1. Infant Mortality Linked Birth-Infant Death Data Set Tulsa County, Oklahoma 1991-2000 Preliminary Findings Carol Kuplicki, MPH Community Service Council of Greater Tulsa April, 2004

2. Data Source Linked Birth-Infant Death Certificates Oklahoma State Department of Health Tulsa City-County Health Department

3. Criteria for Inclusion in this Study Infants – Live births to less than 1 year old Tulsa County Residents – at birth and death Born in Tulsa County Died in Tulsa County Infant deaths from 1991 through 2000

4. Number of Infant Deaths

5. Infant Deaths by Cause ICD-9 Cause of Death 798 Sudden death, cause unknown 765 Disorders relating to short gestation and unspecified LBW 779 Other and ill-defined conditions originating in the perinatal period 746 Other congenital anomalies of heart 770 Other respiratory conditions of fetus and newborn 771 Infections specific to the perinatal period 799 Other ill-defined and unknown causes of morbidity and mortality 748 Congenital anomalies of respiratory system 758 Chromosomal anomalies 753 Congenital anomalies of urinary system 762 Fetus/newborn affected by other complications of placenta, cord, membranes All Other Causes TOTAL DEATHS Number of Deaths 78 67 56 29 27 26 25 15 14 196 576 Percent of Deaths 13.5% 11.6% 9.7% 5.0% 4.7% 4.5% 4.3% 2.6% 2.4% 34.0% 100%

6. Infant Deaths by Cause ICD-9 Cause of Death Congenital Anomalies 746 Other congenital anomalies of heart 748 Congenital anomalies of respiratory system 758 Chromosomal anomalies 753 Congenital anomalies of urinary system 798 Sudden death, cause unknown 765 Disorders relating to short gestation and unspecified LBW 779 Other and ill-defined conditions originating in the perinatal period 770 Other respiratory conditions of fetus and newborn 771 Infections specific to the perinatal period 799 Other ill-defined and unknown causes of morbidity and mortality 762 Fetus/newborn affected by other complications of placenta, cord, membranes All Other Causes TOTAL DEATHS Number of Deaths 83 29 25 15 14 78 67 56 29 27 26 14 196 576 Percent of Deaths 14.0% 5.0% 4.3% 2.6% 2.4% 13.5% 11.6% 9.7% 5.0% 4.7% 4.5% 2.4% 34.0% 100%

7. Gender of Infants

9. Infant Deaths by Race

10. *Numbers on bars represents number of infant deaths

11. Neonatal and Post Neonatal Deaths

14. Infant Deaths by Birth Weight

15. Infant Deaths by Birth Weight & Year of Death

17. Infant Deaths by Gestational Age

19. Infant Deaths by Age of Mother

20. Infant Deaths by Pregnancy Weight Gain