Report: Some Utah babies more at risk of dying before first birthday

Published: Friday, July 11 2014 7:10 a.m. MDT

Updated: Friday, July 11 2014 7:10 a.m. MDT

A new health department report shows that babies born to Pacific Islander and African-American mothers in Utah are more likely to die than others.

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SALT LAKE CITY —Babies born to African-American and Pacific Islander mothers in Utah have a greater risk of death before their first birthday than other Utah babies due to circumstances that are in some cases preventable, according to the Utah Department of Health.

"One adverse outcome that might have been prevented is already too much," said Jake Fitisemanu, outreach coordinator with the state's Office of Health Disparities. He said infant mortality rates among Pacific Islanders and African-American Utahns are nearly double that of the rest of the population, at almost 10 percent.

"It wasn't just a little blip in the numbers," he said. "It has been a trend for quite a while — one that we haven't seen a great reduction in."

In addition to a greater prevalence of infant deaths, 11.5 percent of babies born to African-American mothers in Utah were preterm, much higher than the rate of preterm births among non-Hispanic whites, which was 9 percent, the report states.

Just 45.4 percent of Pacific Islanders and 59.8 percent of African-American mothers-to-be in Utah seek medical care in the first trimester. About 78.8 percent of the non-Hispanic white population participates in the recommended schedule for prenatal care, beginning early in the pregnancy, according to health department data.

Few of the women in the study were aware of the importance of taking folic acid or a multivitamin before and during pregnancy to prevent birth defects.

"They tend to depend on family members and their elders to tell them what they should be doing. They go to their grandparents and mothers who have raised a lot of children and they rely on that experience," said Joyce Ah You, executive director of the Queen Center, a nonprofit cultural outreach organization that aims to educate the Pacific Islander population about health disparities.

Ah You's daughter was healthy for the most part and yet, years ago, lost her own daughter — her firstborn — at nine months of gestation.

"The day of her baby shower, she went to the doctor and there was no heartbeat," Ah You said. "It was devastating."

While that loss was difficult to accept, Ah You said doctors identified specific genetic issues that have sent her daughter to the hospital for an early, albeit safe delivery for the following five children.

"She would've never known she was high-risk," Ah You said. "She's taken every precaution whenever they were planning to have another child to make sure everything was healthy and taken care of."

Ah You, a Samoan living in Cedar Hills, works on a community task force to help spread the word about the health disparity, among others, and said knowledge can be empowering.

"We are already starting to see a difference," Fitisemanu said. "Just having them there and talking about a subject that is sensitive and in some cases thought of as culturally taboo is much more effective than something coming down from the big, bad health department."

Health department investigators compared data from the birth certificates of infants born to white, Pacific Islander and African-American women in Utah in 2012, as well as birth and death certificates of mothers who experienced a poor birth outcome from January to August of 2013.

The mothers were asked about "virtually every aspect of their lives in the year leading up to a poor birth outcome," the report states.

The study reveals apparent trends among working and living conditions, income, social support and access to health care, among others, also pointing out that "every pregnancy is different and every woman is different."

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