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Health Indicator Report of Perinatal Mortality Rate

The perinatal death rate is a critical measure of a population's health. Fetal and neonatal mortality, the components of perinatal mortality, are important indicators of fetal, infant, and maternal health status and medical care (pre- and post-delivery).

Perinatal Mortality Rate by County of Residence, New Jersey, 2010-2014


Notes

** The number of deaths is too small to calculate a reliable rate.

Data Sources

  • Birth 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
  • Linked Infant Death-Birth Database, Center for Health Statistics, New Jersey Department of Health

Data Interpretation Issues

This indicator uses NCHS Definition I of perinatal mortality. Please note the age for neonatal deaths and the gestational age for fetal deaths when making comparisons to other data sources as Definition II is more inclusive and therefore produces higher rates than Definition I.

Definition

Rate of fetal deaths at 28 or more weeks of gestation plus infant deaths less than 7 days of age in a given year, per 1,000 live births plus fetal deaths of 28 or more weeks gestation in the same year. [NCHS Definition I] Fetal death, which is also referred to as stillbirth or miscarriage, is defined as death prior to the complete expulsion or extraction of the fetus from its mother, where the fetus shows no signs of life. Additionally, only spontaneous fetal deaths, not induced or intentional terminations of pregnancy, are included in this definition.

Numerator

Number of resident fetal deaths at 28 or more weeks of gestation plus resident infant deaths less than 7 days old in a given year

Denominator

Number of live births plus fetal deaths of 28 or more weeks gestation to resident mothers in the same year

Healthy People Objective: 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

How Are We Doing?

The perinatal mortality rate in New Jersey is slowly declining, yet disparities exist across the state and by maternal and infant characteristics. The rate among children of Black mothers is well above that of other race/ethnicity groups. Most of the counties with high perinatal mortality rates are in South Jersey. The leading causes of perinatal mortality are placenta, cord, and membrane complications and short gestation (preterm) and low birth weight.

How Do We Compare With the U.S.?

Since 2000, the perinatal mortality rate among New Jersey residents has been consistently below that of the nation as a whole.

What Is Being Done?

The Division of 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 perinatal mortality. Information on programs that promote availability and use of prenatal care services may be found at: http://www.nj.gov/health/fhs/prenatal/index.shtml or http://njparentlink.nj.gov/njparentlink/health/before/ Information on programs that promote newborn health is at: http://www.nj.gov/health/fhs/newborn/index.shtml or http://njparentlink.nj.gov/njparentlink/health/safety/ The Department of Health has provided state funding to improve perinatal public health services and birth outcomes in communities. Perinatal 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.

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 Women, Infants and Children (WIC). http://www.nj.gov/health/fhs/wic/index.shtml FHS supports the public education and identification of post partum depression. http://nj.gov/health/fhs/postpartumdepression/index.shtml FHS supports professional and public Perinatal Addiction education services, promotes perinatal screening, and has developed a network of available resources to aid pregnant, substance-using women. http://www.nj.gov/health/fhs/adult/perinatal.shtml 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. http://njparentlink.nj.gov/njparentlink/
Page Content Updated On 11/07/2016, 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 3:58:11 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