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Virginia Department of Health

Virginia Department of Health. Serving Virginia for 100 Years 1908 - 2008. Governor’s Work Group on Early Childhood Initiatives. Infant Mortality Karen Remley, MD, MBA, FAAP Commissioner of Health September 11, 2008. Infant Mortality – The Problem. Infant Mortality – The last Sixty Years.

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Virginia Department of Health

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  1. Virginia Department of Health Serving Virginia for 100 Years 1908 - 2008

  2. Governor’s Work Group on Early Childhood Initiatives Infant Mortality Karen Remley, MD, MBA, FAAP Commissioner of Health September 11, 2008

  3. Infant Mortality – The Problem

  4. Infant Mortality – The last Sixty Years

  5. Infant Mortality- Recent History

  6. Infant Deaths 2003-05, Virginia Residents, by Number of Live Births Infant Mortality- Geography

  7. Infant Mortality- Maternal Age Healthy 2010 goal

  8. Infant Mortality – The Problem

  9. Infant Mortality – The Problem

  10. 839 deaths Infant Mortality- Just the tip of the Iceberg… Cerebral Palsy Learning Disabilities Thousands of Children, Families and Communities Attention Deficit Hyperactivity Disorder Developmental Delay Impact of Infant Death on Family Complications of prematurity- hearing, visual, neurological, pulmonary… Health and Educational Costs to community

  11. Prematurity- the problem

  12. Prematurity-the ProblemPercentage of Children Aged 6--17 Years with Learning Disability (LD) and Attention Deficit Hyperactivity Disorder (ADHD), by Birthweight* --- National Health Interview Survey, United States, 2004--2006†

  13. Causes Prematurity Low Birth Weight Congenital Defects Sudden Unexplained Infant Death Syndrome (SUIDS) Intrauterine Infections Infections in early infancy Child Abuse- Shaken babies Solutions Opportunities for interventions: Good prenatal nutrition, including folate Maternal health behaviors/effects Tobacco/alcohol/substance use; stress; obesity; racism, etc. Planned pregnancy with early entry into quality prenatal care Prevention of preterm & low birth weight births Infant sleep position and environment Family/caretaker violence & safe home Home visiting nurses Immunization of child, family and community Infant Mortality

  14. Saving Babies Initiative Awarded Request for Results Grants Targeted 10 localities with the highest number of infant deaths from 2001-2005 Identify specific areas and populations in a locality at special risk for infant mortality Collaboration with other stakeholders Results Saving Babies Successes Across the Board Determining which women are at highest risk Increasing awareness of the signs and symptoms of premature labor Promoting education about sleep position and safe sleeping Improving coordination of efforts among private and public providers Enhancing outcomes through folic acid, insurance coverage, and transportation to prenatal care “Saving Babies” Initiative

  15. Next Steps • Educate all providers to importance of safe sleep, back to sleep and brain growth in utero • Increase access- Virginia Share, Increase awareness of Medicaid coverage • Determine when/where pregnancy diagnosed and use as first “prenatal visit” • Re-evaluate current approaches- collaboration with additional community resources- churches, sororities, etc. • And many new options..........

  16. Celebrating 100 years of service to the people of Virginia 1908 - 2008

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