BIBS Black Infants - Better Survival

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Frequently Asked Questions

What is the risk of this happening to me?

A black woman is two to three times more likely than her white counterpart to lose her child before his or her first birthday. In New Jersey, the 1996 infant mortality rate for blacks was 14.9 per 1,000 live births, compared to 5.3 for whites.


What can I do to prevent it?

Although there is no way to completely prevent any infant death, there are things that you can do to reduce your risk significantly.

Diet
Balanced diet
plus an additional 300 calories per day.

Exercise
Moderate exercise.

Vitamins
Take prenatal vitamins, including 400 mg of folic acid every day.

Drugs and alcohol
Avoid tobacco, alcohol, and illicit drug use. Consult with your physician before using any medication, whether it is prescription or over-the-counter.

Occupational hazards
Make sure to tell your doctor that you are pregnant before allowing yourself to be exposed to X-rays. Also, stay away from toxic chemicals both in the household and at the workplace.

Prenatal care
Make sure to seek prenatal care as soon as you find out you are pregnant.


Why would this happen to me?

No one understands why infant mortality is so high within the black population, but the State of New Jersey is committed to finding out what causes BIM and improving black infant survival.


Can you determine my risk in advance by any tests, such as ultrasound, CVS, or amniocentesis?

Although these tests may be helpful in detecting possible problems with an unborn child, none of these tests can detect whether your baby will die before its first birthday.


What is preterm labor?

Preterm labor is defined as regular uterine contractions and cervical dilation before the 37th week of gestation.


What are the signs and symptoms of preterm labor?

These may be signs and symptoms of preterm labor:

  • Uterine contractions, cramping, and low back pain
  • Feeling of pelvic pressure or fullness
  • Change in amount or character of vaginal discharge
  • Bloody show
  • Gastrointestinal upset (nausea, vomiting, diarrhea)
  • General sense of discomfort or unease

What is considered low birth weight?

Low birth weight is defined as between 1,500 and 2,500 grams (3 lb. 5 oz. to 5 lb. 8 oz.). Very low birth weight is between 500 and 1,499 grams (1 lb. to 3 lb. 5 oz.).


What is SIDS?

Sudden Infant Death Syndrome (SIDS)—also known as crib death—is one of the top three causes of black infant death. It is the diagnosis given for the sudden death of an infant that remains unexplained after a complete investigation.

According to the National Institute of Child Health and Human Development, recent research reports have documented that placing babies to sleep on their backs is associated with a reduction in the incidence of SIDS. However, sleep position in and of itself is not a cause of SIDS.

Other recommendations to reduce the risk of SIDS include:

  • Do not allow smoking around your infant
  • Breast-feed
  • Maintain regular well-baby health visits, including recommended immunizations
  • Place infant to sleep on a firm mattress and avoid the use of bean bag cushions, waterbeds, soft fluffy blankets, comforters, pillows, sheepskins, stuffed toys, or other soft materials
  • Do not overdress or overheat your infant

What is bacterial vaginosis?

Bacterial vaginosis is caused by an overgrowth of one or more types of bacteria, including Gardnerella (also called Haemophilus) vaginalis, Mycoplasma species, and Mobilincus species. Symptoms include an unpleasant or fishy odor; increased vaginal discharge; or itching, burning, and redness in the vaginal area. Bacterial vaginosis has been found to be prevalent among African American women, and treatment options include topical applications or oral antibiotics.


How can I obtain more information?

Call The Family Health Line 1-800-328-3838.


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