We know early learning begins long before child care and preschool, and a new report suggests we need to work harder to address the stubborn problem of infant mortality in the U.S., which ranked 29th in a 2004 global survey.
The nation’s infant mortality rate barely budged from 2000 to 2006, falling to 6.7 deaths per 1,000 births from 6.9 percent, a stark contrast from the decline to 6.9 deaths from 26 between 2000 and 1960, according to a new Kids Count brief “Reducing Infant Mortality.”
Why has progress stalled? Congenital malformations and sudden infant death syndrome(SIDS) continue to be significant causes of infant mortality, but recent years have seen advances in addressing these risk factors (Mathews & MacDorman, 2008). In contrast, low-birthweight and preterm delivery have proven to be more difficult barriers to overcome.
One of the more important highlights indicates the gap between rich and poor is widening in this critical area.
…a recent study shows that disparities based on household income have increased substantially since 1985. The greatest disparities were observed for infants born at normal birthweights and for those whose deaths that occurred during the postneonatal period (one month to one year).
The brief also explores differences among racial and ethnic groups, raising plenty of questions.
As things stand, hospitals serving a high proportion of minority patients have higher than expected mortality rates for infants born at very low birthweights (Morales et al., 2005). Access to state-of-the-art care can also improve survival rates for infants born with congenital anomalies, especially heart defects.
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Low birthweight (LBW) is considered to be the most important factor explaining the black/white differential in the infant mortality rate (Howell, 2008). Despite a large body of literature showing that low birthweight is a risk factor for infant mortality, there is little consensus about why babies are born too soon or too small.
Along with sobering statistics about infant mortality, the brief offers an interesting and long list of recommendations about how to lower the rate of death among infants.
Beyond these ideas, the research brief poses a broader challenge, suggesting that infant mortality is not just another important statistic, but a reflection of our society.
At the same time, by using infant survival as their standard, researchers also reflect what most people feel intuitively: that a population’s well-being has to be judged in terms of the welfare of its youngest and most vulnerable members.