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H H S Department of Health and Human Services
Health Resources and Services Administration
Maternal and Child Health

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Child Health Day 2012

Caring For Our Next Generation: Reducing Infant Mortality

Presidential Proclamation

In the U.S., the number babies who die in their first year of life is declining, with an all-time low 6.4 infant mortality rate (6.4 deaths for every 1,000 live births) reported in 2009, the most recent available data.

Learn more:
Infant Mortality
The U.S. infant mortality rate ranks near the bottom among industrialized nations. Moreover, there are persistent disparities that affect racial and ethnic minorities and geographic areas. As a result, Secretary Sebelius has announced the creation of the first-ever national strategy to address infant mortality.

The Maternal and Child Health Bureau (MCHB), Health Resources and Services Administration (HRSA), is collaborating with teams from 13 southern states,  and other private and public partners to support efforts to reduce infant mortality in that region. This partnership will share best practices and lessons learned while focusing on improvements in five common priority areas.
  
1. Reduce Elective Deliveries Before 39 Weeks

Inducing labor before 39 weeks is associated with newborn health complications. Labor should only be induced for medical reasons. Learn more: Reduce Elective Deliveries (ASTHO)

2. Increase Safe Sleep Practices

Babies sleep safest when placed on their backs in a crib, play yard or bassinet that meets current safety standards. Place your baby’s separate, safe sleep space near where you sleep for at least the first six months. The baby should sleep on a firm mattress that is designed for an infant and fits snugly in the crib. Keep all bedding items and toys out of the crib while your baby is sleeping, including quilts, loose blankets, soft or pillow-like bumpers, pillows or stuffed animals. Learn more: Safe to Sleep (NIH)

3. Enhance Perinatal Regionalization Reduction

Hospitals in a state or region must work together to ensure that every pregnant woman and newborn has access to the appropriate level of medical care that they need. This means parents-to-be can be sure that there are hospitals readily available that can provide everything from a basic, uncomplicated delivery to those that can serve mothers and babies with the most complex, critical problems. Very low-birth-weight (VLBW) infants should be delivered at highly specialized hospitals, most commonly designated as level III hospitals. Learn more: Collaborative Efforts to Address the Impact of Perinatal Regionalization on Infant Mortality exit (The Association of Maternal & Child Health Programs) Levels of Neonatal Care exit (The American Academy of Pediatrics)

4. Increase Smoking Cessation Among Pregnant Women

A pregnant smoker is at a higher risk for problems in her pregnancy. Babies born to mothers who smoke have a lower average birth weight, an increased rate of premature birth, and are at greater risk of death from sudden infant death syndrome (SIDS) than babies of nonsmokers. Studies show that women who quit smoking early in their pregnancies can reduce the risk of damage to their babies. Even quitting in the last month of pregnancy can help your baby by increasing the amount of oxygen available to him/her during delivery. Learn more: Smokefreewomen.gov

5. Expand Access to Interconception Care

The single best predictor of preterm birth is a prior preterm birth. If you have had a previous pregnancy that ended in an adverse outcome (e.g., infant death, fetal loss, birth defects, low birth weight or preterm birth), use the post-partum period, and the time before you plan future pregnancies to seek medical help from your health care provider. Make sure that you are healthy before you get pregnant again. For services available in your state, use the Looking for Help feature. Learn More: Preconception (CDC), Every Woman California - Preconception Health Council of California 

Looking for help?

Find your State contact information:

Alabama (800) 654-1385

Alaska (800) 799-7570

American Samoa (684) 633-4616

Arizona (800) 232-1676 

Arkansas (800) 232-0002 

California (866) 241-0395

Connecticut (800) 688-7777

 

Delaware (800) 464-4357

District of Columbia (800) 311-2229

Florida (800) 451-2229

Georgia (800) 822-2539 

Guam (671) 735-7111

Hawaii (800) 235-5477

 

Idaho (800) 296-2588 

Illinois (800)-843-6154

Indiana (800) 433-0746

Iowa (800) 369-3826 

Kansas (800) 332-6262

 

Kentucky (800) 462-6122

Louisiana (800) 251-2229

Maine (800 698-3624

Maryland (800) 456-8900

 

Massachusetts (800) 882-1435

Michigan (800 262-4784

 

Minnesota (800 728-5420

Mississippi (800) 721-7222

Missouri (800) 835-5465

Montana (887) 543-7669

Nebraska (800) 862-1889

Nevada (800) 429-2669

New Hampshire (800) 852-3345

 

New Jersey (800) 328-3838 

New Mexico (877) 725-2552

New York (800) 522-5006

North Carolina (800) FOR-BABY

North Dakota (800) 472-2286

Northern Marianas (670) 664-4850

Ohio (800) 755-4769

Oklahoma (800) 426-2747

Oregon (800) SAFENET

Pennsylvania (800) 986-2229

Puerto Rico (800) 981-5721

Rhode Island (800) 942-7434

South Carolina (800) 868-0404

South Dakota (800) 305-3064

Tennessee (800) 428-2229

Texas 2-1-1 (Texas Only)

Utah (800) 826-9662

Vermont (800) 649-HELP

Virginia (800) 230-6977

Virgin Islands (866) 248-4004

Washington (800) 322-2588

West Virginia (800) 642-8522

Wisconsin (800) 722-2295

Wyoming (800) 438-5795


Find Prenatal ServicesFind Prenatal Services
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