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Complete Health Indicator Report of Fetal Mortality Rate

Definition

The number of resident fetal deaths of 20 or more weeks gestation per 1,000 resident live births plus fetal deaths of 20 or more weeks of gestation in the same year. A fetal death is death prior to the complete expulsion or extraction from its mother of a product of conception; the fetus shows no signs of life such as breathing or beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles.

Numerator

Number of resident fetal deaths of 20 or more weeks gestation in a given year

Denominator

Number of live births plus fetal deaths of 20 or more weeks gestation to resident mothers in the same year

Data Interpretation Issues

A '''fetal death''' is death prior to the complete expulsion or extraction from its mother of a product of conception; the fetus shows no signs of life such as breathing or beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles. Fetal deaths are also referred to as stillbirths, miscarriages, or spontaneous abortions. New Jersey law requires the reporting of all fetal deaths of 20 or more weeks gestational age. An induced termination of pregnancy (ITOP) is a kind of fetal death, however ITOPs are reported separately from spontaneous fetal deaths. In New Jersey health data reports, fetal death refers only to spontaneous fetal deaths. While interjurisdictional exchange of vital records is required for births and deaths, it is voluntary for fetal deaths. In the early 2000s, New Jersey stopped receiving fetal death records for New Jersey residents who experienced a fetal death out of state. With the publication of fetal death data on CDC WONDER in 2018, an accurate count of resident fetal deaths was available for the first time in nearly 15 years and our data files were updated accordingly.

Why Is This Important?

The fetal mortality rate is a critical measure of a population's health and is an important indicator of fetal and maternal health status and medical care.

Healthy People Objective: Fetal deaths at 20 or more weeks of gestation

U.S. Target: 5.6 fetal deaths per 1,000 live births and fetal deaths

How Are We Doing?

There are approximately 700 fetal deaths of 20 or more weeks gestation among New Jersey residents each year. The New Jersey fetal mortality rate (FMR) for 2017 was 7.2 fetal deaths per 1,000 live births plus fetal deaths. The rate among non-Hispanic black mothers is three times the rate among non-Hispanic whites.

How Do We Compare With the U.S.?

The fetal mortality rate for New Jersey is above that of the U.S. as a whole.

What Is Being Done?

The Division of [http://www.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 fetal mortality. The Department of Health has provided state funding to improve perinatal public health services and birth outcomes in communities. Fetal deaths are reviewed by the [https://www.nj.gov/health/fhs/maternalchild/mchepi/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 (FHS) provides support for pregnant women and newborns through several programs: [https://www.nj.gov/health/fhs/] Information on programs that promote availability and use of prenatal care services may be found at: [https://www.nj.gov/health/fhs/maternalchild/] or [http://njparentlink.nj.gov/njparentlink/health/before/]


Related Indicators

Related Health Care System Factors Indicators:


Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:



Data Tables


Fetal Mortality Rate by Year, New Jersey and the United States, 2000-2017

US/NJYearFetal Deaths per 1,000 Live Births Plus Fetal DeathsLower LimitUpper LimitNumer- ator
Record Count: 36
US20006.627,003
US20016.526,373
US20026.425,943
US20036.225,653
US20046.225,655
US20056.225,894
US20066.125,972
US20076.126,593
US20086.226,335
US20096.024,872
US20106.024,258
US20116.124,289
US20126.124,073
US20136.023,595
US20146.023,980
US20155.923,776
US20166.023,880
US20175.922,827
NJ20006.66.17.0766
NJ20017.06.57.5818
NJ20026.86.37.3786
NJ20036.46.06.9756
NJ20046.46.06.9742
NJ20056.25.76.6703
NJ20066.86.37.3783
NJ20076.96.47.4809
NJ20086.66.17.0744
NJ20097.06.57.5772
NJ20106.76.27.2722
NJ20116.45.96.8675
NJ20126.66.17.1693
NJ20136.76.27.2693
NJ20146.76.27.2696
NJ20156.45.96.8654
NJ20166.8699
NJ20177.2731

Data Notes

2016 and 2017 New Jersey data are from CDC WONDER and confidence intervals are not available.

Data Sources

  • Birth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Centers for Disease Control and Prevention, National Center for Health Statistics. Natality public-use data. CDC WONDER On-line Database accessed at [http://wonder.cdc.gov/natality.html]
  • Centers for Disease Control and Prevention, National Center for Health Statistics. Fetal death public-use data. CDC WONDER On-line Database accessed at [https://wonder.cdc.gov/fetal-deaths-current.html]
  • Fetal Death Certificate Database, Office of Vital Statistics and Registration, New Jersey Department of Health


Fetal Mortality Rate by Mother's Race/Ethnicity, New Jersey, 2017

Race/EthnicityFetal Deaths per 1,000 Live Births Plus Fetal DeathsNumer- ator
Record Count: 6
White5.3242
Black15.7216
Hispanic7.4203
Asian5.969
New Jersey7.2731
United States5.922,827

Data Notes

Data for White, Black, and Asian 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
  • Centers for Disease Control and Prevention, National Center for Health Statistics. Fetal death public-use data. CDC WONDER On-line Database accessed at [https://wonder.cdc.gov/fetal-deaths-current.html]


Fetal Mortality Rate by County of Residence, New Jersey, 2011-2015

CountyFetal Deaths per 1,000 Live Births Plus Fetal DeathsLower LimitUpper Limit
Record Count: 23
Atlantic8.16.79.5
Bergen5.04.35.6
Burlington5.24.36.2
Camden5.64.86.4
Cape May6.64.28.9
Cumberland7.86.19.4
Essex9.28.410.0
Gloucester5.34.26.5
Hudson6.05.36.7
Hunterdon5.73.57.9
Mercer6.45.37.5
Middlesex4.64.05.2
Monmouth6.55.67.4
Morris4.63.85.5
Ocean3.83.24.4
Passaic5.95.16.7
Salem7.94.910.8
Somerset4.53.55.5
Sussex5.53.67.3
Union7.66.68.5
Warren**1.03.7
New Jersey6.66.36.8
United States6.0

Data Notes

**Too few fetal deaths to calculate a reliable rate. Confidence limits are not available for US data.

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

References and Community Resources

The NJSHAD [https://www-doh.state.nj.us/doh-shad/query/selection/infantfetal/InfFetSelection.html Fetal Death Data Query] allows users to create tables, graphs, and maps of New Jersey fetal deaths by maternal age, race/ethnicity, birthplace, marital status, education, parity, and substance use during pregnancy; sex, plurality, delivery weight, gestational age, prenatal care, method and place of delivery, cause of death, and county or municipality of residence for 2000 to 2015.

Page Content Updated On 05/07/2019, Published on 05/07/2019
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 Wed, 16 October 2019 23:21:09 from Department of Health, New Jersey State Health Assessment Data Web site: https://nj.gov/health/shad ".

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