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Yes the infant mortality rates going up are concerning. One must dig behind the numbers to understand the cause, so it can be addressed. Once again being tired and having a tough work schedule starting tomorrow, I wasn't able to dig like I would like. But I know that the level of care in neonatal units of hospitals is incredible today--technology is vastly improved. I also know from personal experience that here in California mothers get cared for extremely well if they go through the California program--admittedly that's a little anecdotal, but I was surprised at the incredible care that two young woman without health insurance received.
But, from the articles: "One important means of preventing infant mortality is improving the health of infants at birth. The rate of low birth weight (LBW) -- a weight of less than 2500 grams (5.8 pounds) at birth -- has been steadily increasing since 1985, when LBW babies represented 6.8 percent of live births; in 2002, 7.8 percent of all live births were of low weight. Very low birth weight (VLBW) babies -- those weighing less than 1500 grams -- represented 1.5 percent of births. VLBW babies are particularly likely to have long-term health and developmental problems.
Good health care during pregnancy is a preventive strategy that assures the health of both mother and child. Overall, early entry into prenatal care (in the first 3 months of pregnancy) has been improving, reaching 83.7 percent of pregnant women in 2002. Unfortunately, this rate is lower for younger women as well as Black and Hispanic women. Some pregnant women (3.6 percent in 2002) go without prenatal care entirely or forgo these services until the third trimester of their pregnancy."
The VLBW and to some extent LBW babies due to drug use, hate the term but "crack babies", as well as HIV positive mothers has been a big impact on this area. Heartbreaking and it tears up the doctors and nurses in the neonatal intensive care units. So there may be a large negative social component to this. As you can see prenatal care is up overall, but Blacks and Hispanics have lower usage rates--I'm inferring up as well, but less than whites, though the statement is not clear. But clearly an area for improvement.
But as I said in my earlier comments on healthcare, I just get overwhelmed about going into this on the blog. Because the statements just can't be taken as stated, without getting behind the numbers and understanding the cause. I see that one possible explanation is that minority mothers can't get healthcare because they can't afford insurance, and their babies are underweight because the mothers are starving. It's just knowing what I know in this area, I would dig behind the numbers (like I started above) and try to understand for sure what the root causes are.
gotta go, and i'll be tied up for a few days.
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