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  1. Please wait … … slides loading

  2. This presentation will probably involve audience discussion, which will create action items. Use PowerPoint to keep track of these action items during your presentation • In Slide Show, click on the right mouse button • Select “Meeting Minder” • Select the “Action Items” tab • Type in action items as they come up • Click OK to dismiss this box • This will automatically create an Action Item slide at the end of your presentation with your points entered. Presentation for MCHCOM.COMNovember 13, 2003 Health Resources and Services Administration Maternal and Child Health Bureau

  3. Maternal, Infant, and Child Health in Healthy People 2010: Data from the October 2003 Progress Review Richard J Klein, MPH Edward J Sondik, Ph. D.

  4. Healthy People 2010 Focus Area 16 Maternal Mortality and Morbidity Objectives Maternal complications during labor and delivery Maternal deaths Cesarean births Ectopic pregnancies* * Developmental objective

  5. 2010 Target Maternal Complications During Labor and Delivery by Race: 1998 - 2001 Per 100 deliveries Black Total White Obj. 16-5a Source: NHDS, NCHS, CDC. Note: Data by race may be under reported.

  6. Maternal Complications During Labor and Delivery A condition that adversely affects a woman’s physical health during childbirth beyond what would be expected in a normal delivery Obstetric complications – 30.7% of live births Preexisting medical conditions – 4.1% of live births

  7. 2010 Target Cesarean Births by Race: 2001 Percent Total American Indian/ Alaska Native Asian Native Hawaiian/ Other Pacific Islander Hispanic* Black, Not Hispanic White, Not Hispanic Women giving birth for the first time Obj. 16-9 * Persons of Hispanic origin may be of any race. Source: NVSS, NCHS, CDC.

  8. Maternal Deaths by Race and Ethnicity: 1999 - 2001 Per 100,000 live births Black, Not Hispanic Total Hispanic* White, Not Hispanic 2010 Target Obj. 16-4 Source: NVSS, NCHS, CDC. * Persons of Hispanic origin may be of any race.

  9. Healthy People 2010 Focus Area 16 Objectives Healthy Pregnancies and Healthy Infants Fetal and infant deaths Low and very low birth weight Preterm births Spina bifida and other neural tube defects

  10. Infant Death Rates (Within 1 Year) by Race and Ethnicity: 1998 - 2001 Per 1,000 live births Black, Not Hispanic Native Hawaiian/ Other Pacific Islander American Indian/ Alaska Native Total 2010 Target White, Not Hispanic Hispanic* Asian Obj. 16-1c * Persons of Hispanic origin may be of any race. Source: NVSS, NCHS, CDC.

  11. Infant Death Rates (Within 1 Year) by Race and Ethnicity: 1998 - 2001 Per 1,000 live births International rates (2000) --- Bosnia – 15 Black, Not Hispanic Native Hawaiian/ Other Pacific Islander American Indian/ Alaska Native ---Kuwait – 9 Total ---Canada – 6 --- Japan – 4 2010 Target White, Not Hispanic Hispanic* Asian Obj. 16-1c * Persons of Hispanic origin may be of any race. Source: NVSS, NCHS, CDC.

  12. All Infant Deaths (Within 1 Year) by State: 1998-2000 2010 Target = 4.5 D.C. N Per 1,000 live births (6) (9) (15) (13) (8) 9.0 or more 8.0 - 8.9 7.0 – 7.9 6.0 – 6.9 Less than 6.0 Obj. 16-1c Source: NVSS, NCHS, CDC.

  13. Hispanic* VLBW VLBW VLBW VLBW VLBW Total LBW Total LBW Total LBW Total LBW Total LBW 146.3 1271.5 2635.3 162.0 721.7 1291.4 134.1 1071.8 2723.9 76.4 1130.5 6261.0 27.1 78.4 102.5 113.5 230.3 262.3 45.6 122.5 124.5 21.0 303.2 1655.5 85.3 630.1 2608.5 29.3 443.3 2438.8 Leading Causes of Infant Death (Within 1 Year): 2001 Infant deaths per 100,000 live births Black, Not Hispanic White, Not Hispanic Cause of death All races VLBW Total LBW Birth defects 137.6 1011.8 2247.8 Preterm & LBW 109.5 1361.8 7105.0 293.5 2159.3 8961.4 77.5 1081.6 6157.1 SIDS 55.5 139.4 159.4 Maternal complications 37.3 459.1 2353.6 * Persons of Hispanic origin may be of any race. Source: NVSS, NCHS, CDC.

