South Dakota Infant Mortality Katelyn Strasser MPH RN

South Dakota Infant Mortality Katelyn Strasser, MPH, RN Maternal Child Health Epidemiologist

Infant Mortality Rates, South Dakota and United States, 2008 -2017 Rate per 1, 000 live births 8, 6 8, 3 6, 7 6, 6 6, 4 7. 0 6, 2 7, 3 6, 5 6, 3 6, 1 6. 0 United States 6. 0 5, 9 5, 8 7, 8 5, 9 4, 8 South Dakota 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Source: SDDOH Vital Statistics

Infant Mortality Rates, South Dakota 5 -Year Moving Average, 2007 -2017 Rate per 1, 000 live births 7, 4 7. 0 6, 9 6, 6 6, 5 Lowest 5 -year average ever 2007 -2011 Source: SDDOH Vital Statistics 2008 -2012 2009 -2013 2010 -2014 2011 -2015 2012 -2016 2013 -2017

Infant Mortality Disparity, South Dakota, 2008 -2017 Rate per 1, 000 live births 14, 6 13, 4 12, 3 10, 1 12, 6 11, 4 8, 6 8, 3 6, 7 6, 4 11, 2 10, 4 12, 2 6. 0 7. 0 5, 8 8, 6 6, 5 6, 3 6, 4 4, 8 5, 2 7, 3 5, 9 7, 8 4, 8 7. 0 6. 0 4, 4 3, 6 White 2008 Source: SDDOH Vital Statistics 2009 2010 2011 American Indian 2012 2013 2014 Total 2015 2016 2017

Neonatal and Postneonatal Mortality Rates, 2008 -2017 Rate per 1, 000 live births 2, 9 3, 2 2, 9 2, 2 2, 5 2, 3 2, 6 2, 5 2, 3 5, 1 2008 3, 8 2009 4, 7 2010 5, 7 3, 9 2011 3, 9 2012 Neonatal mortality rate Source: SDDOH Vital Statistics 2013 5, 5 4, 8 3, 4 2014 2, 5 2016 Postneonatal mortality rate 2017 Neonatal: less than 28 days after birth Postneonatal: 28 days to 364 days after birth

Infant Deaths by Cause of Death, 2013 -2017 Congenital malformations, deformations, & chromosomal abnormalities 24. 2% Extreme immaturity and other preterm infants Accidents Sudden Infant Death Syndrome All other causes Source: SDDOH Vital Statistics 15. 9% 11. 1% 8. 6% 40.

Infant Death Review Data, 2013 -2016 • Reviewed 123 infant deaths that occurred after hospital discharge • 77 (73%) were sleep related • In 35 (47%) of sleep related deaths the infant was found in an adult bed • 16 in cribs • 11 on couches • 12 in car seats, bassinets, chairs, on the floor, or in Rock ‘n Plays. • 3 not reported where death occurred SDDOH http: //doh. sd. gov/documents/statistics/SD_Infant. Death. Review 2013 -15_Report. pdf

SDDOH http: //doh. sd. gov/documents/statistics/SD_Infant. Death_Safe. Sleep_FINAL. pdf

Percent of Prenatal Care Initiated by Trimester, 2013 -2017 No Prenatal Care 72. 0% 22. 3% 5. 1% 0. 6% 2013 Source: SDDOH Vital Statistics Third Second First 72. 2% 72. 8% 72. 7% 72. 2% 21. 6% 21. 3% 21. 2% 5. 3% 0. 8% 5. 5% 2016 2017 5. 4% 0. 8% 2014 5. 0% 0. 9% 2015 1. 1%

Trimester Prenatal Care Began by Race, 2017 First Second Third 78, 5 61, 1 48, 1 33 17, 6 29, 3 14, 5 9, 1 3, 4 White Source: SDDOH Vital Statistics American Indian Black

Percent of Women Who Smoked During Pregnancy, South Dakota, 2008 -2017 20 18, 5 Percent 15 18, 5 17, 1 16, 9 16, 5 15, 1 14, 8 14. 013, 6 12, 6 10 5 0 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Source: SDDOH Vital Statistics

South Dakota Resident Live Births by Breastfeeding Status at Time of Discharge, 2008 -2017 81. 0% 77. 4% 76. 2% 80. 0% 80. 1% 78. 4% 75. 8% 74. 5% 72. 0% Source: SDDOH Vital Statistics 2008 2009 73. 0% 2010 2011 2012 2013 2014 2015 2016 2017

South Dakota Vaccination Rates by 13 months of Age and State Ranking, 2016 (National Immunization Survey) 88. 1% 96. 5% 89. 4% 58. 9% 57. 6% 32 nd 6 t 32 nd 5 t ≥ 3 dose DTap ≥ 1 dose MMR ≥ 2 doses IPV 87. 2% 14 th 23 rd 28 th ≥ 2 doses ≥ 3 doses Hib Hep. B ≥ 1 dose VAR ≥ 3 doses PCV 13 Source: CDC Child. Vax. View Interactive! https: //www. cdc. gov/vaccines/imz-managers/coverage/childvaxview/data-reports/index. html

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