PPOR Map of Feto-Infant MortalityAmong Births to Bexar County Mothers 1999 -

2001

Total Feto-Infant Deaths 479

Total Fetal Deaths and Live Births

71,753

Source: San Antonio Metropolitan Health District and

Texas Department of Health


2001

500-1499 g

1500+ g

Fetal Death Neonatal

Post- neonatal

172

103 67 137




2001

500-1499 g

1500+ g

Fetal Death Neonatal

Post- neonatal

Maternal Health/Prematurity

2.4Maternal

Care1.4

Newborn Care.93

Infant Health

1.9



San Antonio, Texas PPOR 1999-2001


San Antonio 1999-2001

2.4 1.4 0.9 1.9 6.6

US Reference Group 1998-2000

2.2 1.5 1.1 1.0 5.9

Excess Rates (San Antonio Rate – US Rate)

0.2 -0.1 -0.2 0.9 0.7

% Excess (excess rate/ total excess rate)

18% 0 0 82%

San Antonio Total Deaths 1999-2001 = 479

Overall Distribution and Rates of Fetal-Infant Mortality

Maternal Health/ Prematurity

210/3.2

MaternalCare167/2.6

Newborn Care74/1.1

Infant Health101/1.6

552 total deaths64,492 total birthsRate=8.5 deaths per 1,000 births

Alameda County, 1999-2001

Fetal-Infant Mortality Rates by Race


7.1 vs 2.4

MaternalCare

4.6 vs 2.2

Newborn Care1.3 vs 1.5

Infant Health

3.0 vs 0.9

African American vs White, Alameda County 1999-2001

Total Rate:16.1 vs 7.1

Fetal-Infant Mortality Rates


7.1 vs 1.9

MaternalCare

4.6 vs 1.9

Newborn Care

1.3 vs 1.0

Infant Health

3.0 vs 1.0

African American vs Internal Reference Group: Asian women 20+, 13+ yrs education, Alameda County 1999-2001


Alameda County PPOR 1999-2001


Alameda County 1999-2001

3.2 2.6 1.1 1.6 8.5


2.2 1.5 1.1 1.0 5.9

Excess Rates (Alameda County Rate – US Rate)

1.0 0.9 0 0.6 2.6


38% 35% 0 23%

Alameda Total Deaths 1999-2001 = 552



244/5.8

MaternalCare63/1.5

Newborn Care72/1.7


537 total deaths42,177 total birthsRate=12.7 deaths per 1,000 births

City of Detroit, 1999-2001

1999-2001 Birth CohortPrepared by: DHWP-FHS on 3/15/04 For internal planning use only.

Fetal-Infant Mortality Rates by Race


6.2 vs 3.7

MaternalCare

1.3 vs 2.4

Newborn Care1.7 vs 1.8

Infant Health

4.0 vs 2.9

Black American vs White American , Detroit 1999-2001


1999-2001 Birth CohortPrepared by: DHWP-FHS on 3/15/04 For internal planning use only.

Detroit PPOR 1999-2001


Detroit 1999-2001

5.8 1.5 1.7 3.7 12.7


2.2 1.5 1.1 1.0 5.9

Excess Rates (Detroit Rate – US Rate)

3.6 0 0.6 2.7 6.8

% Excess (excess rate / total excess rate)

53% 0 9% 40%

Detroit Total Deaths 1999-2001 = 537

Deaths 74 Deaths

OVERALL IMRt= Totalt = 351 Deaths 44,571

Fetal Losses & Stillbirths:

2.13

Total Stillbirths, Fetal and Infant Deaths Meeting PPOR t Model Criteria, 1996-2000:

29 - 365 days of life24 weeks gestation - 28 days of life

Infant Health

29 - 365 days of life

1.66

Tulsa County Residents

(1 lb

1.5

oz

- 3 lb

s 4

oz)

(> 3

lbs

5 oz

)

Deaths119per 1000 eligible live and stillbirths


2.67

(Sum of 4 Blocks) (reported live births, stillbirths and fetal losses > 500 grams and > 24 weeks gestation)

Denominatort=7.88

130 Excluded Birth Outcomes (< 500 grams and/or < 24 weeks gestation)

500-

1499

gra

ms

Newborn Care

(Sum of 4 Blocks)

95 Deaths1.41

Birt

h W

eigh

t

Live Births:

> 15

00 g

ram

s

63

24 weeks gestation - 28 days of life> 24 weeks gestation(fetal losses & stillbirths)

Maternal Care

> 24 weeks gestation

Number Rate

90 2.6635 5.308 2.85

16 4.591 1.12

Number Rate Number Rate Number RateWhite 64 1.89 White 61 1.80 White 56 1.65Black 20 3.03 Black 15 2.27 Black 20 3.03

