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Premature Births Fuel Infant Death Rates in U.S., Report Says.
NY Times ^ | November 4, 2009 | DENISE GRADY

Posted on 11/03/2009 2:20:45 PM PST by neverdem

High rates of premature birth are the main reason the United States has higher infant mortality than do many other rich countries, government researchers reported Tuesday in their first detailed analysis of a longstanding problem.

In Sweden, for instance, 6.3 percent of births were premature, compared with 12.4 percent in the United States in 2005, the latest year for which international rankings are available. Infant mortality also...

--snip--

Dr. Fleischman said the smallest, earliest and most fragile babies were often born to poor and minority women who lacked health care and social support. The highest rates of infant mortality occur in non-Hispanic black, American Indian, Alaska Native and Puerto Rican women. But other minority groups have some of the lowest infant mortality rates in the United States: Asian and Pacific Islanders, Central and South Americans, Mexicans and Cubans...

--snip--

“I don’t think there are doctors doing preterm Caesarean sections or inductions without some indications, but there sort of has been this shift in the culture,” Dr. MacDorman said. “Fifteen or 20 years ago, if a woman had high blood pressure or diabetes, she would be put in the hospital, and they would try to wait it out. It was called expectant management.

“Now I think there’s more of a tendency to take the baby out early if there’s any question at all.”

These births — called “late preterm,” which occur after 34 to 37 weeks of pregnancy, instead of the normal 38 to 42 weeks — are the fastest growing subgroup of premature births. A late preterm baby’s risk of dying is about three times that of a full-term infant. But late preterm babies are still far more likely to survive than very premature ones, and the very early babies account for much of the death rate, Dr. Fleischman said...

(Excerpt) Read more at nytimes.com ...


TOPICS: Culture/Society; Government; News/Current Events; Testing
KEYWORDS: infantdeathrates; infantmortality; infants; preemies; prematurebirths; prematurity
Behind International Rankings of Infant Mortality: How the United States Compares with Europe

Scroll down to find the text. I haven't read it yet.

1 posted on 11/03/2009 2:20:48 PM PST by neverdem
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To: neverdem

Also, those premature births in foreign countries aren’t even counted as births for their infant mortality calculations. They simply count them as miscarriages. Sort of like a sacrifice fly or sacrifice bunt not counting as an at-bat when you calculate your batting average.


2 posted on 11/03/2009 2:24:47 PM PST by VRWCmember
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To: neverdem

This doesn’t make sense since American Indians have free medical care Plus any women who gets pregnant but is broke gets free care through Medicaid and / or CHIPS.

somehow this will be blames on the Gov’t who will then go create a new gov’t dept.

When is it the responsibility of the woman?


3 posted on 11/03/2009 2:25:38 PM PST by RWGinger
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To: neverdem

The US calls a lot of things “Infant Death” than most other countries call miscarriage. The relatively high rates of infant mortality in the United States is entirely due to this difference in terminology. All of the hand-wringing over this statistic is useless, because it is really a difference in terminology, and nothing more.

But it fits the template, so nobody looks any further.


4 posted on 11/03/2009 2:26:01 PM PST by Haiku Guy (If You have a Right / To the Service I provide / I must be a Slave)
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To: neverdem

Bump for later reference


5 posted on 11/03/2009 2:26:55 PM PST by Skooz (Gabba Gabba we accept you we accept you one of us Gabba Gabba we accept you we accept you one of us)
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To: neverdem

LIES. The poorest women have access to health care -— it is friggin called Medicaid. These women are not interested in the health of their babies they are interested in drugs and sex and alcohol and a free ride


6 posted on 11/03/2009 2:29:55 PM PST by the long march
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To: neverdem
When a severely handicapped or malformed baby is born in the US, we pull out all the stops to try to save it, but if the baby dies it is reported as an infant death. In Europe, they routinely just let it die, and if they don't try to save it they do not report it as an infant death. Major differences when conduct is governed by the ethic of life as opposed to the European culture of death.

As Condi Rice once said in a vastly underreported and under-appreciated speech, "We have different values than Europe has."

7 posted on 11/03/2009 2:33:20 PM PST by hinckley buzzard
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To: Haiku Guy

Also, US hospitals are far more aggressive in attempting to save the lives in premature infants.

Babies born under 2 pounds are no longer a rarity, and those who do not make it are chalked into the “infant mortality” column, whereas the same child in another country would have been “stillborn.”


8 posted on 11/03/2009 2:33:40 PM PST by Skooz (Gabba Gabba we accept you we accept you one of us Gabba Gabba we accept you we accept you one of us)
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To: neverdem
Dr. Fleischman said the smallest, earliest and most fragile babies were often born to poor and minority women who lacked health care and social support

I had a premie (29 weeks gestation, 1 lb 11 oz, small for gestational age) and I am neither poor nor am I minority. I guess I just don't fit their stereotype.

9 posted on 11/03/2009 2:35:03 PM PST by freelancer (If we do not win the war against terrorism, everything else is irrelevant.)
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To: Haiku Guy

Is there a source for your comment? I would like to throw it at a few friends of mine.

Thanks for pointing it out!


10 posted on 11/03/2009 2:37:20 PM PST by fred2008
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To: neverdem
High rates of premature birth are the main reason the United States has higher infant mortality than do many other rich countries

Meaningless blather. Every country calculates it differently, many do not count premature babies as babies, some count babies as alive if they live a certain number of hours after birth, somtimes its days, I think Cuba starts at 2 or 3 days.

