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Perinatal Periods of Risk Starting Over in Miami-Dade County

Perinatal Periods of Risk Starting Over in Miami-Dade County. Presented by:. Study Population.  Live births and infant deaths 1998-2002 1998, 1999, 2000, 2001 and 2002 Birth-Prenatal-Fetal Death-Infant Death Matched Files 500 grams or larger  Fetal deaths 1998-2002

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Perinatal Periods of Risk Starting Over in Miami-Dade County

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  1. Perinatal Periods of Risk Starting Over in Miami-Dade County Presented by:

  2. Study Population Live births and infant deaths 1998-2002 • 1998, 1999, 2000, 2001 and 2002 Birth-Prenatal-Fetal Death-Infant Death Matched Files • 500 grams or larger  Fetal deaths 1998-2002 •  24 weeks or greater gestational age • 500 grams or larger  Residents of Miami-Dade County at time of birth

  3. Reference Groups External Residents of Florida (Dept. of Health) 1995-98 White (regardless of ethnicity) At least 20 years old  More than 12 years of education

  4. Reference Groups White (regardless of ethnicity) (1) Residents of Miami- Dade County  1998-2002 White, regardless of ethnicity At least 20 years old More than 12 years of education White Hispanic (2) Residents of Miami-Dade County 1998-2002 White Hispanic At least 20 years old More than 12 years of education

  5. Maternal Health/ Prematurity 626/3.9 MaternalCare 428/2.6 Newborn Care 181/1.1 Infant Health 227/1.4 Overall Distribution and Rates of Fetal-Infant Mortality Miami-Dade County, 1998-2002 1,462 Fetal Infant deaths 162,431 Live Births and Fetal Deaths Rate=9.0 deaths per 1,000 births and fetal deaths Source: 1998, 1999, 2000, 2001 and 2002 Birth and Fetal Death Records Linked to Infant Deaths, Healthy Start Prenatal and Infant Screens and Healthy Start Prenatal Services with Medicaid, WIC, and Census Tract Information. Prepared by the Florida Department of Health, Office of Planning, Evaluation, and Data Analysis.

  6. Excess Fetal-Infant Rate Miami-Dade vs. External Reference Group Florida DOH Reference All Races Excess 1.6 3.9 2.3 1.6 0.9 1.0 1.0 0.2 0.4 2.6 1.1 1.4 _ = 9.0 5.8 3.2

  7. Maternal Health & Prematurity 123 (2.3) Maternal Care 77 (1.4) Newborn Care 40 (0.7) Infant Care 31 (0.6) Ref Group 1: White, Age 20-50 years, Education >=13 years 1998-2002 271 Fetal-Infant Deaths 53,938 Live Births & Fetal Deaths Fetal-Infant Mortality Rate 5.0 deaths per 1,000 births and fetal deaths

  8. Excess Fetal-Infant Mortality Rates (RG1) 1998-2002 Non-White, Education <=12 years, Age <=19 White (RG1) Excess 2.4 4.7 2.3 1.4 0.7 0.6 1.9 0.6 1.3 3.3 1.3 1.8 _ = 11.1 5.0 6.1

  9. Maternal Health & Prematurity 92 (2.3) Maternal Care 56 (1.4) Newborn Care 29 (0.7) Infant Care 18 (0.5) Ref Group 2: White Hispanic, Age 20-50 years, Education >=13 years, 1998-2002 195 Fetal-Infant Deaths 39,684 Live Births & Fetal Deaths Fetal-Infant Mortality Rate 4.9 deaths per 1,000 births

  10. Excess Fetal-Infant Mortality Rates (RG2), 1998-2002 Non-White and White Non-Hispanics White Hispanic Excess 2.7 5.0 2.3 1.4 0.7 0.5 2.1 0.7 1.5 3.5 1.4 2.0 _ = 11.8 4.9 6.9

  11. Excess Fetal-Infant Mortality Rates (RG1)

  12. Overall Fetal-Infant Mortality Rates (*): Residents of Florida, 1995-1998, White (regardless of ethnicity), at least 20 years old, and completed at least 12 years of education

  13. Fetal-Infant Mortality Rates, Excess Rate and Number (RG2)

  14. Next Steps? • Data Analysis Steps • Re-do birth weight distribution analysis (Kitagawa) • Link PPOR data with FIMR data

  15. Next Steps, con’t Prevention Strategies • Evaluate current and match with findings from PPOR Community Action Steps • Take PPOR findings to FIMR Community Action Group for consideration. • Include PPOR implementation strategies in 2005 MCH Needs Assessment.

  16. 701 SW 27th Avenue Suite 1401 Miami, FL 33135 Phone: (305) 541-0210 Fax: (305) 541-0213

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