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Infant Mortality in Maryland

S. Lee Woods, M.D., Ph.D. Medical Director, Center for Maternal and Child Health March 23, 2010. Infant Mortality in Maryland. Infant Mortality in Maryland & U.S. Timing of Infant Deaths. Data Source: MD DHMH, Vital Statistics Administration. Leading Causes of Infant Mortality.

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Infant Mortality in Maryland

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  1. S. Lee Woods, M.D., Ph.D. Medical Director, Center for Maternal and Child Health March 23, 2010 Infant Mortality in Maryland

  2. Infant Mortality in Maryland & U.S.

  3. Timing of Infant Deaths Data Source: MD DHMH, Vital Statistics Administration

  4. Leading Causes of Infant Mortality

  5. Preterm Births – Maryland & U.S.

  6. Low Birth Weight – Maryland & U.S.

  7. Maryland Rankings • Infant Mortality 39th • Preterm Birth 34th • Low Birth Weight 43rd • SIDS / SUID 35th

  8. Racial Disparity in Infant Mortality

  9. Racial Disparity in Preterm Births

  10. Racial Disparity in Low Birth Weight

  11. Racial Disparity in Leading Causes of Infant Mortality In Maryland …. • a Black infant is 1 ½ times as likely to be born prematurely, • almost twice as likely to be born at low birth weight, • almost 2 ½ times as likely to die of SIDS/SUID as a white infant.

  12. Geographic Disparity in Maryland Average Infant Mortality Rate, By Jurisdiction, 2003-07 Allegany Washington Cecil Carroll Garrett Harford Baltimore Frederick Baltimore City Kent Howard Montgomery Anne Arundel Queen Anne’s Caroline Prince George’s Talbot Legend Rate per 1000 live births Calvert Charles Dorchester Wicomico St. Mary's Worcester 3.6 – 5.0 Somerset 5.1 – 10.0 10.1 -14.8 Data Source: MD Vital Statistics Administration

  13. Risk Factors for Poor Birth Outcomes • Behavioral risks • Drug, alcohol, cigarette use • Unintended pregnancy • Health and healthcare risks • Chronic conditions – obesity, diabetes, hypertension • Access to care / Prenatal care

  14. Early Prenatal Care – Maryland & U.S.

  15. Late or No Prenatal Care – Maryland & U.S.

  16. Infant Mortality and Timing of Prenatal Care

  17. Risk Factors for Poor Birth Outcomes • Behavioral risks • Drug, alcohol, cigarette use • Unintended pregnancy • Health and healthcare risks • Chronic conditions – obesity, diabetes, hypertension • Access to care / Prenatal care • Socio-demographic risks • Race • Socio-economic status • Maternal age

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