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 |
2008-12 |
2009-13 |
2010-14 |
2011-15 |
2012-16 |
All Counties |
5.6 |
6.5 |
6.4 |
6.2 |
6.1 |
6.1 |
Franklin County, PA |
5.6 |
4.9 |
5.7 |
5.3 |
5.1 |
5.0 |
*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 |
2008-12 |
2009-13 |
2010-14 |
2011-15 |
2012-16 |
All Counties |
5.9 |
7.2 |
7.1 |
7.0 |
6.9 |
6.9 |
Franklin County, PA |
5.9 |
7.0 |
7.4 |
6.8 |
6.7 |
6.8 |
*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 |
2008-12 |
2009-13 |
2010-14 |
2011-15 |
2012-16 |
All Counties |
6.0 |
7.1 |
6.9 |
6.7 |
6.5 |
6.4 |
Franklin County, PA |
6.0 |
6.8 |
6.6 |
6.0 |
5.9 |
5.9 |
Objective MICH-1.4
Neonatal mortality rate (0-27 days of age) (per 1,000 live births)
|
2020 Goal |
2008-12 |
2009-13 |
2010-14 |
2011-15 |
2012-16 |
All Counties |
4.1 |
5.0 |
4.9 |
4.7 |
4.6 |
4.6 |
Franklin County, PA |
4.1 |
4.7 |
4.9 |
4.4 |
4.8 |
4.8 |
Objective MICH-1.5
Postneonatal mortality rate (28-364 days of age) (per 1,000 live births)
|
2020 Goal |
2008-12 |
2009-13 |
2010-14 |
2011-15 |
2012-16 |
All Counties |
2.0 |
2.1 |
2.1 |
2.0 |
1.9 |
1.8 |
Franklin County, PA |
2.0 |
2.1 |
1.6 |
1.5 |
1.1 |
1.1 |
Objective MICH-3.1
Child death rate for ages 1-4 (per 100,000 children ages 1-4)
|
2020 Goal |
2008-12 |
2009-13 |
2010-14 |
2011-15 |
2012-16 |
All Counties |
26.5 |
24.0 |
22.5 |
22.2 |
22.4 |
23.0 |
Franklin County, PA |
26.5 |
35.8 |
43.1 |
35.8 |
33.7 |
37.0 |
Objective MICH-3.2
Child death rate for ages 5-9 (per 100,000 children ages 5-9)
|
2020 Goal |
2008-12 |
2009-13 |
2010-14 |
2011-15 |
2012-16 |
All Counties |
12.4 |
10.3 |
10.7 |
10.5 |
10.7 |
10.9 |
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 |
2008-12 |
2009-13 |
2010-14 |
2011-15 |
2012-16 |
All Counties |
14.8 |
13.1 |
12.4 |
11.8 |
11.8 |
12.0 |
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 |
2008-12 |
2009-13 |
2010-14 |
2011-15 |
2012-16 |
All Counties |
54.3 |
49.1 |
47.9 |
46.7 |
45.9 |
45.9 |
Franklin County, PA |
54.3 |
53.0 |
52.9 |
46.8 |
47.2 |
47.4 |
Objective MICH-4.3
Young adult death rate for ages 20-24 (per 100,000 ages 20-24)
|
2020 Goal |
2008-12 |
2009-13 |
2010-14 |
2011-15 |
2012-16 |
All Counties |
88.3 |
94.6 |
94.6 |
97.4 |
99.0 |
103.2 |
Franklin County, PA |
88.3 |
83.6 |
82.3 |
95.6 |
92.3 |
120.2 |
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>