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Complete Health Indicator Report of Perinatal Mortality Rate

Definition

Rate of fetal deaths at 28 or more weeks of gestation plus infant deaths less than 7 days of age in a given year, per 1,000 live births plus fetal deaths of 28 or more weeks gestation in the same year. [NCHS Definition I] Fetal death, which is also referred to as stillbirth or miscarriage, is defined as death prior to the complete expulsion or extraction of the fetus from its mother, where the fetus shows no signs of life. Additionally, only spontaneous fetal deaths, not induced or intentional terminations of pregnancy, are included in this definition.

Numerator

Number of resident fetal deaths at 28 or more weeks of gestation plus resident infant deaths less than 7 days old in a given year

Denominator

Number of live births plus fetal deaths of 28 or more weeks gestation to resident mothers in the same year

Data Interpretation Issues

This indicator uses NCHS Definition I of perinatal mortality. Please note the age for neonatal deaths and the gestational age for fetal deaths when making comparisons to other data sources as Definition II is more inclusive and therefore produces higher rates than Definition I.

Why Is This Important?

The perinatal death rate is a critical measure of a population's health. Fetal and neonatal mortality, the components of perinatal mortality, are important indicators of fetal, infant, and maternal health status and medical care (pre- and post-delivery).

Healthy People Objective: Fetal and infant deaths during perinatal period (28 weeks of gestation to 7 days after birth)

U.S. Target: 5.9 perinatal deaths per 1,000 live births and fetal deaths

How Are We Doing?

The perinatal mortality rate in New Jersey is slowly declining, yet disparities exist across the state and by maternal and infant characteristics. The rate among children of Black mothers is well above that of other race/ethnicity groups. Most of the counties with high perinatal mortality rates are in South Jersey. The leading causes of perinatal mortality are placenta, cord, and membrane complications and short gestation (preterm) and low birth weight.

How Do We Compare With the U.S.?

Since 2000, the perinatal mortality rate among New Jersey residents has been consistently below that of the nation as a whole.

What Is Being Done?

The Division of [https://nj.gov/health/fhs/ Family Health Services] in the New Jersey Department of Health administers programs to enhance the health, safety and well-being of families and communities in New Jersey. Several programs are aimed at improving children's health, including reducing perinatal mortality. Information on programs that promote availability and use of [http://njparentlink.nj.gov/njparentlink/health/before/ prenatal care services] and programs that promote [http://njparentlink.nj.gov/njparentlink/health/safety/ newborn health] are available online. The Department of Health has provided state funding to improve perinatal public health services and birth outcomes in communities. Perinatal deaths are reviewed by the [https://www.nj.gov/health/fhs/maternalchild/outcomes/mortality-reviews/ Fetal Infant Mortality Review Team] and recommendations to reduce future deaths are made to public and private sources of care including hospitals, clinics, and health care professionals throughout the state. Efforts are continuing to increase public and provider awareness of needs for greater access to maternal preconception care, more awareness of risky preconception and post-conception behavior and for better general maternal health care.

Available Services

The Division of Family Health Services provides support for pregnant women and newborns through several programs, including the [http://www.nj.gov/health/fhs/wic/index.shtml Supplemental Nutrition Program for Women, Infants and Children] (WIC), public education and identification of [https://nj.gov/health/fhs/maternalchild/mentalhealth/ perinatal mood disorders], and professional and public [https://nj.gov/health/fhs/maternalchild/outcomes/index.shtml Perinatal Addiction] education services, screening, and a network of available resources to aid pregnant, substance-using women. [http://njparentlink.nj.gov/ NJ Parent Link], an interdepartmental website, is New Jersey's online Early Childhood, Parenting, and Professional Resource Center offering "one-stop shopping" for State services and resources.


Related Indicators

Related Health Care System Factors Indicators:


Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:



Data Tables


Perinatal Mortality Rate, by Year, New Jersey and the United States, 2000-2016

US/NJYearDeaths per 1,000 Live Births Plus Fetal Deaths
Record Count: 32
US20006.97
US20016.90
US20026.91
US20036.78
US20046.73
US20056.64
US20066.51
US20076.45
US20086.49
US20096.23
US20106.18
US20116.26
US20126.22
US20136.24
US20146.03
US20156.00
US20166.00
NJ20006.33
NJ20016.66
NJ20026.20
NJ20036.03
NJ20045.96
NJ20055.12
NJ20065.78
NJ20075.30
NJ20085.23
NJ20095.34
NJ20105.29
NJ20115.13
NJ20125.08
NJ20135.18
NJ20144.87

Data Notes

2015-2016 NJ data not yet available.

