Bergen County Public Health Profile Report
Fetal Mortality Rate: Fetal Deaths per 1,000 Live Births Plus Fetal Deaths, 2010-2014
Bergen4.9 95% Confidence Interval(4.3 - 5.6)Description of the Confidence IntervalThe confidence interval indicates the range of probable true values for the level of risk in the community.
A value of "NA" (Not Available) will appear if the confidence interval was not published with the NJSHAD indicator data for this measure.
Bergen Compared to State
Description of Gauge
Description of the GaugeThis graphic is based on the county data to the left. It compares the county value of this indicator to the state overall value.
The county value is considered statistically significantly different from the state value if the state value is outside the range of the county's 95% confidence interval. If the county's data or 95% confidence interval information is not available, a blank gauge image will be displayed with the message, "missing information."NOTE: The labels used on the gauge graphic are meant to describe the county's status in plain language. The placement of the gauge needle is based solely on the statistical difference between the county and state values. When selecting priority health issues to work on, a county should take into account additional factors such as how much improvement could be made, the U.S. value, the statistical stability of the county number, the severity of the health condition, and whether the difference is clinically significant.
- Excellent = The county's value on this indicator is BETTER than the state value, and the difference IS statistically significant.
- Watch = The county's value is BETTER than state value, but the difference IS NOT statistically significant.
- Improvement Needed = The county's value on this indicator is WORSE than the state value, but the difference IS NOT statistically significant.
- Reason for Concern = The county's value on this indicator is WORSE than the state value, and the difference IS statistically significant.
Why Is This Important?The fetal mortality rate is a critical measure of a population's health and is an important indicator of fetal and maternal health status and medical care.
How Are We Doing?The fetal mortality rate has been declining for decades and now stands at 6 per 1,000 live births plus fetal deaths. The rate varies widely across the state and by several maternal and infant characteristics. The rate among Blacks is more than twice the rate among other racial/ethnic groups. The rate is highest among older mothers and, regardless of age, unmarried mothers have higher rates than married mothers. Infants whose mothers receive no prenatal care are ten times as likely to be stillborn than those whose mothers receive prenatal care. Lower delivery weight and preterm infants are much more likely to be stillborn, however when the effect of delivery weight is controlled for, singletons are more likely to be stillborn than multiples. The leading causes of fetal death are maternal complications of pregnancy and complications of the placenta, cord, and membranes. These two causes account for 46% of all fetal deaths.
What Is Being Done?The Division of [http://www.nj.gov/health/fhs/ Family Health Services] in the New Jersey Department of Health administers programs to enhance the health, safety and well-being of families and communities in New Jersey. Several programs are aimed at improving children's health, including reducing fetal mortality. Information on programs that promote availability and use of prenatal care services may be found at: [http://www.nj.gov/health/fhs/maternalchild/outcomes/ http://www.nj.gov/health/fhs/maternalchild/outcomes/] or [http://njparentlink.nj.gov/njparentlink/health/before/ http://njparentlink.nj.gov/njparentlink/health/before/] The Department of Health has provided state funding to improve perinatal public health services and birth outcomes in communities. Fetal deaths are reviewed by the Fetal Infant Mortality Review Team and recommendations to reduce future deaths are made to public and private sources of care including hospitals, clinics, and health care professionals throughout the state. Efforts are continuing to increase public and provider awareness of needs for greater access to maternal preconception care, more awareness of risky preconception and post-conception behavior and for better general maternal health care.
Healthy People Objective MICH-1.1:Fetal deaths at 20 or more weeks of gestation
U.S. Target: 5.6 fetal deaths per 1,000 live births and fetal deaths
Health Care System Factors:
- Low Birth Weight
- Preterm Births
- Preterm Singleton Births
- Very Preterm Births
- Very Preterm Singleton Births
- Very Low Birth Weight
- Very Low Birth Weight Among Singleton Births
Health Status Outcomes:
Note**Too few fetal deaths to calculate a reliable rate. U.S. data is for 2012 and confidence limits are not available.
Data SourcesBirth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health Fetal Death Certificate Database, Office of Vital Statistics and Registration, New Jersey Department of Health
Measure Description for Fetal Mortality Rate
Definition: The number of resident fetal deaths of 20 or more weeks gestation per 1,000 resident live births plus fetal deaths of 20 or more weeks of gestation in the same year.
Numerator: Number of resident fetal deaths of 20 or more weeks gestation in a given year
Denominator: Number of live births plus fetal deaths of 20 or more weeks gestation to resident mothers in the same year