Topic Area MICH - Maternal, Infant, and Child Health

Pregnancy can provide an opportunity to identify existing health risks in women and to prevent future health problems for women and their children. These health risks may include, hypertension/heart disease, diabetes, depression, genetic conditions, sexually transmitted diseases (STDs), tobacco and alcohol abuse, inadequate nutrition, and unhealthy weight

Objective MICH-1.1
Fetal mortality rate* (20+ weeks gestation) (per 1,000 live births and non-induced fetal deaths of 20+ weeks gestation)
2020 Goal 2005-09 2006-10 2007-11 2008-12 2009-13
All Counties 5.6 6.4 6.4 6.5 6.5 6.4
Franklin County, PA 5.6 5.1 4.5 5.0 4.9 5.7
*Non-induced fetal deaths

Objective MICH-1.2
Perinatal mortality rate (fetal and infant mortality rate during perinatal period*) (per 1,000 live births plus non-induced fetal deaths of 28+ week gestation)
2020 Goal 2005-09 2006-10 2007-11 2008-12 2009-13
All Counties 5.9 7.1 7.2 7.1 7.2 7.1
Franklin County, PA 5.9 5.7 5.2 6.0 7.0 7.4
*non-induced fetals of 28+ weeks gestation and (infant) deaths up to 6 days of age

Objective MICH-1.3
Infant mortality rate (under 1 year of age) (per 1,000 live births)
2020 Goal 2005-09 2006-10 2007-11 2008-12 2009-13
All Counties 6.0 7.3 7.4 7.2 7.1 6.9
Franklin County, PA 6.0 5.8 6.0 6.4 6.8 6.6

Objective MICH-1.4
Neonatal mortality rate (0-27 days of age) (per 1,000 live births)
2020 Goal 2005-09 2006-10 2007-11 2008-12 2009-13
All Counties 4.1 5.1 5.1 5.0 5.0 4.9
Franklin County, PA 4.1 3.7 3.8 3.7 4.7 4.9

Objective MICH-1.5
Postneonatal mortality rate (28-364 days of age) (per 1,000 live births)
2020 Goal 2005-09 2006-10 2007-11 2008-12 2009-13
All Counties 2.0 2.2 2.2 2.2 2.1 2.1
Franklin County, PA 2.0 2.1 2.2 2.7 2.1 1.6

Objective MICH-3.1
Child death rate for ages 1-4 (per 100,000 children ages 1-4)
2020 Goal 2005-09 2006-10 2007-11 2008-12 2009-13
All Counties 26.5 26.7 25.2 24.6 24.0 22.5
Franklin County, PA 26.5 26.8 28.7 30.8 35.8 43.1

Objective MICH-3.2
Child death rate for ages 5-9 (per 100,000 children ages 5-9)
2020 Goal 2005-09 2006-10 2007-11 2008-12 2009-13
All Counties 12.4 12.0 11.2 10.7 10.3 10.7
Franklin County, PA 12.4 DSU DSU DSU DSU DSU
DSU - Data Statistically Unreliable

Objective MICH-4.1
Adolescent death rate for ages 10-14 (per 100,000 ages 10-14)
2020 Goal 2005-09 2006-10 2007-11 2008-12 2009-13
All Counties 14.8 14.8 14.2 13.8 13.1 12.4
Franklin County, PA 14.8 DSU DSU DSU DSU DSU
DSU - Data Statistically Unreliable

Objective MICH-4.2
Adolescent death rate for ages 15-19 (per 100,000 ages 15-19)
2020 Goal 2005-09 2006-10 2007-11 2008-12 2009-13
All Counties 54.3 54.7 52.5 50.5 49.1 47.9
Franklin County, PA 54.3 54.2 53.5 59.3 53.0 52.9

Objective MICH-4.3
Young adult death rate for ages 20-24 (per 100,000 ages 20-24)
2020 Goal 2005-09 2006-10 2007-11 2008-12 2009-13
All Counties 88.3 97.2 94.8 93.7 94.6 94.6
Franklin County, PA 88.3 77.3 89.8 96.0 83.6 82.3

Objective MICH-7.1
% of low-risk* first-time mothers giving birth by cesarean
2020 Goal 2009 2010 2011 2012 2013
All Counties 23.9 29.0 28.2 28.3 28.2 27.9
Franklin County, PA 23.9 25.9 27.7 24.4 20.9 20.3
*full-term (37 or more weeks gestation) singleton, not breech or malpresentation