8 2.85 Native American 3 1.07 Native American 9 3.21Other 3 3.37 Hispanic 3 0.86 Hispanic 7 2.01

31 8.89 Other 2 2.25 Other 1 1.12

WHITE IMRt = White Total t = 90 Deaths 33867BLACK IMRt = Black Total t = 28 Deaths Black Denominator t = 6607

NAT. AMERICAN IMRt = Nat. Am. Totalt = 29 Deaths Nat. American Denominator t = 2807HISPANIC IMRt = Hispanic Total t = 57 Deaths Hispanic Denominator t = 3488

OTHER IMRt = Other Total t = 7 Deaths Other Denominator t = 889

Birt

h W

eigh

t

(> 3

lbs

5 oz

)Native American


White

OtherHispanic

500-

1499

gra

ms

Newborn Care

(< 3

lbs

4 oz

)Black

> 15

00 g

ram

s

24 weeks gestation - 28 days of life> 24 weeks gestation(fetal losses & stillbirths)

Maternal Care

Native American

Hispanic

Total Stillbirths, Fetal and Infant Deaths Meeting PPORt Model Criteria, 1996-2000:

29 - 365 days of life24 weeks gestation - 28 days of life

Tulsa County Residents by Race

Fetal Losses & Stillbirths: Live Births:

> 24 weeks gestation

9.9813.62

Infant Health

White Denominator t =

29 - 365 days of life

130 Excluded Birth Outcomes (< 500 grams and/or < 24 weeks gestation)Race and Hispanic Ethnicity determined by mother's race and ethnicity as coded on the birth certificate.

NOTE: Some deaths may be included in a race category as well as in the Hispanic ethnicity catagory.

(Sum of 4 Blocks) (reported live births, stillbirths and fetal losses > 500 grams and > 24 weeks gestation)

7.8716.34

(Sum of 4 Blocks)

10.83

Tulsa, Oklahoma PPOR 1996-2000


Tulsa 1996-2000

2.7 2.1 1.4 1.7 7.9


2.2 1.5 1.1 1.0 5.9

Excess Rates (Tulsa Rate – US Rate)

0.5 0.6 0.3 0.7 2.0


25% 20% 15% 35% NA

Tulsa Total Deaths 1996-2000 = 351

Age at Death

1500+ grams

500-1499 grams

Fetal-Infant Mortality Rates*All races, Marion County, Indiana 1998-

2000

Fetal Neonatal Post Neonatal

Maternal Health/Prematurity4.4 (189)

Maternal Care2.2 (92)

Newborn Care1.7 (72)

Infant Health2.5 (105)

Fetal Infant Mortality Rate=10.7 per 1,000 458 Fetal-Infant Deaths

42778 Fetal Deaths and Live Births

Birthw

eight


Age at Death

Fetal-Infant Mortality Rates** Reference Group***

Maternal Health/Prematurity2.2

Maternal Care1.5

Newborn Care1.1

Infant Health1.0

*Note: Over 10% imputed combined deaths, 10% or more imputed fetal deaths. Units with 10% or more imputed deaths overall were considered having major reporting problems. ** Source, NCHS data, 1998-2000 Calculations by CityMatCH*** Reference group consists of non-Hispanic, white women with at least 13 years of education by residence at time of birth or fetal death (national standard).

Birthw

eight 1500+ grams

500-1499 grams

Fetal Infant Mortality Rate= 5.9 per 1,000 82 Fetal-Infant Deaths

13805 Fetal Deaths and Live Births


Marion County PPOR 1998-2000


Marion County 1998-2000

4.4 2.2 1.7 2.5 10.7


2.2 1.5 1.1 1.0 5.9

Excess Rates (Marion County Rate – US Rate)

2.2 0.7 0.6 1.5 4.8


46% 15% 13% 31%

Marion County Total Deaths 1998-2000 = 458



1344/5.2

MaternalCare729/2.8

Newborn Care426/1.7


3,018 total deaths255,573 total birthsRate=12.2 deaths per 1,000 births

Cook County, IL 1998-2000

Cook County, Illinois PPOR 1998-2000



5.2 2.8 1.7 2.4 12.2


2.2 1.5 1.1 1.0 5.9

Excess Rates (Cook County Rate – US Rate)

3.0 1.3 0.6 1.4 6.3


48% 21% 10% 22%

Cook County Total Deaths 1998-2000 = 3,018

Cook County, Illinois PPOR Excess Examples 1998-2000



5.2 2.8 1.7 2.4 12.2

Excess (US as Reference)

3.0(48%)

1.3(21%)

0.6(10%)

1.4 (22%)

6.3

Excess (Illinois as Reference)

2.7(45%)

1.2(20%)

0.6(10%)

1.4(23%)

6.0

Excess (Cook County Reference Group)

2.6(43%)

1.3(22%)

0.4(7%)

1.6(27%)

6.0

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