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MICH-1.1 Data Details

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MICH-1.1 Reduce the rate of fetal deaths at 20 or more weeks of gestation

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
Linked Birth/Infant Death Data Set
National Vital Statistics System-Fetal Death
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
per 1,000 live births plus fetal deaths
Baseline (Year): 
6.2 (2005)
Target: 
5.6
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of fetal deaths (20 or more weeks of gestation)

Denominator: 

Number of live births plus fetal deaths (20 or more weeks gestation)

Comparable Healthy People 2010 Objective: 
Retained from HP2010 objective
Data Collection Frequency: 
Annual
Methodology Notes: 

    Beginning with the 2014 data year, NCHS transitioned to the use of the obstetric estimate of gestation at delivery (OE) as the standard measure for estimating gestational age. The OE replaces the measure based on the interval between the first day of the last normal menses (LMP) and the date of delivery — which was used for the 2005 to 2013 data.

    This transition was made because of the increasing evidence of the greater validity of the OE compared with the LMP-based measure. Accordingly, beginning with the 2014 data year, gestational age data are based on the OE.

    Descriptions of LMP and OE have been published by NCHS.

    The use of the different gestational age measures resulted in only a small difference in the number of total fetal deaths at 20 and greater weeks for 2014 (23,980 vs 23,999). For 2014, the OE-based total U.S. fetal mortality rate was 5.98 fetal deaths at 20 weeks of gestation or more per 1,000 live births and fetal deaths, the same as the LMP-based rate

Trend Issues: 
Reporting of marital status of mother was discontinued in 2014.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2017, the estimates for geographic location were updated to reflect the 2013 urban/rural classification scheme.

References

Additional resources about the objective

  1. MacDorman MF, Kirmeyer S. Fetal and perinatal mortality, United States, 2005. National vital statistics reports; vol 57 no 8. Hyattsville, MD: National Center for Health Statistics. 2009.