IN.gov - Skip Navigation

Note: This message is displayed if (1) your browser is not standards-compliant or (2) you have you disabled CSS. Read our Policies for more information.

Indiana State Department of Health

Maternal & Child Health (MCH) > Infant Mortality Infant Mortality

Indiana Perinatal Quality Improvement Collaborative: Guidelines to Reduce Early Elective Delivery

The Quality Improvement Committee of the Indiana Perinatal Quality Improvement Collaborative (IPQIC) was charged to develop guidelines that would support efforts in Indiana to reduce the number of non-medically indicated early term deliveries to a rate of 3% or less. The following document reflects the efforts of the dedicated medical professionals, state health officials, and public insurance representatives that contributed to the final guidelines.

2014 Early Elective Delivery Guidelines

 

Summit Speaker Presentations

William C. VanNess II, M.D.
David L. Lakey, M.D.
Niceta Bradburn, M.D., FAAP
Christina Ryan
Miranda Spitznagle
Norm Hess, MSA
Virginia Caine, M.D.

View the recording of the Summit

Definition: Infant Mortality is the number of babies who die during the first year of life per 1,000 live births based on the birth cohort.
Healthy People 2020 Goal :

  • 6.0 deaths per 1,000 live births.

Consequences:

  • Infant death is a critical indicator of the health of a population. It reflects the overall state of maternal health as well as the quality and accessibility of primary health care available to pregnant women and infants.

Causes:

  • The top three causes of infant deaths among all races and among whites are disorders related to short gestation and low birth weight, congenital anomalies and Sudden Infant Death Syndrome.
  • Among blacks, the leading causes of infant deaths include disorders related to short gestation and low birth weight followed by congenital anomalies and accidents.

Prevalence:

Table 1: 2011 Infant Mortality Rates: Indiana

Live Births

Infant Deaths

Infant Death Rates

All Races

83,750

643

7.7

White

69,349

479

6.9

Black

9,908

122

12.3

Other

4,493

42

9.3

Hispanic

8,105

53

6.5

Source: Indiana State Department of Health

Trends in Infant Mortality:

  • The overall Indiana infant mortality was 7.7 per 1000 live births in 2011.
  • A significant disparity is being observed between white and black infant mortality rates. Black infants are 1.8 times more likely to die than white infants.
  • Black infant mortality rates in Indiana are decreasing considerably; however, white infant mortality rates are increasing