Disclosure

Please read footnotes, titles and explanations with each chart for source(s) and explanation of data. It is important to note that some of the data presented below can not be taken as absolutely definitive since a minimum of 15 cases are required to calculate a stable age-adjusted rate. Considering the small populations in our rural counties, in several instances, the age-adjusted rates displayed below were calculated with fewer than 15 cases. Also, where the information is left blank, counts/rates were suppressed, likely due to having fewer than 5 reported cases within the specified category.

Instructions

Some of the tables below have filters. In such, use these filters to select the “category” for which you are interested, this will also change the trend chart. Then, click the county/counties within the legend of the associated trend chart to view the county/counties for which you are interested.

Births (Raw Number)

Year	Adair	Casey	Clinton	Cumberland	Green	McCreary	Pulaski	Russell	Taylor	Wayne
2010	176.00	186.00	119.00	82.00	99.00	234.00	736.00	219.00	309.00	231.00
2011	177.00	188.00	107.00	87.00	113.00	249.00	780.00	245.00	299.00	227.00
2012	223.00	208.00	125.00	76.00	109.00	253.00	738.00	216.00	335.00	242.00
2013	210.00	194.00	120.00	85.00	108.00	222.00	713.00	211.00	354.00	227.00
2014	220.00	205.00	132.00	76.00	118.00	204.00	729.00	204.00	314.00	222.00
2015	222.00	188.00	127.00	80.00	110.00	223.00	761.00	214.00	333.00	255.00
2016	220.00	206.00	112.00	74.00	125.00	223.00	725.00	217.00	357.00	241.00
2017	192.00	176.00	121.00	78.00	114.00	198.00	763.00	208.00	341.00	231.00
2018	190.00	203.00	125.00	64.00	113.00	198.00	775.00	209.00	312.00	226.00

Maternal and Child Health Rates per 1,000

Select the category by using the filter below. Select and De-select counties by clicking the legend options.

Category:

