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www.everybabymatters.org. uk

Www.everybabymatters.org.uk. There are approximately 8,600 births a year across Bradford and Airedale. The Infant Mortality Rate (number of deaths under

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www.everybabymatters.org.uk

www.everybabymatters.org.uk

•There are approximately 8,600 births a year across Bradford and Airedale.

•The Infant Mortality Rate (number of deaths under one year per 1,000 live births) is slowly reducing in Bradford from 8.3 in 2005-7 to 7.9 in 2008-10.

•Between 60 - 70 babies will die each year in Bradford.

•There is an excess of 22 deaths a year compared to a city our size in England and Wales.

•58% of births are in the poorest 40% of the population.

•In the poorest 40% of the population, the IMR is above 10.

•Approximately 50 deaths occur in this population, compared to 15 in the other 60% of Bradford’s population.

Summary

Number of births in Q2 of 2011-12by Constituency

Q2_2010/11

0

500

1000

1500

2000

2500

District total BradfordEast

BradfordSouth

BradfordWest

Keighley Shipley

Q2_2010/11

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Infant Mortality Rate in 3 year Rolling Periods

BRADFORD VISION

BDIMC 2004 – 6 : www.everybabymatters.org.uk

0

2

4

6

8

10

12

14

16

1998-2000 1999-2001 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010

Rat

e pe

r 100

0 liv

e bi

rths

Bradford Rate England & Wales Rate Most Deprived Quintile

Stillbirth Rate in 3 year Rolling Periods

0

1

2

3

4

5

6

7

8

9

10

1993-1995

1994-1996

1995-1997

1996-1998

1997-1999

1998-2000

1999-2001

2000-2002

2001-2003

2002-2004

2003-2005

2004-2006

2005-2007

2006-2008

2007-2009

Rat

e pe

r 10

00 li

ve +

stil

lbirt

hs

Bradford England & Wales

1993-1995 1994-1996 1995-1997 1996-1998 1997-1999 1998-2000 1999-2001 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009

Bradford No. deaths 151 153 144 129 135 142 163 158 162 169 192 192 198 178 187

Bradford Rate 6.8 7.0 6.7 6.1 6.3 6.6 7.6 7.3 7.3 7.5 8.2 8.0 8.0 7.1 7.3

Eng & Wales Rate 5.6 5.6 5.4 5.4 5.3 5.3 5.3 5.4 5.6 5.7 5.6 5.5 5.3 5.2 5.1

Calendar YearsStillBirth

Infant Mortality Rate in Bradford compared to areas of similar population/deprivation

0

1

2

3

4

5

6

7

8

9

10

1993-1995

1994-1996

1995-1997

1996-1998

1997-1999

1998-2000

1999-2001

2000-2002

2001-2003

2002-2004

2003-2005

2004-2006

2005-2007

2006-2008

Rat

e pe

r 10

00 li

ve b

irths

Areas with Similar Deprivation Bradford England & Wales

0

1

2

3

4

5

6

7

8

9

10

1993-1995

1994-1996

1995-1997

1996-1998

1997-1999

1998-2000

1999-2001

2000-2002

2001-2003

2002-2004

2003-2005

2004-2006

2005-2007

2006-2008

Ra

te p

er

10

00

live

bir

ths

Areas with Similar population Bradford England & Wales

Areas of similar population. Bradford has higher rate for all Periods.

Areas of similar deprivation. Bradford has higher rates for most periods.

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Inequalities in infant mortality by deprivation 2000 - 2009

Deprivation Quintile 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009

Quintile 1 (Most deprived) 13.7 13.0 10.8 10.4 10.0 10.9 10.8 10.2Quintile 2 11.2 10.7 9.4 7.9 7.5 9.8 10.5 10.0Quintile 3 7.0 7.1 6.9 5.8 5.3 5.7 5.1 5.1Quintile 4 5.6 5.1 4.8 6.2 4.8 5.3 5.0 6.0Quintile 5 (Least deprived) 1.1 1.5 1.5 3.7 4.0 5.1 3.6 5.0