This "infant mortality rate" is useless and a sham. Only the US actually attempts to count this stuff accurately.

11 posted on 11/03/2009 2:48:46 PM PST by GeronL (http://tyrannysentinel.blogspot.com .... I am a rogue nobody. One of millions.)
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To: freelancer

I think Cuba starts counting at 2 or 3 days.


12 posted on 11/03/2009 2:50:16 PM PST by GeronL (http://tyrannysentinel.blogspot.com .... I am a rogue nobody. One of millions.)
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To: the long march

“LIES. The poorest women have access to health care -— it is friggin called Medicaid. These women are not interested in the health of their babies they are interested in drugs and sex and alcohol and a free ride.”

As an OB/GYN nurse, I totally agree with you. They have (in AZ) Emergency AHCCCS, funding from the tobacco tax, Indian Health Services,etc. There has to be accountability on the mom’s part. So many are noncompliant and refuse to take responsibility for themselves or their unborn child.


13 posted on 11/03/2009 2:50:26 PM PST by Enough_Deceit (Proud Mama of a US Marine and a US Soldier Bitterly Hanging On to Her Guns and Religion. Ooorahh!)
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To: GeronL

Table 2 in the report cited shows clearly that U.S. is #3 in the world (behind Norway and Sweden) in infant mortality for babies born at 22-23 weeks and 24-27 weeks, #4 (behind Norway Sweden and Austria) for babies born between 28-31 weeks, and #3 (behind Austria and Norway) for babies born between 32-36 weeks http://www.cdc.gov/nchs/data/databriefs/db23.htm

My guess is that if you separated out White and Black infants (which in this country essentially means controlling for socioeconomic status), our rankings might well jump to #1 in every category.

Medical care matters way more for these preemies than for births in general (after all, low risk births can be safely delivered at home). That said, Scandinavian and Austrian women are “heartier stock” than the average American women, so at least some of the apparent survival advantage for these countries may lie in this physiological difference (which obviously has nothing to do with the quality of medical care in any of these countries and much more to do with lifestyle/exercise etc.).


14 posted on 11/03/2009 3:17:35 PM PST by DrC
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To: DrC

I wonder what % are crack babies/meth babies. That does wonders for the unborn kids.


15 posted on 11/03/2009 3:21:40 PM PST by boop (Democracy is the theory that the people get the government they deserve, good and hard.)
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To: fred2008
This Report from Pajamas Media has a good summary...

The Doctor Is In: Infant Mortality Comparisons a Statistical Miscarriage

16 posted on 11/03/2009 3:45:02 PM PST by Haiku Guy (If You have a Right / To the Service I provide / I must be a Slave)
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To: fred2008
Is there a source for your comment? I would like to throw it at a few friends of mine.

If you want to make their pointy little heads explode, show them Ann Coulter's column on the subject...

A STATISTICAL REGRESSION ANALYSIS OF MARITIME UNEMPLOYMENT RATES, 1946-1948. JUST KIDDING -- MORE LIBERAL LIES ABOUT NATIONAL HEALTH CARE!

17 posted on 11/03/2009 3:54:09 PM PST by Haiku Guy (If You have a Right / To the Service I provide / I must be a Slave)
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To: fred2008

There are a whole lot of “missing” girls in China that would give them an infant mortality rate of about 10% if they were counted. But they don’t matter, so they don’t get counted.


18 posted on 11/03/2009 3:56:25 PM PST by Haiku Guy (If You have a Right / To the Service I provide / I must be a Slave)
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Comment #19 Removed by Moderator

To: VRWCmember
Bingo.
Of course as one of those premies who made it, I am extraordinarily thankful for the care given in the US. Then again, I was not the average statistic. Although my parents were both immigrants, they were middle class and my father an internist. Perhaps that is one reason why I did so much better than 90% born under similar circumstances.

Sadly, a first cousin born 2 weeks younger and 6 years earlier in Sweden did not make it. I wonder if he was counted as an infant mortality or merely a miscarriage.

20 posted on 11/04/2009 10:52:28 PM PST by rmlew (Democracy tends to ignore..., threats to its existence because it loathes doing what is needed)
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To: neverdem
When it comes to prematurity, infertility treatments — drugs that stimulate ovulation and procedures that implant more than one embryo in the uterus — also play a role by raising the odds of twins or higher multiples, which have an increased risk of being born too soon.

The insistence on having everything, in other words. If you're missing just one piece of the jigsaw puzzle, you haven't really lived. You've been cheated. That is truly the American Dream. My local Japanese restaurant has it right: the American Dream sushi roll is a roll with salmon, avocado--and tempura. Witty.

21 posted on 11/04/2009 11:06:34 PM PST by firebrand
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To: Black Pope

Fantastic idea. We can help them with their mooslimb problem by exporting a few Mexicans, after all, Socialist Sweden Eutopia. Seriously though, I had a 9-12 candidate that sees our only way to not be overwhelmed by mooslimb numbers is to grant amnesty. I told him, they would love it, until their first pay stub came back with taxes taken out.


22 posted on 11/06/2009 1:30:45 AM PST by momincombatboots (Tom Lyons: Son in Law, Husband Father 1988-2009 KIA 090809- Hero 2 me)
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