Data Sources

  • Birth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Fetal Death Certificate Database, Office of Vital Statistics and Registration, New Jersey Department of Health
  • Linked Infant Death-Birth Database, Center for Health Statistics, New Jersey Department of Health
  • National Vital Statistics Reports, NCHS, CDC
  • National Vital Statistics System, National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC), [https://www.cdc.gov/nchs/nvss/index.htm]


Perinatal Mortality Rate by Mother's Race/Ethnicity, New Jersey, 2000-2014

Race/EthnicityYearDeaths per 1,000 Live Births Plus Fetal DeathsNumer- ator
Record Count: 60
White20004.4277
White20014.7287
White20024.3258
White20034.4264
White20044.3243
White20053.3186
White20064.4240
White20073.8204
White20083.8192
White20094.0195
White20103.4167
White20113.9191
White20123.9184
White20133.9185
White20143.4157
Black200012.2230
Black200113.0240
Black200212.3218
Black200310.2177
Black200411.2186
Black200510.7175
Black200611.7200
Black200710.4181
Black200810.5177
Black200911.9197
Black201012.2195
Black20118.9139
Black20128.8139
Black20139.5144
Black20148.9133
Hispanic20006.1135
Hispanic20016.5151
Hispanic20026.7164
Hispanic20036.5170
Hispanic20045.8157
Hispanic20055.5153
Hispanic20065.5158
Hispanic20075.6167
Hispanic20085.5159
Hispanic20094.3123
Hispanic20104.5127
Hispanic20114.6130
Hispanic20125.3146
Hispanic20134.4119
Hispanic20145.2143
Asian20004.137
Asian20013.937
Asian20024.038
Asian20035.454
Asian20044.849
Asian20054.748
Asian20064.345
Asian20073.134
Asian20082.831
Asian20093.437
Asian20104.754
Asian20114.958
Asian20124.149
Asian20133.742
Asian20143.136

Data Notes

Data for White, Black, and Asian/Pacific Islander do not include Hispanics. Hispanic ethnicity includes persons of any race.

Data Sources

  • Birth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Fetal Death Certificate Database, Office of Vital Statistics and Registration, New Jersey Department of Health
  • Linked Infant Death-Birth Database, Center for Health Statistics, New Jersey Department of Health


Perinatal Mortality Rate by Mother's Race/Ethnicity, New Jersey, 2014

Race/EthnicityDeaths per 1,000 Live Births Plus Fetal Deaths
Record Count: 5
White3.4
Black8.9
Hispanic5.2
Asian3.1
New Jersey4.9

Data Sources

  • Birth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Fetal Death Certificate Database, Office of Vital Statistics and Registration, New Jersey Department of Health
  • Linked Infant Death-Birth Database, Center for Health Statistics, New Jersey Department of Health


Perinatal Mortality Distribution of Leading Causes, New Jersey, 2010-2014

Cause of DeathPercentage of Perinatal Deaths
Record Count: 7
Congenital Anomalies12.1%
Fetal Death of Unspecified Cause12.5%
Maternal Complications of This Pregnancy10.2%
Placenta, Cord, and Membrane Complications19.3%
Short Gestation/LBW15.6%
Other Causes30.3%

Data Sources

  • Fetal Death Certificate Database, Office of Vital Statistics and Registration, New Jersey Department of Health
  • Linked Infant Death-Birth Database, Center for Health Statistics, New Jersey Department of Health


Perinatal Mortality Rate by Leading Causes of Death, New Jersey, 2000-2004 and 2010-2014

5 Year GroupsCause of DeathDeaths per 1,000 Live Births Plus Fetal Deaths
Record Count: 10
2000-2004Congenital Anomalies0.66
2000-2004Fetal Death of Unspecified Cause0.97
2000-2004Maternal Complications of This Pregnancy0.53
2000-2004Placenta, Cord, and Membrane Complications1.23
2000-2004Short Gestation/LBW1.08
2010-2014Congenital Anomalies0.62
2010-2014Fetal Death of Unspecified Cause0.64
2010-2014Maternal Complications of This Pregnancy0.52
2010-2014Placenta, Cord, and Membrane Complications0.98
2010-2014Short Gestation/LBW0.80

Data Sources

  • Birth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Fetal Death Certificate Database, Office of Vital Statistics and Registration, New Jersey Department of Health
  • Linked Infant Death-Birth Database, Center for Health Statistics, New Jersey Department of Health


Perinatal Mortality Rate by County of Residence, New Jersey, 2010-2014

CountyDeaths per 1,000 Live Births Plus Fetal Deaths
Record Count: 22
Atlantic8.8
Bergen3.9
Burlington4.5
Camden7.6
Cape May5.9
Cumberland8.3
Essex6.4
Gloucester5.2
Hudson4.2
Hunterdon**
Mercer6.6
Middlesex4.8
Monmouth4.3
Morris4.1
Ocean3.2
Passaic4.9
Salem7.3
Somerset3.6
Sussex5.0
Union5.7
Warren**
New Jersey5.1

Data Notes

** The number of deaths is too small to calculate a reliable rate.

Data Sources

  • Birth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Fetal Death Certificate Database, Office of Vital Statistics and Registration, New Jersey Department of Health
  • Linked Infant Death-Birth Database, Center for Health Statistics, New Jersey Department of Health

References and Community Resources

Gregory ECW, Drake P, Martin JA. [https://www.cdc.gov/nchs/data/databriefs/db316.pdf Lack of change in perinatal mortality in the United States, 2014-2016]. NCHS Data Brief, no 316. Hyattsville, MD: National Center for Health Statistics. 2018. MacDorman MF, Gregory ECW. [http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_08.pdf Fetal and perinatal mortality: United States, 2013]. National vital statistics reports; vol 64 no 8. Hyattsville, MD: National Center for Health Statistics. 2015:

Page Content Updated On 08/08/2018, Published on 12/28/2018
The information provided above is from the Department of Health's NJSHAD web site (https://nj.gov/health/shad). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 21 April 2019 2:55:33 from Department of Health, New Jersey State Health Assessment Data Web site: https://nj.gov/health/shad ".

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