Health Indicator Report of Infant Mortality
The infant mortality rate is an important measure of a nation's health and a worldwide indicator of health status and social well-being. The top four causes of infant mortality in Utah are perinatal conditions (including preterm birth), birth defects, medical conditions of the infant, and sudden unexpected infant death (SUID).
NotesU.S. figures from NVSR Report Deaths: Final Data for 2017
- Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
- Utah Birth Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
- National Vital Statistics System, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention
DefinitionNumber of infants who died before their first birthday (under 365 days), per 1,000 live births.
NumeratorNumber of infants who died before their first birthday.
DenominatorTotal live births.
Healthy People Objective: Reduce the rate of all infant deaths (within 1 year)U.S. Target: 6.0 infant deaths per 1,000 live births
State Target: 4.6 infant deaths per 1,000 live births
Other ObjectivesReduce the racial disparity in infant mortality rates.
How Are We Doing?The infant mortality rate has declined throughout the past 30 years both locally and nationally. The Utah infant mortality rate declined in 2018 to 5.4 per 1,000 live births after increasing for the past three years. During 2018, 255 Utah infants died during their first year of life.
How Do We Compare With the U.S.?State vs U.S.:[[br]] Historically, the Utah infant mortality rate has been lower than the national rate. In 2016, the Utah infant mortality rate was 5.4 per 1,000 live births compared to the U.S. rate of 5.9 per 1,000 live births (CDC). In 2017, the Utah and estimated U.S. rate were comparable at 5.8 each (CIA World Factbook). In 2018, the Utah rate was 5.4 and the 2018 U.S. rate has not yet been published. U.S. vs. Other Countries:[[br]] According to 2017 estimates, the U.S. ranked 56 of 225 countries, meaning that 55 countries had lower infant mortality rates than the U.S., including Cuba, Greece, and Bosnia. The estimated U.S. rate for 2017 was 5.8 per 1,000 live births (CIA World Factbook).
What Is Being Done?The UDOH Maternal and Infant Health Program is currently 1) reviewing data obtained from the Pregnancy Risk Assessment Monitoring System (PRAMS) and the Perinatal Mortality Review (PMR) program to identify modifiable risk factors for infant mortality and develop appropriate interventions; 2) making health information available on-line for researchers, students, health care professionals and the general public to increase awareness of factors associated with infant death (i.e. the Indicator Based Information System [IBIS] and the Maternal and Infant Health Program websites); 3) promoting preconception and interconception health care for all women of childbearing age; 4) working with community partners and health professionals to disseminate information on 17P, a drug to help prevent recurrent preterm birth; and 5) collaborating with the Office of Health Disparities Reduction on targeted interventions toward decreasing infant mortality in disparate populations.
Evidence-based PracticesThe Utah Department of Health participates in the Utah Women and Newborn Quality Collaborative (UWNQC), a statewide perinatal quality collaborative. This workgroup of clinicians and public health professionals engages in development and measurement of health care quality indicators and quality improvement projects in the areas of maternal and neonatal health issues. There are a number of other states engaged in such collaboratives, including Iowa, Maryland, Ohio, California, and Tennessee. The UWNQC is currently working on decreasing preterm birth, standardizing treatment of neonatal abstinence syndrome, and identifying and addressing maternal and neonatal safety issues related to out-of-hospital birth in Utah.
Available Services'''Utah Women and Newborn Quality Collaborative:''' [http://uwnqc.org][[br]] Provider and patient education to improve maternal and neonatal outcomes. '''Power Your Life website:''' [http://www.poweryourlife.org][[br]] Public education about how to be at optimal health prior to pregnancy.[[br]] [[br]] Social media for Power Your Life include:[[br]] *Facebook: [http://www.facebook.com/poweryourlifeutah][[br]] *Twitter: @Poweryourlife2[[br]] *Pinterest: [http://www.pinterest.com/poweryourlifeut][[br]] [[br]] '''Utah Tobacco Quit Line:''' 1-888-567-8788 '''Baby Your Baby Hotline:''' 1-800-826-9662[[br]] A resource to answer pregnancy related questions and and locate services for the public. '''MotherToBaby:'''[[br]] Phone - 1-800-822-2229[[br]] Text - 1-855-999-3525[[br]] Email - firstname.lastname@example.org[[br]] [[br]] A service to answer questions about what medications are safe during pregnancy and breastfeeding.[[br]] [[br]] Social media for MotherToBaby include:[[br]] *Facebook: [http://www.facebook.com/MotherToBaby][[br]] *Twitter: @MotherToBaby[[br]] *Pinterest: [http://www.pinterest.com/MotherToBaby][[br]] [[br]] '''Baby Watch Early Intervention Hotline:''' 1-800-961-4226[[br]] Utah network of services for children, birth to three years of age, with developmental delay or disabilities. '''March of Dimes, Utah Chapter:''' [http://www.marchofdimes.org/utah][[br]] The mission of the March of Dimes is to improve the health of babies by preventing birth defects, premature birth and infant mortality.[[br]] *Facebook: [https://www.facebook.com/marchofdimes][[br]] *Twitter: @MarchofDimes[[br]] *YouTube: [https://www.youtube.com/marchofdimes][[br]] [[br]] '''University of Utah Health Care Parent-to-Parent Support Group:''' 1-801-581-2098[[br]] Support Program for families of high risk/critically ill newborns.
Health Program InformationInfant mortality may be reduced by breastfeeding. The "Stepping Up for Utah Babies" Program was developed by the Utah Department of Health (UDOH) and partners to recognize Utah hospitals that have taken steps to promote, protect, educate, and encourage breastfeeding in their facilities. Using a learning collaborative model, hospitals can implement 2, 4, 6, 8, or all 10 of the evidence-based steps to successful breastfeeding identified by the World Health Organization and UNICEF ([https://www.babyfriendlyusa.org/for-facilities/practice-guidelines/10-steps-and-international-code/]). A tool kit was adapted and developed outlining best practices, resources, action plans, and barriers to implementing each of the steps. Hospitals that successfully implement each two step interval (up to 10 steps) will be certified by the UDOH and recognized through media and public celebrations.
Page Content Updated On 10/24/2019, Published on 11/19/2019