Objective MICH-7.2
% of low-risk* women giving birth by cesarean with a prior cesarean birth
2020 Goal 2009 2010 2011 2012 2013
All Counties 81.7 87.7 86.7 86.1 85.0 85.2
Franklin County, PA 81.7 84.2 85.2 84.3 80.1 83.0
*full-term (37 or more weeks gestation) singleton, not breech or malpresentation

Objective MICH-8.1
% of infants born at low birth weight (LBW) (less than 2500 grams)
2020 Goal 2007-09 2008-10 2009-11 2010-12 2011-13
All Counties 7.8 8.3 8.3 8.3 8.2 8.1
Franklin County, PA 7.8 7.8 7.9 7.7 7.2 7.0

Objective MICH-8.2
% of infants born at very low birth weight (VLBW) (less than 1500 grams)
2020 Goal 2007-09 2008-10 2009-11 2010-12 2011-13
All Counties 1.4 1.6 1.6 1.6 1.6 1.5
Franklin County, PA 1.4 1.0 1.1 1.2 1.3 1.4

Objective MICH-9.1
% of preterm live births (less than 37 weeks gestation)
2020 Goal 2007-09 2008-10 2009-11 2010-12 2011-13
All Counties 11.4 10.2 10.1 9.8 9.6 9.4
Franklin County, PA 11.4 9.8 9.6 9.4 9.5 9.9

Objective MICH-9.2
% of live births at 34 to 36 weeks of gestation
2020 Goal 2007-09 2008-10 2009-11 2010-12 2011-13
All Counties 8.1 7.1 7.0 6.8 6.6 6.5
Franklin County, PA 8.1 7.5 7.3 7.1 7.0 7.4

Objective MICH-9.3
% of live births at 32-33 weeks of gestation
2020 Goal 2007-09 2008-10 2009-11 2010-12 2011-13
All Counties 1.4 1.3 1.2 1.2 1.2 1.2
Franklin County, PA 1.4 1.0 0.9 1.0 1.1 1.1

Objective MICH-9.4
% of live births at less than 32 weeks of gestation
2020 Goal 2007-09 2008-10 2009-11 2010-12 2011-13
All Counties 1.8 1.8 1.8 1.8 1.7 1.7
Franklin County, PA 1.8 1.3 1.4 1.3 1.4 1.4

Objective MICH-10.1
% live births to mothers beginning prenatal care in first trimester
2020 Goal 2007-09 2008-10 2009-11 2010-12 2011-13
All Counties 77.9 70.6 70.9 71.3 71.8 72.2
Franklin County, PA 77.9 61.5 63.6 67.1 70.5 73.7

Objective MICH-10.2
% of live births to mothers who received early and adequate prenatal care*
2020 Goal 2007-09 2008-10 2009-11 2010-12 2011-13
All Counties 77.6 66.4 67.1 68.0 69.5 70.8
Franklin County, PA 77.6 72.0 73.8 75.0 74.9 75.3
*Adequacy of Prenatal Care Utilization Index
Having a healthy pregnancy is one of the best ways to promote a healthy birth. Getting early and regular prenatal care improves the chances of a healthy pregnancy.

Objective MICH-11.3
% of live births to women who did not smoke during pregnancy
2020 Goal 2009 2010 2011 2012 2013
All Counties 98.6 83.5 84.1 84.7 85.2 85.8
Franklin County, PA 98.6 81.1 83.6 84.7 83.6 85.2

Objective MICH-21.1
% of mothers who breastfeed their babies*
2020 Goal 2009 2010 2011 2012 2013
All Counties 81.9 69.0 70.0 71.2 73.1 75.6
Franklin County, PA 81.9 78.0 80.1 85.0 84.0 87.2
*Source: certificate of live birth
A number of health organizations — including the American Academy of Pediatrics (AAP), the American Medical Association (AMA), and the World Health Organization (WHO) — recommend breastfeeding as the best choice for babies. Breastfeeding helps defend against infections, prevent allergies, and protect against a number of chronic conditions.
Website Updated August 2016

Topic Area MICH - Maternal, Infant, and Child Health

Courtesy: Healthy People 2020, <www.healthypeople.gov>