2002  24 weeks or greater gestational age   500 grams or larger  Residents of Miami-Dade County at time of birth Study Population

3. Reference Groups External  Residents of Florida (Dept. of Health)  1995-98  White (regardless of ethnicity)  At least 20 years old  More than 12 years of education

4. Reference Groups White (regardless of ethnicity) (1)  Residents of Miami- Dade County  1998-2002  White, regardless of ethnicity  At least 20 years old  More than 12 years of education White Hispanic (2)  Residents of Miami-Dade County  1998-2002  White Hispanic  At least 20 years old  More than 12 years of education

5. Overall Distribution and Rates of Fetal-Infant Mortality Maternal Health/ Prematurity 626/3.9 Maternal Care 428/2.6 Newborn Care 181/1.1 Infant Health 227/1.4 1,462 Fetal Infant deaths 162,431 Live Births and Fetal Deaths Rate=9.0 deaths per 1,000 births and fetal deaths Miami-Dade County, 1998-2002 Source: 1998, 1999, 2000, 2001 and 2002 Birth and Fetal Death Records Linked to Infant Deaths, Healthy Start Prenatal and Infant Screens and Healthy Start Prenatal Services with Medicaid, WIC, and Census Tract Information. Prepared by the Florida Department of Health, Office of Planning, Evaluation, and Data Analysis.

6. All Races 3.9 2.61.11.4 Florida DOH Reference 2.3 1.60.91.0 Excess 1.6 1.00.20.4 9.0 _ 5.8 = 3.2 Excess Fetal-Infant Rate Miami-Dade vs. External Reference Group

7. Ref Group 1: White, Age 20-50 years, Education >=13 years 1998-2002 Maternal Health & Prematurity 123 (2.3) Maternal Care 77 (1.4) Newborn Care 40 (0.7) Infant Care 31 (0.6) 271 Fetal-Infant Deaths 53,938 Live Births & Fetal Deaths Fetal-Infant Mortality Rate 5.0 deaths per 1,000 births and fetal deaths

8. Non-White, Education <=12 years, Age <=19 White (RG1)Excess 11.15.06.1 _ = 4.7 3.31.31.8 1.40.70.61.90.61.3 2.3 2.4 Excess Fetal-Infant Mortality Rates (RG1) 1998-2002

9. Ref Group 2: White Hispanic, Age 20-50 years, Education >=13 years, 1998-2002 Maternal Health & Prematurity 92 (2.3) Maternal Care 56 (1.4) Newborn Care 29 (0.7) Infant Care 18 (0.5) 195 Fetal- Infant Deaths 39,684 Live Births & Fetal Deaths Fetal-Infant Mortality Rate 4.9 deaths per 1,000 births

10. Non-White and White Non- Hispanics White Hispanic Excess 5.0 3.51.42.0 1.40.70.52.10.71.5 11.84.96.9 _ = 2.3 2.7 Excess Fetal-Infant Mortality Rates (RG2), 1998-2002

11. Excess Fetal-Infant Mortality Rates (RG1)

12. Overall Fetal-Infant Mortality Rates (*): Residents of Florida, 1995-1998, White (regardless of ethnicity), at least 20 years old, and completed at least 12 years of education

13. Fetal-Infant Mortality Rates, Excess Rate and Number (RG2)

14. Data Analysis Steps Re-do birth weight distribution analysis (Kitagawa) Link PPOR data with FIMR data Next Steps?

15. Next Steps, con’t Prevention Strategies Evaluate current and match with findings from PPOR Community Action Steps Take PPOR findings to FIMR Community Action Group for consideration. Include PPOR implementation strategies in 2005 MCH Needs Assessment.

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