Wilson Ann L, Randall Brad
University of South Dakota Sanford School of Medicine.
South Dakota State University.
S D Med. 2019 Jan;72(1):6-11.
In 2017, similar to 2016, there was a decrease in total live resident births in South Dakota. Racial minorities comprised 25 percent of these newborns, demonstrating a similar pattern of diversity among births observed nationwide. Unlike 2016, when the state recorded its lowest ever rate of infant mortality (4.8 per 1,000 live births), in 2017 it spiked to 7.8. This increase was primarily observed in the neonatal deaths in both the white and minority population. An increase in births of very low birth weight newborns and deaths due to congenital anomalies partially contributed to this increase. Compared to the nation, a higher percent of the state's infant deaths occur among those with birthweights above 2499 grams. A positive finding apparent in the 2017 mortality data was the decrease in the rate of sudden unexpected infant deaths from what has been observed in recent years. The small number of births in the state requires caution in interpreting findings that show year to year variability. Nonetheless, while the trend in infant mortality in the state is declining, it remains higher than the 2016 rate 5.9 for the nation.
2017年，与2016年情况类似，南达科他州常住居民的总出生人数有所下降。少数族裔占这些新生儿的25%，这显示出在全国范围内观察到的出生人口中类似的多样性模式。与2016年不同，2016年该州记录到有史以来最低的婴儿死亡率（每1000例活产中有4.8例），而2017年该比率飙升至7.8。这种上升主要出现在白人和少数族裔人口的新生儿死亡中。极低出生体重新生儿出生人数的增加以及先天性异常导致的死亡在一定程度上促成了这种上升。与全国相比，该州出生体重超过2499克的婴儿死亡比例更高。2017年死亡率数据中一个明显的积极发现是，婴儿猝死意外死亡率较近年来有所下降。该州出生人数较少，这使得在解读逐年变化的结果时需要谨慎。尽管如此，虽然该州婴儿死亡率呈下降趋势，但仍高于2016年全国5.9的比率。
