Infant and perinatal mortality 2005, 2006 and 2007 (provisional) Definitions Fetal deaths are defined as stillbirths of 20 weeks or more gestation, or 400 grams or more birth weight. Perinatal deaths consist of fetal deaths and deaths in the first week of life (early neonates). A neonatal death is defined as the death of a liveborn infant before the 28th day of life, and a postneonatal death as the death of a liveborn infant between the 28th day and the first year of life. An infant death is defined as a liveborn infant dying before the first year of life is completed. The Ministry of Health applies these definitions and assigns the underlying cause of death in accordance with the World Health Organization (WHO). These fetal and infant death classifications are illustrated in the following diagram: Note regarding 1998 rates Due to issues relating to birth registrations, 1998 rates are calculated using 1997 livebirth statistics. Note regarding low numbers The numbers of fetal and infant deaths within the Pacific population are relatively small and therefore more likely to be influenced by random variation. Any conclusions drawn from this data should be treated with caution. Fetal and infant death numbers can also be low when broken down into categories, such as causes of death. In these situations, rates of death have not been calculated as the raw number is too low to produce a meaningful rate. Infant and perinatal mortality rates Figure 1: Fetal and Infant death rates, total population, 1942 to 2007* 45.0 Infant death rate† Rate Fetal death rate§ (1995 Registration Act) Late fetal death rate§ (pre 1995 Act) 40.0 35.0 30.0 25.0 20.0 15.0 10.0 5.0 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006* 2007* 0.0 Registration Year * Data for 2006 and 2007 is provisional. Rate per 1000 total births. † Rate per 1000 live births. Source: Ministry of Health § Note regarding pre-1995/post-1995 fetal death trend: The Births, Deaths, and Marriages Registration Act 1995 requires a Medical Certificate of Causes of Death and a birth registration form to be completed for all fetal deaths. Before 1 September 1995, the legislation required that any fetal death of 20 weeks or greater period of gestation be issued a Medical Certificate of Cause of Death and birth registration was required only for fetuses of 28 or more weeks gestation (termed late fetal deaths or stillbirths), while registration of fetal deaths of 20 to 27 weeks gestation (intermediate fetal deaths) was not required. Fetal and infant births and mortality for the years 2005, 2006* and 2007* The following tables present the numbers and rates of fetal and infant births and deaths by ethnicity of babies, 2005 to 2007*. Total population Live births Total births Fetal deaths§ Early neonatal deaths† Late neonatal deaths† Post neonatal† Māori population Live births Total births Fetal deaths§ Early neonatal deaths† Late neonatal deaths† Post neonatal† Pacific population Live births Total births Fetal deaths§ Early neonatal deaths† Late neonatal deaths† Post neonatal† Other population 2005 Number Rate 58727 … 59130 … 403 6.8 2006* Number Rate 60274 … 60683 … 409 6.7 2007* Number Rate 65121 … 65593 … 472 7.2 148 2.5 137 2.3 133 2.0 35 111 0.6 1.9 28 143 0.5 2.4 32 146 0.5 2.2 2005 Number Rate 17004 … 17117 … 113 6.6 2006* Number Rate 17935 … 18034 … 99 5.5 2007* Number Rate 19338 … 19464 … 126 6.5 47 2.8 52 2.9 41 2.1 10 57 0.6 3.4 10 68 0.6 3.8 12 73 0.6 3.8 2005 Number Rate 6238 … 6278 … 40 6.4 2006* Number Rate 6408 … 6464 … 56 8.7 2007* Number Rate 7005 … 7063 … 58 8.2 24 3.8 16 2.5 16 2.3 5 14 0.8 2.2 2 23 0.3 3.6 6 23 0.9 3.3 2005 Number Rate 35485 … 35735 … 250 7.0 2006* Number Rate 35931 … 36185 … 254 7.0 Live births Total births Fetal deaths§ Early neonatal deaths† 77 2.2 69 1.9 Late neonatal deaths† 20 0.6 16 0.4 Post neonatal† 40 1.1 52 1.4 § Rate per 1000 total births. † Rate per 1000 live births. … Not applicable * Data for 2006 and 2007 is provisional and subject to change Source: Ministry of Health. 