  14. Very low birth weight Low birth weight LBW (<5 lbs 8 oz) and VLBW (<3 lbs 4 oz) by Race and Ethnicity: 2001 Percent of live births LBW 2010 Target VLBW 2010 Target Asian Hispanic* White, Not Hispanic Total American Indian/ Alaska Native Native Hawaiian/ Other Pacific Islander Black, Not Hispanic Obj. 16-10 * Persons of Hispanic origin may be of any race. Source: NVSS, NCHS, CDC.

  15. Healthy People 2010 Focus Area 16 Objectives Healthy Pregnancies and Healthy Infants

  16. 2010 Target Early Prenatal Care (First Trimester) by Race and Ethnicity: 1998 - 2001 Percent White, Not Hispanic Asian Total Native Hawaiian/Other Pacific Islander Hispanic* Black, Not Hispanic American Indian/Alaska Native Obj. 16-6a * Persons of Hispanic origin may be of any race. Source: NVSS, NCHS, CDC.

  17. 0 Pregnant Women Abstaining from Smoking by Race and Ethnicity: 1998 - 2001 Percent 2010 Target Asian Hispanic* Black, Not Hispanic Total Native Hawaiian/ Other Pacific Islander White, Not Hispanic American Indian/Alaska Native Obj. 16-17c * Persons of Hispanic origin may be of any race. Source: NVSS, NCHS, CDC.

  18. 0 Black White Percent in month preceding survey Pregnant Women Abstaining from Alcohol, by Race/Ethnicity and Trimester: 2002 2010 Target Total Hispanic* First Second Third Not Hispanic Trimester Race/Ethnicity I 95% Confidence interval. Source: NSDUH, OAS, SAMHSA. Obj. 16-17a * Persons of Hispanic origin may be of any race.

  19. Breastfeeding by Race: 2002 Percent of mothers In Hospital At 6 Months At 12 Months In Hospital 2010 Target 6 Months 2010 Target 12 Months 2010 Target Asian, Not Hispanic Hispanic* Black, Not Hispanic White, Not Hispanic Obj. 16-19 * Persons of Hispanic origin may be of any race. Source: Abbott Laboratories.

  20. 2010 Target Red Blood Cell Folate Level and Neural Tube Defects Baseline data Most recent data Per 10,000 Number (ng/ml) 1991-94 1999-2000 1996 2000 Median RBC Folate Level Spina bifida and other NTD (in nonpregnant women 15 – 44 years) (in live births & fetal deaths >20 wks. gestation) Obj. 16-16b & 16.15 Source: NHANES, NCHS, CDC; NBDPN, NCBDDD, CDC.

  21. Sudden Infant Death Syndrome and Sleep Position: 1996 - 2001 SIDS deaths Per 100,000 live births SIDS deaths 2010 Target 1996 1997 1998 1999 2000 2001 Obj. 16-1h Sources: NVSS, NCHS, CDC; NISPS, NICHD, NIH.

  22. Sudden Infant Death Syndrome and Sleep Position: 1996 - 2001 SIDS deaths Infants put to sleep on their backs Per 100,000 live births Percent Sleep position 2010 Target SIDS deaths 2010 Target 1996 1997 1998 1999 2000 2001 Obj. 16-1h & 16.13 Sources: NVSS, NCHS, CDC; NISPS, NICHD, NIH.

  23. Healthy People 2010 Focus Area 16 Objectives Children with Special Health Care Needs * Developmental objective

  24. 0 Percent Proportion of Children with Special Health Care Needs by Race/Ethnicity, Age and Sex: 2001 Male Female 0 to 5 6 to 11 12 to 17 Asian Total Black, Not Hispanic White, Not Hispanic Hispanic* American Indian /Alaska Native Age in years Sex Source: CSHCN, MCHB, HRSA, and NCHS, CDC.

  25. Per 1,000 in Atlanta, GA Autism In Children (3 to 10 years) by Race and Sex: 1996 Total Male Female Total Male Female Total Black White Obj. 16-14c Source: MADDSP, NCBDDD, CDC.

  26. Progress review data and slides can be found on the web at: http://www.cdc.gov/nchs/hphome.htm

  27. This presentation will probably involve audience discussion, which will create action items. Use PowerPoint to keep track of these action items during your presentation • In Slide Show, click on the right mouse button • Select “Meeting Minder” • Select the “Action Items” tab • Type in action items as they come up • Click OK to dismiss this box • This will automatically create an Action Item slide at the end of your presentation with your points entered. Question and Answer SessionPlease visit www.mchcom.com for an archive of this event and others.

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