Year	Category	Adair	Casey	Clinton	Cumberland	Green	McCreary	Pulaski	Russell	Taylor	Wayne	District	Kentucky	United States	HP 2020	District Score
2010	Infant Morality	5.68	16.13	0.00	0.00	0.00	0.00	9.51	4.57	3.24	4.33	5.86	6.04	6.07	6.00	A
2011	Infant Morality	0.00	5.32	0.00	11.49	8.85	0.00	3.85	0.00	3.34	0.00	2.83	5.63	6.00	6.00	A
2012	Infant Morality	0.00	9.62	0.00	0.00	0.00	3.95	5.42	0.00	0.00	0.00	2.77	6.26	5.93	6.00	A
2013	Infant Morality	14.29	5.15	0.00	0.00	0.00	0.00	4.21	4.74	5.65	4.41	4.50	5.57	5.91	6.00	A
2014	Infant Morality	0.00	4.88	0.00	0.00	0.00	0.00	4.12	0.00	9.55	0.00	2.89	6.16	5.78	6.00	A
2015	Infant Morality	4.50	15.96	7.87	12.50	0.00	4.48	5.26	0.00	3.00	0.00	4.78	5.86	5.86	6.00	A
2016	Infant Morality	9.09	9.71	8.93	0.00	0.00	0.00	8.28	4.61	5.60	4.15	6.00	5.84	5.84	6.00	C
2017	Infant Morality	10.42	0.00	16.53	0.00	0.00	0.00	6.55	4.81	2.93	0.00	4.54	5.90	5.77	6.00	A
2018	Infant Morality														6.00	A
2010	Low Birthweight - less than 2500g	73.86	75.27	176.47	109.76	70.71	94.02	81.52	68.49	87.38	56.28	84.07	90.42	81.40	78.00	C
2011	Low Birthweight - less than 2500g	84.75	127.66	84.11	114.94	97.35	100.40	84.62	93.88	107.02	74.89	93.85	91.02	80.87	78.00	D
2012	Low Birthweight - less than 2500g	80.72	96.15	72.00	39.47	73.39	114.62	79.95	120.37	83.58	90.91	87.92	86.50	79.87	78.00	D
2013	Low Birthweight - less than 2500g	47.62	82.47	83.33	70.59	74.07	99.10	57.50	90.05	73.45	61.67	70.38	87.01	80.13	78.00	A
2014	Low Birthweight - less than 2500g	113.64	87.80	106.06	65.79	93.22	102.94	68.59	93.14	85.99	72.07	84.98	87.63	79.95	78.00	C
2015	Low Birthweight - less than 2500g	76.58	106.38	70.87	112.50	63.64	103.14	103.81	102.80	69.07	101.96	93.51	86.58	80.65	78.00	D
2016	Low Birthweight - less than 2500g	104.55	67.96	89.29	54.05	104.00	134.53	77.24	73.73	117.65	99.59	92.80	90.93	81.56	78.00	D
2017	Low Birthweight - less than 2500g	0.00	5.68	16.53	0.00	17.54	15.15	15.73	4.81	11.73	8.66	11.15	16.18	14.29	78.00	A
2018	Low Birthweight - less than 2500g	5.26	14.78	24.00	0.00	17.70	10.10	12.90	33.49	22.44	8.85	15.32	15.34	14.28	78.00	B
2010	Very Low Birthweight - less than 1500g	28.41	16.13	8.40	24.39	0.00	17.09	5.43	4.57	6.47	0.00	9.20	16.19	14.46	14.00	A
2011	Very Low Birthweight - less than 1500g	22.60	21.28	37.38	0.00	8.85	12.05	8.97	28.57	23.41	17.62	16.59	15.55	14.36	14.00	D
2012	Very Low Birthweight - less than 1500g	22.42	14.42	16.00	0.00	9.17	11.86	14.91	27.78	8.96	12.40	14.65	16.00	14.23	14.00	C
2013	Very Low Birthweight - less than 1500g	9.52	25.77	8.33	11.76	9.26	18.02	4.21	18.96	8.47	4.41	10.23	14.96	14.10	14.00	A
2014	Very Low Birthweight - less than 1500g	9.09	9.76	37.88	0.00	0.00	14.71	13.72	19.61	19.11	13.51	14.44	14.58	14.03	14.00	C
2015	Very Low Birthweight - less than 1500g	22.52	5.32	15.75	12.50	18.18	22.42	10.51	9.35	15.02	15.69	13.93	14.01	13.97	14.00	A
2016	Very Low Birthweight - less than 1500g	22.73	0.00	26.79	13.51	24.00	8.97	22.07	0.00	28.01	24.90	18.40	15.98	13.97	14.00	D
2017	Very Low Birthweight - less than 1500g	0.00	5.68	16.53	0.00	17.54	15.15	15.73	4.81	11.73	8.66	11.15	15.10	14.04	14.00	A
2018	Very Low Birthweight - less than 1500g	5.26	14.78	24.00	0.00	17.70	10.10	12.90	33.49	22.44	8.85	15.32	14.02	13.76	14.00	D
2010	No Prenatal Care 1st Trimester	335.23	317.20	310.92	304.88	262.63	188.03	183.42	232.88	297.73	194.81	239.65	251.79	197.94	221.00	C
2011	No Prenatal Care 1st Trimester	265.54	250.00	289.72	298.85	238.94	228.92	206.41	248.98	274.25	176.21	234.22	236.52	215.60	221.00	C
2012	No Prenatal Care 1st Trimester	237.67	322.12	320.00	197.37	229.36	189.72	196.48	259.26	292.54	227.27	238.42	234.69	219.42	221.00	D
2013	No Prenatal Care 1st Trimester	328.57	273.20	258.33	282.35	203.70	211.71	176.72	156.40	290.96	176.21	224.22	233.83	223.68	221.00	C
2014	No Prenatal Care 1st Trimester	195.45	248.78	212.12	328.95	228.81	161.76	168.72	191.18	232.48	144.14	195.54	207.25	216.24	221.00	A
2015	No Prenatal Care 1st Trimester	292.79	255.32	236.22	362.50	309.09	206.28	170.83	224.30	225.23	141.18	215.28	204.61	218.47	221.00	B
2016	No Prenatal Care 1st Trimester	222.73	300.97	250.00	270.27	264.00	201.79	140.69	147.47	263.31	141.08	199.60	202.44	222.01	221.00	A
2017	No Prenatal Care 1st Trimester	218.75	255.68	214.88	179.49	175.44	257.58	144.17	197.12	214.08	173.16	190.75	205.02	227.21	221.00	A
2018	No Prenatal Care 1st Trimester	168.42	295.57	216.00	265.62	221.24	267.68	176.77	191.39	240.38	207.96	212.42	205.19	225.05	221.00	B

Sources:

Requested Directly from Centers for Disease Control (CDC)

Introduction

By definition Infant Mortality is the number of children who died before age 12 months . Most common causes in the US are birth defects, prematurity, low birth weight, Sudden Infant Death Syndrome (SIDS), pregnancy complications and accidents. Tobacco, alcohol and drug use, and late prenatal care can also have an impact. The goal for Healthy People 2020 (HP2020) is 6.0 or fewer deaths per 1000 live births.

Analysis (February 2018)

Due to small county numbers, using the data from the table above, a 6 year average of Infant Mortality was calculated for each county. The Infant Mortality results are as follow: Adair – 4.1; Casey – 9.5; Clinton – 1.3; Cumberland – 4.0; Green – 1.5; McCreary – 1.4; Pulaski – 5.5; Russell – 1.5; Taylor – 4.2; and, Wayne – 1.5.

All except Casey County had average rates of Infant Mortality lower than the HP2020 goal. Casey County was very high at 9.5 per 1000 live births.

Of concern, our district experienced low birth weight at higher rates than for the nation and the HP2020 goal of 78 per 1000.

The trends over the 6 years were relatively stable. Lack of prenatal care in the first trimester was low for Wayne and Pulaski counties, but high and above the HP2020 rates, for Adair, Casey, Clinton, Cumberland Green and Taylor counties.

Discussion

Educating and encouraging women to seek prenatal care early would help with prematurity and low birth weight: both negatively impact infant mortality. SIDS rates can be decreases by placing the infant on her back to sleep and parents not smoking. The LCDHD provides services, education and support for smoking cessation, Back to Sleep campaign, HANDS for new parents, child car seat placement, pregnancy tests and referral to OB/GYN.