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Healthy North Carolina 2020 Objective: Maternal and Infant Health

Healthy North Carolina 2020 Objective: Maternal and Infant Health. A State Public Health Perspective. Maternal and Infant Health 2020 Objectives. Reduce the infant mortality disparity (Key Performance Indicator) Reduce the infant mortality rate

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Healthy North Carolina 2020 Objective: Maternal and Infant Health

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  1. Healthy North Carolina 2020 Objective:Maternal and Infant Health A State Public Health Perspective

  2. Maternal and Infant Health 2020 Objectives • Reduce the infant mortality disparity (Key Performance Indicator) • Reduce the infant mortality rate • Reduce the percent of women smoking during pregnancy

  3. Reduce the infant mortality rate • The infant mortality rate is the number of infant deaths per 1,000 live births. Infant death is defined as the death of an infant before his or her first birthday.

  4. Reduce the infant mortality rate • The leading causes of infant death include congenital abnormalities, pre-term/low birth weight, Sudden Infant Death Syndrome (SIDS), problems related to complications of pregnancy, and respiratory distress syndrome.

  5. Importance of Infant Mortality in North Carolina • IM is an issue of great magnitude • In 2008, 68% of all child deaths in NC were infant deaths. • IM is a good “proxy measure” for a community’s public health as IM has many causes with origins ranging from medical to socio-economic factors.

  6. Importance of Infant Mortality in North Carolina • IM is not just about deaths • Infants who survive are our future school children. • i.e. only 15.2% of low birth weight babies graduated from high school by age 19, compared to almost 60% of their normal birth weight siblings • Infants who survive are prone to chronic disease.

  7. Infant Mortality RateNorth Carolina, 1988-2009 7.9

  8. Reduce the infant mortality disparity • Defined as gap between the infant death rate for whites and African Americans (the largest disparity between two groups in North Carolina) expressed as a ratio.

  9. Reduce the infant mortality disparity • This ratio expresses the number of times greater the African American infant mortality rate is in proportion to the white infant mortality rate.

  10. Reduce the infant mortality disparity

  11. Reduce the infant mortality disparity ~ 2.7 in 2009

  12. http://www.schs.state.nc.us/SCHS/pdf/MinRptCard_WEB_062210.pdfhttp://www.schs.state.nc.us/SCHS/pdf/MinRptCard_WEB_062210.pdf

  13. Reduce the percent of women smoking during pregnancy • Smoking during pregnancy can have a negative impact on the health of infants and children by increasing the risk of complications during pregnancy, premature delivery, and low birth weight.

  14. Reduce the percent of women smoking during pregnancy

  15. NC Public Health Efforts to Reduce Infant Mortality • Improve infant health care • Improve maternity care • Increase planned pregnancies • Improve women’s health

  16. NC Public Health Efforts to Reduce Infant Mortality • Improve infant health care • Improve maternity care • Increase planned pregnancies • Improve women’s health

  17. Planned Pregnancies Have Better Outcomes • 44% NC pregnancies not planned [PRAMS 2006-08] • By race African Americans (64%), Latinas (40%) and Whites (38%) • Associated with late PNC, poor birth spacing, abuse/neglect

  18. Healthy Women More Likely to Have Healthy Babies • IM and disparities related to mother’s health including- • socioeconomic status • chronic stress • chronic disease and infection • smoking, and nutrition • age

  19. Life-Course Approach • 12 point plan to reduce Black-White Disparities • Described in article entitled Closing the Black-White Gap in Birth Outcomes: A Life-Course Approach in Ethnicity & Disease, Volume 20, Winter 2010 by authors Michael Lu, et.al.

  20. 12-Point Plan • Provide interconception care to women with prior adverse pregnancy outcomes • Increase access to preconception care to African American women • Improve the quality of prenatal care • Expand healthcare access over the life course

  21. 12-Point Plan, continued • Strengthen father involvement in African American families • Enhance coordination and integration of family support services • Create reproductive social capital in African American communities • Invest in community building and urban renewal

  22. 12-Point Plan, continued • Close the education gap • Reduce poverty among African American families • Support working mothers and families • Undo racism

  23. 12-Point Plan • Provide interconception care to women with prior adverse pregnancy outcomes • Increase access to preconception care to African American women • Improve the quality of prenatal care • Expand healthcare access over the life course

  24. Preconception Health TO BE RELEASED SOON – Check the SCHS website (http://www.schs.state.nc.us/SCHS/)

  25. Tracking Preconception Health • New Web site at the State Center for Health Statistics http://www.schs.state.nc.us/SCHS/data/preconception.html • Indicators developed by a 7 state working group which included NC

  26. Further Questions or Comments Sarah McCracken Cobb SSDI Project Coordinator Women’s and Children’s Health NC Division of Public Health 919.707.5515 Sarah.Mccracken@dhhs.nc.gov

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