Healthy Babies in Healthy Families
Health Update
Karen Remley, MD, MBA, FAAP
Commissioner, Virginia Department of
Health
November 2011
1
Setting the Stage in Virginia
1.6 Million Women of Childbearing Age
135,464 Pregnancies
102,934 Live Births
24,892 Induced Terminations
10,389 Pre-Term Births
6,590 Spontaneous Terminations
Source: VDH Division of Health Statistics Resident Live Birth, Death, Fetal Death and Induced Termination of
Pregnancy Certificates 2010.
2
Virginia State Resident Profile of Maternal and Child Health
Virginia
2009
Virginia
2010
United States
(Most recent)
Birth Rate
(per 1,000 total population)
13.3
13.1
14.0
Pregnancy Rate
(per 1,000 females ages 15-44)
84.5
82.4
103.2
Infant Mortality Rate
(per 1,000 live births)
7.0
6.8
6.6
Teen Pregnancy Rate
(per 1,000 females ages 15-19)
45.4
40.7
71.5
Induced Terminations Rate
(per 1,000 females ages 15-44)
16.1
15.3
19.6
Immunization Rate
(Percent Up-to-Date 4:3:1:3:3:1
Immunizations per 100 24
month old health district
clients)1
56.1%
59.0%
NA
Source: VDH, Division of Health Statistics Resident Live Birth, Death , Fetal Death, and Induced Termination of
Pregnancy Certificates 2009-2010, compiled by the Policy & Assessment Unit, Office of Family Health Services. The
most recent population data (2009) was used for denominators. 1VDH Division of Immunization.
3
Teen Pregnancies per 1,000 females ages 15-19 years
U.S. and Virginia Teenage Pregnancy
Rates (15-19 years), 1995-2010
120
100
80
U.S.
60
Virginia
40
The rate of pregnancies to teens
ages 15-19 years declined by 46%
from 1995 to 2010 in Virginia
20
0
1995
1997
1999
2001
2003
2005
Source: VDH Division of Health Statistics Resident Live Birth, Death , Fetal Death, and Induced Termination of Pregnancy
Certificates 1995-2010, compiled by the Policy & Assessment Unit, Office of Family Health Services. The most recent
population data (2009) was used for denominators.
U.S. data: Kost K, Henshaw S and Carlin L, U.S. Teenage Pregnancies, Births and Abortions: National and State Trends and
Trends by Race and Ethnicity, 2010.
4
2007
2009
Virginia’s Late Preterm Birth Rate is Declining
8.0
Percent of late preterm births
(34-36 completed weeks)
7.8
7.8
7.6
7.4
7.2
The rate of late preterm births declined
by 9% from 2005 to 2010
7.0
7.1
6.8
2005
2006
2007
2008
2009
Year
Source: Virginia Department of Health, Division of Health Statistics, compiled by the Office of Family Health Services,
Division of Child and Family Health, 2005-2010
5
2010
Infant Deaths per 1,000 Live Births
18
16
14
12
10
8
6
4
2
0
Resident Infant Death Rates By Race/Ethnicity
Virginia and U.S. Rate, 1998-2010
Black
Virginia
U.S.
Hispanic
White
Asian
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Black
14.5 12.9 12.4 15.5 14.5 13.9 14.4 14.4 13.8 15.5 12.2 13.7 14.6
Virginia
7.4
7.2
6.8
7.4
7.3
7.6
7.4
7.4
7.1
7.7
6.7
U.S.
7.2
7.0
6.9
6.8
7.0
6.8
6.8
6.9
6.7
6.8
6.6
Hispanic 5.1
White
5.5
5.7
5.6
5.0
5.1
6.3
5.7
5.2
4.1
6.8
5.6
5.4
5.3
5.6
6.1
5.8
5.9
5.5
Asian
3.3
3.4
2.7
3.7
3.8
2.5
3.2
4.2
1.6
7.0
6.8
6.1
6.8
6.3
6.0
5.4
5.6
4.9
3.3
4.0
2.4
2.9
Source: VDH Division of Health Statistics Resident Live and Death Certificates 1998-2010, compiled by the Policy &
Assessment Unit, Office of Family Health Services
National Center for Health Statistics, 1998-2008.
6
Top 10 Causes of Infant Death
Virginia, 2010
Other Disorders in the
Perinatal Period, 16
Respiratory Distress of
Newborn, 11
Bacterial Sepsis of
Homicide, 11
Newborn, 12
Unintentional Injury , 20
Complications of Placenta,
Cord, and Membranes, 25
Disorders Related to
Short Gestation and
Low Birth Weight , 157
Maternal Complications of
Pregnancy , 39 Abnormal Clinical Findings ,
43
SIDS, 60
Congenital Malformations,
Deformations, and
Chromosomal
Abnormalities, 142
7
Percent of infants brought home in a car seat,
2008-2009 Virginia PRAMS
Percent Infant Brought Home in Car Seat
100
100
97
100
97 100 99
100 99 99 100
80
60
40
20
0
Race/ethnicity
non-Hispanic Black
Hispanic
non-Hispanic White
Maternal education
< 12 years
12 years
>12 years
Maternal age
< 20
20-24
25-29
30+
Source: Virginia Department of Health, Pregnancy Risk Assessment Monitoring System, 2008-09.
8
99 98 100
Income
<$20,000
$20,000-$49,999
>$50,000
Percent of infants laid to sleep on their back,
2008-2009 Virginia PRAMS
Percent Back Sleep Position
100
79 79
80
76
69
66
76
80
79
68
67
64
59
60
50
40
20
0
Race/ethnicity
non-Hispanic Black
Hispanic
non-Hispanic White
Maternal education
< 12 years
12 years
>12 years
Maternal age
< 20
20-24
25-29
30+
Source: Virginia Department of Health, Pregnancy Risk Assessment Monitoring System, 2008-09.
9
Income
<$20,000
$20,000-$49,999
>$50,000