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Preventing and postponing death: trends in Tennessee infant mortality.

J M Piper

Department of Preventive Medicine, Vanderbilt University School of Medicine, Nashville, TN.

Infants born in Tennessee between 1984 and 1988 experienced reduced mortality compared with those born in the 5 years previous. For all birthweight singleton infants, the reduction from 10.2 to 8.4 deaths per 1000 live births represents an 18% decline in mortality. The most impressive gain made was for very low birthweight (less than 1500 g) infants in the neonatal period, where mortality was reduced 24%. However, for these infants there was nearly a sixfold increase in the postneonatal mortality associated with prematurity-related causes.

This article has been cited by other articles:

				W. A. Ray, J. Gigante, E. F. Mitchel Jr, and G. B. Hickson Perinatal Outcomes Following Implementation of TennCare JAMA, January 28, 1998; 279(4): 314 - 316. [Abstract] [Full Text] [PDF]