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Reducing Infant Mortality in Virginia: Collaborative Approaches and Key Interventions

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morpheus
51 diapositives · 670 Views · Mar 05, 2014

Virginia faces significant challenges in infant mortality, ranking 18th highest nationally in 2006, with African American infants at double the risk. This initiative focuses on uniting stakeholders to implement targeted interventions, such as promoting accessible prenatal care, breastfeeding, and education about signs of preterm labor. Strategies include community engagement, substance use assessments, and support for maternal health. The "Saving Babies" initiative aims to increase awareness and enhance care coordination, ultimately striving to reduce the overall infant mortality rate and address racial disparities.

#racial disparities #infant mortality #virginia health #prematurity intervention #maternal health
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  1. The Silent Epidemic Uniting to Reduce Infant Mortality

  2. Infant Mortality in Virginia

  3. Significance of Infant MortalityWorld View

  4. Infant Mortality: The ProblemWorld Rank

  5. Infant Mortality: The Problem World Rank

  6. Infant Mortality: The Problem – Virginia • Infant mortality rate ranked 18th highest in the nation by the CDC in 2006 • Only ranks within the top 30 states for protecting the lives of infants • Infant mortality rate twice as high for African-Americans

  7. Infant Mortality: Comparative Deaths

  8. Just the Beginning of the Uphill Climb 123 more babies lived in 2008

  9. Total Infant Mortality Rates Per 1,000 Births in Virginia Healthy People 2010: 4.5

  10. Infant Mortality – Recent History Healthy 2010 Goal: 4.5

  11. Infant Mortality: 5 Year Death Rates by Race/Ethnicity

  12. Infant Mortality Rates Per 1,000 BirthsBy Race/Ethnicity 1998-2008

  13. Top Causes of Death

  14. Top 4 Causes of Infant Death, Virginia 1998-2008

  15. Infant Mortality by Age at Death

  16. Infant Mortality: Maternal Age 2008

  17. Infant Mortality by Education and Race/Ethnicity Less than 12 Years 12 Years > 12 Years

  18. Resident Infant Death Rates by Method of Payment and Race/Ethnicity Medicaid Private Insurance Self Pay

  19. Infant Mortality: By Geography • Infant Deaths 2008 VA residents by number of live births

  20. Prematurity: The Rising Trend

  21. Prematurity*- the problem Healthy 2010 Goal: 7.6 *Less than 37 weeks

  22. Virginia Resident and Cesarean Births

  23. Prematurity and Late Preterm Births 35 Weeks 39 Weeks

  24. Prematurity and SIDS • A premature infant less than 37 weeks sleeping prone is85 timesmore likely to die of SIDS • A premature infant lying on its side is40 timesmore likely to die of SIDS

  25. Prematurity: SIDS Rate and Sleep Position Rates of SIDS Deaths Babies Sleeping on their Backs

  26. Changing Attitudes • Engage • Healthcare Providers • Pregnant women and their families • Community Groups • Health Insurers

  27. Interventions that May Reduce Prematurity/Infant Deaths • Accessible prenatal care • Promote breastfeeding • Education about preterm labor signs and symptoms • Decrease smoking and exposure to second-hand smoke

  28. Interventions That May Reduce Prematurity/Infant Deaths • Assess for substance use and intervene • Assess for domestic violence and intervene • Reduce major stress levels • Refer to community services

  29. Breastfeeding: The Benefits • Lower rates of SIDS • Fewer ear infections • Fewer asthma/allergy cases • Less obesity • Less diabetes • Fewer childhood leukemia cases • Fewer infections in premature babies

  30. Promote Breastfeeding • Educate mothers before birth • Provide support from family, friends, healthcare workers, employers, society • Provide safe places to nurse and pump

  31. Prematurity and Smoking • Exposure to smoking is associated with • 20% of all low birth weight babies • 8% of preterm births • SIDS

  32. Prematurity: Smoking and Pregnancy • Successful treatment of tobacco dependence • 20% reduction in low-birth-weight babies • 17% decrease in preterm births

  33. Infant Mortality: Causes • Prematurity • Birth Defects • SIDS

  34. Infant Mortality: Solutions • Good prenatal nutrition • Maternal health behaviors/effects • Planned pregnancy with early, quality prenatal care • Prevention of preterm & low birth weight babies

  35. Infant Mortality: Solutions • Infant sleep position and environment • Family/caretaker violence prevention & safe home • Home visiting nurses

  36. Infant Mortality Reduction: Spread the Word • Control Weight • Don’t Smoke • Don’t Drink • Take Vitamins with Folic Acid • Visit Your Dentist • Breastfeed

  37. Infant Mortality Reduction: Raise Awareness • Communicate the facts • Provide intervention tips • Support the Commissioner’s Infant Mortality Workgroup

  38. Commissioner’s Working Group on Infant Mortality • Expanded stakeholder concept • Social network • Multi-prong approach • Goal: decrease overall rate • AND • racial disparities

  39. “Saving Babies” Initiative • Save babies from dying in their first year of life • Focus on results • Targeting 10 localities with the highest number of infant deaths • Collaborating with other stakeholders

  40. Saving Babies LocalitiesEach locality funded $100,000

  41. “Saving Babies” Outcomes • Determining women at high risk • Increasing awareness of signs/symptoms of premature labor • Promoting safe sleep education

  42. “Saving Babies” Outcomes • Improving coordination/ efforts of private and public providers • Enhancing outcomes through folic acid promotion, insurance coverage and transportation to prenatal care

  43. Pediatrics 101 • Interactive education • Pediatric residents

  44. Infant Mortality Reduction: Practice Safe Sleep Habits • Baby should… • Sleep alone • Sleep on his/her back • Sleep in a crib without soft toys, bumper pads or quilts

  45. Text 4 BABY • Text informational messages • Public health focus • Pregnancy and Infancy

  46. Folic Acid Initiative • Local health districts • All women of child-bearing age

  47. Pregnancy Authorization • Decrease time for Medicaid-eligible women to enter care

  48. Hampton WalMart Employee IM Project • Teach employees basic public health activities and messages around safe sleep, prematurity, healthy pregnancy

  49. Healthy People 2020 • Education to General Assembly members, Cabinet and Agency leadership • Goal: use 2020 metrics in bill language, legislative discussions

  50. Grandmother’s Campaign • Increase grandmother engagement • Partner with AARP: • Online community • Q&A with Commissioner • Article, fact sheet