Premature Births and Infant Mortality Counterpoint
After reading several recent articles on US premature births and infant mortality in reference to the US health care, I decided to research the facts and data. The US ranks 33rd in the world in infant mortality, an indicator of the health of a nation.
Approximately 13 million worldwide are born premature and 56 million infants die within one year of birth, of which 1 million are premature. The US has 475,000 born premature and 27,000 infants die annually. Premature births occur when the infant is born before the completion of the 37th week of pregnancy. The question is why the US has the premature birth and infant mortality rates for a nation with advanced health care?
The following are among the factors that could increase the risk of premature birth:
- Lack of proper prenatal care for expectant mother
- Drinking alcohol, using drugs, or smoking cigarettes
- Carry multiple babies or taking fertilization drugs
- Elective inductions or cesarean sections
- Domestic violence, including physical, sexual or emotional abuse
- Extremely high levels of stress
- Long working hours-long periods of standing
- Diabetes or high blood pressure
- Being overweight, obesity
- Short time between pregnancies
I have tabulated the data collected by the World Health Organization (WHO) and the CIA, however it is very spotty (especially on preterm births) and needs more consistent collection (some does not make sense).
| Data of Population, Annul Births, Premature Births, Infant Mortality | |||||||
| Premat | Premat | Infant | Infant | ||||
| Popul. | Births | Births | Births | Births | Mortal | Mortal | |
| Annul | Annul | Annul | Annul | Annul | Annul | ||
| (millions) | (1000s) | Pop/1000 | (1000s) | Birth/1000 | (1000s) | Birth/1000 | |
| China | 1338.6 | 18740 | 14.0 | 2101 | 112.1 | 431 | 23.0 |
| India | 1156.9 | 25220 | 21.8 | 1723 | 68.3 | 1387 | 55.0 |
| U.S. | 307.2 | 4239 | 13.8 | 475 | 112.1 | 27 | 6.3 |
| Indonesia | 240.3 | 4518 | 18.8 | 386 | 85.4 | 120 | 26.6 |
| Brazil | 190.0 | 3496 | 18.4 | 298 | 85.2 | 83 | 23.6 |
| Pakistan | 174.6 | 4819 | 27.6 | 258 | 53.4 | 325 | 67.5 |
| Banglad | 156.0 | 3853 | 24.7 | 229 | 59.3 | 202 | 52.5 |
| Nigeria | 149.2 | 5476 | 36.7 | 29 | 5.2 | 600 | 109.5 |
| Russia | 140.0 | 1554 | 11.1 | 233 | 149.9 | 26 | 16.6 |
| Japan | 127.1 | 966 | 7.6 | 206 | 213.2 | 3 | 3.2 |
| Germany | 82.4 | 676 | 8.2 | 133 | 197.3 | 3 | 4.3 |
| Britan | 60.3 | 645 | 10.7 | 97 | 151.1 | 3 | 4.8 |
| Canada | 32.5 | 335 | 10.3 | 53 | 157.1 | 2 | 4.8 |
| Afghanist | 28.5 | 1297 | 45.5 | 46 | 35.6 | 204 | 157.0 |
| Uganda | 26.4 | 1262 | 47.8 | 43 | 33.8 | 97 | 76.9 |
| Australia | 19.9 | 249 | 12.5 | 32 | 129.5 | 1 | 4.4 |
| Sum | 4229.9 | 77345 | 6341 | 3512.9 | |||
| World | 6796.0 | 137959 | 20.3 | 13000 | 94.2 | 56356 | 40.9 |
| Africa | 4047 | 119 | |||||
| N America | 480 | 106 | |||||
| Asia | 6907 | 91 | |||||
| L America | 933 | 81 | |||||
| Oceania | 20 | 64 | |||||
| Europe | 466 | 62 | |||||
The data considered are taken from:
- CIA infant mortality data 2009
- Statistics by country for premature birth-appears to be unreliable in cases
- WHO & CIA list of countries by infant mortality rate-numbers vary
- CIA world birth rate 2009
- CIA infant mortality rate 2009
- World preterm birth rates 2009 by the March of Dimes
It is concluded that the US still rates high for health care, and there is not much that can be changed for preterm births and infant mortality without more societal changes.
Other articles of interest:
