2003 Louisiana Vital Statistics Report - Louisiana Department of ...

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2003 LOUISIANA VITAL STATISTICS REPORT FETAL DEATHS FETAL DEATH COUNTS AND RATES In 2003, 541 fetal deaths were reported to the Vital Records Registry, with 514 of these deaths meeting Louisiana’s definition (2) of a spontaneous fetal death (i.e., the fetus survived at least 20 weeks gestation or weighed at least 350 grams). Twenty-seven fetal deaths that failed to meet these criteria have been excluded from analysis. They are included, however, in Table 3.8: Causes of Fetal Deaths (page 53) and in the parish and region tables 19-A and 19-B on the web. Louisiana’s 2003 fetal mortality rate was 7.9 fetal deaths per 1,000 live births plus fetal deaths (Figure 3.1, Table 3.1). Gestational ages reported for Louisiana fetal deaths occurring in 1995 or later are derived by using the National Center for Health Statistics’ (NCHS’ s) formula for the calculation of gestational age. This formula calculates gestational age by combining information collected in the “Date Last Normal Menses Began” and “Clinical Estimate of Gestation” sections of the Louisiana Certificate of Fetal Death (Stillbirth). It also takes into account the fetal birthweight relative to gestational age. (3) Prior to 1995, “Clinical Estimate of Gestation” was not recorded on Louisiana’s fetal death certificates. Therefore, gestational ages reported for the years prior to 1995 are calculated by subtracting the “Date Last Normal Menses Began” from the “Date of Delivery”, as recorded on the certificates. NCHS reports national fetal death information and uses only gestational age at least 20 weeks in its definition of fetal death. To facilitate comparison between Louisiana and the United States, fetal death data based on the NCHS definition are used in all Louisiana and United States data presentations. Number of Fetal Deaths 600 550 500 450 400 Figure 3.1: Fetal Death Counts and Mortality Rates Louisiana, 1994-2003 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 ____________________________________________________________________________________________________ Page 44 Louisiana Office of Public Health, State Center for Health Statistics 16.0 12.0 (Fetal death defined as gestational age >=20 weeks or birthweight>=350 grams) 8.0 4.0 0.0 Rate per 1,000 Live Births Plus Fetal Deaths Number Rate
2003 LOUISIANA VITAL STATISTICS REPORT FETAL DEATHS MATERNAL PROFILE Race and Age of Mother Table 3.1 Number and Rates of Fetal Deaths Louisiana, 1994-2003 Year Number Rate + 1994 564 8.2 1995 510 7.7 1996 547 8.3 1997 509 7.7 1998 495 7.4 1999 521 7.7 2000 487 7.1 2001 510 7.8 2002 512 7.8 2003 514 7.9 + Rate per 1,000 live births plus fetal deaths. Fetal death defined as gestational age >= 20 weeks or birthweight >=350 grams) Table 3.2 Fetal Mortality Rates Louisiana and United States, 1994-2003 Year Louisiana + United States 1994 7.9 7.0 1995 7.4 7.0 1996 8.0 6.9 1997 7.5 6.8 1998 7.1 6.7 1999 7.5 6.7 2000 6.9 6.6 2001 7.6 6.5 2002 7.7 6.4 2003 7.1 6.2 + Fetal death defined as (United States standards) gestational age >= 20 weeks. Note: Louisiana rates in this table will differ from those mentioned elsewhere in this section, since fetal death is defined here by United States standards, rather than Louisiana standards (gestational age >= 20 weeks or birthweight >=350 grams), in order to allow for comparison with the national rates. Source: Louisiana State Center for Health Statistics, National Center for Health Statistics As with the overall fetal mortality rate, rates of fetal deaths by race in Louisiana have changed little over the past decade. Rates among blacks in the state have been consistently higher than those for whites from 1992 to 2003 but have been lower than corresponding national rates during the same period (Table 3.3 and 3.4). ____________________________________________________________________________________________________ Louisiana Office of Public Health, State Center for Health Statistics Page 45
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Page 7 and 8: FIGURES 2002 LOUISIANA VITAL STATIS
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AVAILABILITY OF ADDITIONAL INFORMAT
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