2007* Number Rate 38778 … 39066 … 288 7.4 76 2.0 14 50 0.4 1.3 Fetal death rates per 1000 total births by ethnicity, 1996 to 2007* Rate per 1000 total births 14.0 Maori Pacific peoples 12.0 Other 10.0 8.0 6.0 4.0 2.0 0.0 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006* 2007* Year * Data for 2006 and 2007 is provisional and subject to change Source: Ministry of Health. Infant death rates per 1000 live births by ethnicity, 1996 to 2007* Rate per 1000 live births 14.0 12.0 Maori Pacific peoples 10.0 Other 8.0 6.0 4.0 2.0 0.0 1996 1997 1998 1999 2000 2001 2002 Year * Data for 2006 and 2007 is provisional and subject to change Source: Ministry of Health 2003 2004 2005 2006* 2007* Infant deaths, rate per 1000 live births, by ethnicity and subclassification, 2007* Rate per 1000 live births 7.0 Post-neonatal deaths 6.0 Late neonatal deaths Early neonatal deaths 5.0 4.0 3.0 2.0 1.0 0.0 Maori Pacific Ethnicity * Data for 2006 and 2007 is provisional and subject to change Source: Ministry of Health Other Selected causes of infant mortality, 2005 to 2007* Cause of death Conditions originating in the perinatal period Disorders related to length of gestation and fetal growth Birth trauma Respiratory and cardiovascular disorders specific to the perinatal period Infections specific to the perinatal period Haemorrhagic and haematological disorders of fetus and newborn Transitory endocrine and metabolic disorders specific to fetus and newborn Digestive system disorders of fetus and newborn Conditions involving the integument and temperature regulation of fetus and newborn Other disorders originating in the perinatal period Congenital anomalities Other external causes of accidental injury Diseases of the nervous system Other bacterial diseases Respiratory diseases (excluding Influenza and pneumonia) Influenza and pneumonia Malignant neoplasm Other forms of heart diseases Intestinal infectious diseases Metabolic disorders Transport accidents Disorders involving the immune mechanisms Systemic connective tissue disorders Viral infections / diseases Assault Diseases of the digestive system Haemolytic anaemias Renal diseases Neoplasms, benign or of uncertain/unknown behaviour Other diseases of blood and blood-forming organs Cerebrovascular diseases Other and unknown Total infant deaths † 2005 2006* 2007* No. Rate† No. Rate† No. Rate† 134 2.3 122 2.0 123 1.9 38 0.6 43 0.7 48 0.7 … … 2 -- 1 -- 45 0.8 34 0.6 34 0.5 9 0.2 10 0.2 5 -- 17 0.3 8 -- 13 0.2 … … … … 1 -- 5 -- 8 -- 2 -- 4 -- 1 -- 3 -- 16 66 16 5 3 5 9 6 2 1 1 0.3 1.1 0.3 16 73 21 10 2 7 8 0.3 1.2 0.3 0.2 16 70 29 6 5 8 8 4 2 1 4 3 … … … … 3 … … … 1 1 1 40 294 Rate per 1000 live births. … Zero or nil -- Rate too small to be expressed * Note: Data for 2006 and 2007 is provisional and subject to change Source: Ministry of Health --------… … … … -… … … ---0.7 5.0 … … ---… ---… … … ---… --… … 45 308 0.7 5.1 … 4 1 3 … … … 3 5 1 … 1 1 -1.1 0.4 … ---------… ---… … … --… 41 311 0.6 4.8 … 1 2 2 … … … 1 1 Further information For mortality related information, please refer to: http://www.moh.govt.nz/dataandstatistics, contact Analytical Services: data-enquires@moh.govt.nz For mortality and health-related publications refer to: http://www.moh.govt.nz/publications/ Source: Ministry of Health Mortality Data (as at: 24/02/10)