Natl Vital Stat Rep. 2024 Sep 12(9). doi: 10.15620/cdc/158788.
This report presents 2022 fetal mortality data by maternal race and Hispanic origin, age, tobacco use during pregnancy, and state of residence, as well as by plurality, sex, gestational age, birthweight, and selected causes of death. Trends in fetal mortality are also examined.
Descriptive tabulations of data are presented and interpreted for all fetal deaths reported for the United States for 2022 with a stated or presumed period of gestation of 20 weeks or more. Cause-of-fetal-death data only are restricted to residents of the 43 states and District of Columbia where cause of death was based on the 2003 fetal death report revision and less than 50% of deaths were attributed to Fetal death of unspecified cause (P95).
A total of 20,202 fetal deaths at 20 weeks of gestation or more were reported in the United States in 2022. The 2022 U.S. fetal mortality rate was 5.48 fetal deaths at 20 weeks of gestation or more per 1,000 live births and fetal deaths, 4% lower than in 2021 (5.73) and a new historic low for the United States. The fetal mortality rate in 2022 for deaths occurring at 20-27 weeks of gestation was 2.79, a 5% decline from 2021 (2.95). For deaths occurring at 28 weeks of gestation or more, the rate in 2022 was 2.71, a 3% decline from 2021 (2.80). In 2022, the fetal mortality rate was highest for Native Hawaiian or Other Pacific Islander non-Hispanic (10.36) and Black non-Hispanic (10.05) females and lowest for Asian non-Hispanic females (3.70). Fetal mortality rates were highest for women ages 40 and older, for women who smoked during pregnancy, and for women with multiple gestation pregnancies. Five selected causes accounted for 90.0% of fetal deaths in the 43-state and District of Columbia reporting area.
本报告介绍了 2022 年按孕产妇种族和西班牙裔来源、年龄、孕期吸烟以及居住州以及多胎、性别、胎龄、出生体重和部分死因分类的胎儿死亡数据。还分析了胎儿死亡率的趋势。
本报告对美国 2022 年所有报告的 20 周或以上妊娠期限的胎儿死亡进行了描述性统计，并进行了解释。仅报告了死因数据，这些数据限于 43 个州和哥伦比亚特区的居民，这些州和特区的死因是基于 2003 年胎儿死亡报告修订版，且不到 50%的死亡归因于未特指原因的胎儿死亡（P95）。
2022 年美国共有 20202 例 20 周或以上妊娠期限的胎儿死亡。2022 年美国的胎儿死亡率为每 1000 例活产和胎儿死亡 5.48 例，比 2021 年下降 4%（5.73），创美国历史新低。20-27 孕周胎儿死亡的胎儿死亡率为 2.79，比 2021 年下降 5%（2.95）。28 孕周或以上胎儿死亡的胎儿死亡率为 2.71，比 2021 年下降 3%（2.80）。2022 年，非西班牙裔土著夏威夷或其他太平洋岛民（10.36）和非西班牙裔黑人（10.05）女性的胎儿死亡率最高，非西班牙裔亚裔女性（3.70）最低。胎儿死亡率最高的是 40 岁及以上的女性、孕期吸烟的女性和多胎妊娠的女性。在 43 个州和哥伦比亚特区报告地区，有 5 个选定的死因占胎儿死亡的 90.0%。
