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Health Indicator Report of Neonatal Mortality Rate

Neonatal mortality is an important indicator of newborn and maternal health status and medical care (pre- and post-delivery).

Notes

Data for White, Black, and Asian do not include Hispanics. Hispanic ethnicity includes persons of any race. **The number of deaths among Asians was too small to calculate a reliable rate in some years.

Data Sources

  • Birth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Linked Infant Death-Birth Database, Center for Health Statistics, New Jersey Department of Health

Definition

Rate of death occurring before 28 days of age in a given year per 1,000 live births in the same year Infant mortality is death within the first year of life. It is divided into two components: death before the 28th day of life is neonatal mortality; death between 28 days and one year is postneonatal mortality.

Numerator

Number of resident deaths occurring under 28 days of age in a given year

Denominator

Number of live births to resident mothers in the same year

Healthy People Objective: Neonatal deaths (within the first 28 days of life)

U.S. Target: 4.1 neonatal deaths per 1,000 live births

How Are We Doing?

Two-thirds of infant deaths occur in the neonatal period. The neonatal mortality rate in New Jersey has been decreasing, yet disparities exist across the state and by maternal and infant characteristics. The rate among children of Black mothers is two to three times that of other racial/ethnic groups and most of the counties with high neonatal mortality rates are in South Jersey. The leading causes of neonatal mortality are the same as those among all infants: short gestation (prematurity)/low birth weight and congenital anomalies. These two causes account for 42% of neonatal deaths.

How Do We Compare With the U.S.?

The neonatal mortality rate among New Jersey residents is below that of the nation as a whole.

What Is Being Done?

The [http://www.nj.gov/health/fhs/ Division of Family Health Services] in the New Jersey Department of Health administers several programs aimed at improving children's health, including reducing infant mortality. Infant deaths are reviewed by the [http://www.nj.gov/health/fhs/maternalchild/outcomes/mortality-reviews/ 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. The Department of Health has provided state funding to improve perinatal public health services and birth outcomes in communities. 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. New Jersey is a participant in the [http://www.nichq.org/project/collaborative-improvement-and-innovation-network-reduce-infant-mortality-im-coiin Collaborative Improvement and Innovation Network to Reduce Infant Mortality] (CoIIN-IM). CoIIN is a multiyear national movement engaging federal, state, and local leaders; public and private agencies; professionals; and communities to employ quality improvement, innovation, and collaborative learning to reduce infant mortality and improve birth outcomes.

Available Services

The Division of Family Health Services (FHS) provides support for pregnant women and newborns through several programs, including the Supplemental Nutrition Program for [http://www.nj.gov/health/fhs/wic/ Women, Infants and Children] (WIC). Perinatal Mood Disorders (e.g., postpartum depression) Helpline: 1-800-328-3838 or [http://www.nj.gov/health/fhs/maternalchild/mentalhealth/getting-help/] FHS supports professional and public [http://www.nj.gov/health/fhs/maternalchild/outcomes/index.shtml Perinatal Addiction] education services, promotes perinatal screening, and has developed a network of available resources to aid pregnant, substance-using women. [http://njparentlink.nj.gov/ NJ Parent Link], an interdepartmental website, is New Jersey's online Early Childhood, Parenting, and Professional Resource Center offering "one-stop shopping" for State services and resources.

Health Program Information

Maternal and Child Health: [http://www.nj.gov/health/fhs/maternalchild/] Special Child Health and Early Intervention Services: [http://www.nj.gov/health/fhs/sch/] WIC: [http://www.nj.gov/health/fhs/wic/]
Page Content Updated On 08/04/2017, Published on 09/28/2017
The information provided above is from the Department of Health's NJSHAD web site (https://nj.gov/health/shad). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sat, 16 December 2017 0:02:22 from Department of Health, New Jersey State Health Assessment Data Web site: https://nj.gov/health/shad ".

Content updated: Wed, 15 Nov 2017 07:52:42 EST