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Decline in Perinatal Mortality in the United States, 2017-2019

Claudia P Valenzuela, Elizabeth Gregory, Joyce A Martin

    NCHS Data Brief
    |January 24, 2022
    PubMed

    Insights

    Perinatal mortality, including late fetal and early neonatal deaths, is a key health indicator. Recent U.S. data from 2017-2019 show trends across demographics and states.

    Area of Science:

    • Public Health
    • Maternal and Child Health
    • Biostatistics

    Background:

    • Perinatal mortality serves as a critical indicator of healthcare quality and national health status.
    • The U.S. perinatal mortality rate saw a significant decline from 1990 to 2011, followed by a period of stability between 2011 and 2016.

    Purpose of the Study:

    • To present recent trends in U.S. perinatal mortality from 2017 to 2019.
    • To analyze trends in the components of perinatal mortality: late fetal deaths and early neonatal deaths.
    • To examine perinatal mortality trends across maternal age, race and Hispanic origin, and by state.

    Main Methods:

    • Analysis of national vital statistics data for late fetal deaths (≥28 weeks gestation) and early neonatal deaths (<7 days).
    • Examination of trends over the 2017-2019 period.
    • Stratification of data by maternal demographic factors and geographic state.

    Main Results:

    • Detailed trends in overall perinatal mortality for 2017-2019.
    • Specific trends for late fetal mortality and early neonatal mortality during the study period.
    • Variations in perinatal mortality rates by maternal age, race/Hispanic origin, and state.

    Conclusions:

    • Provides updated insights into U.S. perinatal mortality patterns.
    • Highlights demographic and geographic disparities in perinatal outcomes.
    • Informs public health strategies aimed at reducing perinatal deaths.

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