Perinatal Periods of Risk (PPOR). Indianapolis Healthy Start Amanda Raftery, MPH Julie Sautter, MSW. Indianapolis Healthy Start. Goal: To reduce infant mortality rates and improve perinatal outcomes by eliminating disparities in perinatal health systems.
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Indianapolis Healthy Start
Amanda Raftery, MPH
Julie Sautter, MSW
PPOR Excess Deaths *
Compared to Internal and External Reference Groups**
1999-2003 Birth Cohort Data***
Marion County, IN
*Excluded are infants who weighed <500 grams at birth and fetal deaths that occurred before the 24th week or were <500 grams.
**Internal Reference Group: White, non-Hispanic women, age >=20 yrs., married, non-smoking, who have an education >=13 years, received prenatal care in the 1st trimester and reside in Marion County, IN.
External Reference Group: White non-Hispanic women, age >=20 yrs., who have an education >=13 years.
***Data compiled from birth certificate data from the Marion County Health Department, Indianapolis, IN
Black women and women 20-34 years have 40% of their excess mortality rate occurring from excess birth weight specific mortality.
Risk Factors: One of the most notable findings was that Black women and women 20-34 were more likely than the reference group to have had prenatal care in the Kotelchuck Index category of “Intermediate”.
The injury category had highest percentage of deaths. A large percentage were due to suffocation and strangulation.
Data Collection Efforts
24% Did Not Receive Early Prenatal Care
To tell the stories of the mothers whose infants represent the fetal infant mortality rates in Marion County, by “painting the the faces behind the numbers” through studying fetal infant death information, listening to the mothers and protecting their privacy, with the goal of improving maternal child services and infant mortality through community partnerships.
To enhance the health and well-being of women, infants, and families by improving the community resources and service delivery systems available to them