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Complete Health Indicator Report of Fetal and Perinatal Mortality

Definition

Fetal Mortality: the intrauterine death of a fetus, at 20 weeks gestation or greater, before delivery. Perinatal Mortality: fetal deaths of 28 weeks or more plus infant deaths at less than 7 days of age.

Numerator

Fetal Mortality: number of fetal deaths at 20 weeks gestation or more. Perinatal Mortality: number of fetal deaths at 28 weeks gestation or more plus number of infant deaths at less than 7 days of age.

Denominator

Fetal Mortality: number of fetal deaths at 20 weeks gestation or more plus number of live births. Perinatal Mortality: live births plus fetal deaths in specified age groups.

Why Is This Important?

There is an increasing awareness of the magnitude and impact of fetal mortality as a public health problem. In Utah, there are more fetal deaths than infant deaths each year. Much of the public concern regarding reproductive loss has concentrated on infant mortality; however a focus on fetal mortality may provide further opportunities for prevention.

Healthy People Objective MICH-1.2:

Reduce the rate of fetal and infant deaths during perinatal period (28 weeks of gestation to 7 days after birth)
U.S. Target: 5.9 perinatal deaths per 1,000 live births and fetal deaths
State Target: 5.6 perinatal deaths per 1,000 live births and fetal deaths

Other Objectives

Related HP2020 Objectives include:[[br]] [[br]] =====Healthy People Objective MICH-1:===== Reduce the rate of fetal and infant deaths[[br]] * {{style color:#003366 MICH-1.1:}} Reduce the rate of fetal deaths at 20 or more weeks of gestation [[br]]'''U.S. Target:''' 5.6 fetal deaths per 1,000 live births and fetal deaths * {{style color:#003366 MICH-1.3:}} Reduce the rate of all infant deaths (within 1 year) [[br]]'''U.S. Target:''' 6.0 infant deaths per 1,000 live births[[br]] [[br]] =====Healthy People Objective MICH-16:===== Increase the proportion of women delivering a live birth who received preconception care services and practiced key recommended preconception health behaviors

Available Services

The Division Family Health and Preparedness encourages health care providers to teach fetal movement counting to expectant mothers. Pamphlets are available from the Maternal and Infant Health Program website ([http://www.health.utah.gov/mihp]). They also encourage reproductive age women to be at their optimal health prior to pregnancy through the Power Your Life Campaign. Learn more at [http://www.poweryourlife.org].


Related Indicators

Relevant Population Characteristics

Fetal and perinatal mortality are associated with births to mothers who are adolescent or at advance maternal age (40+).

Related Relevant Population Characteristics Indicators:


Health Care System Factors

Lack of access to affordable healthcare during the preconception and prenatal periods can lead to an increased risk for fetal and perinatal mortality.

Related Health Care System Factors Indicators:


Risk Factors

Fetal death is sometimes associated with the following factors: * pregnancy complications including severe or uncontrolled hypertension or diabetes * access to prenatal care; early and adequate prenatal care * maternal health prior to pregnancy (preconception care) * adequate spacing of pregnancies * maternal obesity, smoking during pregnancy * congenital anomalies * infections * placental and cord problems * intrauterine growth retardation * previous perinatal death

Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Fetal Mortality Rate, Utah and U.S., 1999-2014

::chart - missing::
confidence limits

Utah vs. U.S.YearNumber per 1,000 Live Births Plus Fetal DeathsLower LimitUpper Limit
Record Count: 31
Utah19994.33.75.0
Utah20005.24.65.9
Utah20014.84.25.5
Utah20025.05.04.4
Utah20034.84.25.5
Utah20045.24.65.9
Utah20055.04.45.7
Utah20064.64.05.2
Utah20074.74.15.2
Utah20085.54.96.2
Utah20095.54.96.2
Utah20105.65.06.3
Utah20115.44.86.1
Utah20125.14.55.8
Utah20135.85.16.5
Utah20145.34.76.0
U.S.19996.7
U.S.20006.6
U.S.20016.5
U.S.20026.4
U.S.20036.3
U.S.20046.3
U.S.20056.2
U.S.20066.1
U.S.20076.1
U.S.20086.2
U.S.20096.0
U.S.20106.0
U.S.20116.1
U.S.20126.1
U.S.20136.0

Data Notes

Fetal deaths are defined as 20 weeks or greater gestation.

Data Sources

  • Utah Fetal Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Utah Birth Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • National Vital Statistics System, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention


Fetal Mortality Rate by Local Health District, Utah, 2012-2014

::chart - missing::
confidence limits

Local Health DistrictNumber per 1,000 Fetal Deaths Plus Live BirthsLower LimitUpper LimitNote
Record Count: 14
Bear River5.23.86.8
Central7.24.610.7
Davis County6.55.37.8
Salt Lake County5.04.45.7
San Juan5.21.413.4
Southeast4.72.09.3*
Southwest5.23.86.8
Summit5.52.211.3*
Tooele6.43.810.0
TriCounty5.43.28.4
Utah County4.84.15.6
Wasatch7.73.714.2*
Weber-Morgan6.85.48.4
State of Utah5.45.05.8

Data Notes

Fetal deaths are defined as 20 weeks or greater gestation. *Use caution in interpreting; the estimate has a relative standard error greater than 30% and does not meet UDOH standards for reliability. Prior to 2015 San Juan County was part of the Southeast Local Health District. In 2015 the San Juan County Local Health District was formed. Data reported are for all years using the current boundaries.

Data Sources

  • Utah Fetal Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Utah Birth Certificate Database, Office of Vital Records and Statistics, Utah Department of Health


Utah Perinatal Mortality Rate by Year, 1999-2014

::chart - missing::

YearRate per 1,000 Births Plus Fetal Deaths
Record Count: 16
19994.7
20005.2
20014.8
20025.6
20035.3
20045.0
20055.1
20064.7
20075.1
20085.1
20095.7
20105.4
20115.3
20125.1
20135.7
20145.6

Data Notes

Perinatal mortality rate includes infant deaths of less than 7 days plus fetal deaths greater than 28 weeks and is considered a sensitive marker of systems of care.

Data Sources

  • Utah Fetal Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Utah Birth Certificate Database, Office of Vital Records and Statistics, Utah Department of Health

References and Community Resources

The Maternal and Infant Health Program website also contains a variety of information related to fetal deaths. Access through [http://www.health.utah.gov/mihp].

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 05/13/2016, Published on 05/18/2016
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 21 October 2018 10:17:57 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Fri, 26 May 2017 10:19:45 MDT