Bradford District 9.4 9.0 7.9 7.7 7.2 8.3 8.2 8.1

Infant Mortality Rate by Deprivation Quintile - Bradford District

0

2

4

6

8

10

12

14

16

2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009

Infa

nt M

orta

lity

Rat

e pe

r 100

0 Li

ve B

irths

Quintile 1 (Most deprived) Quintile 2 Quintile 3 Quintile 4 Quintile 5 (Least deprived) Bradford District

Source : NHS Bradford and Airedale Public Health Observatory

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Infant mortality rates by Ward across Bradford 2000-2009

City, Little Horton, Bradford Moor

Tong

Bowling & Barkerend

Toller

Manningham

Keighley Central

Great Horton

Windhill & Wrose

Eccleshill

Numbers of infant deaths 2007-102007-2010

0 2 4 6 8 10 12 14 16 18

District totalAbbey Green

AllertonBaildon

BarkerendBurnett Fields

CanterburyCommunityworks

Crossley HallFarnham/Grange

FrizinghallGateway

HeatonHighfield

Holme WoodLidget Green

Low FoldMidland Road

Mortimer HouseOwlet

PrincevilleRainbow

St Edmund'sStrong Close

TyersalWoodroydWoodside

Wyke

Fagley, ParklandBierley, Reevy Hill, Victoria Hall

Farcliffe/Lilycroft, ThorntonCraven, Ilkley 1, Worth Valley

Bingley 1, Bingley 2, Hirst

2007-2010

Source: Health Intelligence and Analysis team NHS ABL PCT

Where numbers are small, children centres have been aggregated

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Ten recommendations provided guidance for Every Baby Matters steering group to implement.

• To reduce poverty and unemployment in families in Bradford

• To improve the availability of good quality and affordable housing for families

• To improve the nutritional status of pregnant women, babies and women planning a pregnancy and to increase the numbers of women breastfeeding

• To reduce the numbers of women and men smoking and to reduce the numbers of women with high levels of use of alcohol and/or non-prescribed drugs in pregnancy

• To increase community understanding of genetics, patterns of genetic inheritance and congenital anomalies

• To ensure equal access to all aspects of pre-conception, maternal and infant health care

• To improve social and emotional support for parents, especially those living in areas of social disadvantage

• To ensure these recommendations are shared widely and understood by communities across the District

• To develop further the data collection and monitoring procedures in Bradford District

• Future research to understand both the underlying and immediate causes of death

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• Child poverty (including unemployment, education & housing) – Recommendations 1 & 2

• Nutrition and breast feeding (Recommendations 3a & 3b)

• Early access to pre-conception , maternity and infant care & prevention and early intervention for at risk families (Recommendations 4 & 5)

• Smoking, alcohol and substance misuse (Recommendations 6a & 6b)

• Genetic inheritance awareness (Recommendation 7)

Key areas of action in the plan

% known to breastfeed at 6-8 weeks by children centre reach Q2 2011-

12

%age known to breastfeed at 6-8 weeks (see notes)

0%10%20%30%40%50%60%70%

%age known tobreastfeed at 6-8 weeks (seenotes)

Source: Health Intelligence and Analysis team NHS ABL PCT

Hospital admissions for feeding problems 2010-11 (0-4years) Per 100 children

Feeding related problems

0.00 0.50 1.00 1.50 2.00

District totalAbbey Green

AllertonBaildon

BarkerendBierley

Bingley 1Bingley 2

Burnett FieldsCanterbury

CommunityworksCraven

Crossley HallFagley

Farcliffe/LilycroftFarnham/Grange

FrizinghallGateway

HeatonHighfield

Hirst WoodHolme Wood

Ilkley 1Ilkley 2

Lidget GreenLow Fold

Midland RoadMortimer House

OwletParkland

PrincevilleRainbow

Reevy HillSt Edmund'sStrong Close

ThorntonTyersal

Victoria HallWoodroydWoodside

Worth ValleyWyke

Feeding related problems

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Gestation week at booking-in to BRI

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Smoking during Pregnancy

• The following wards have significantly more smokers at delivery than Bradford District (shown in red above):

Eccleshill, Keighley West, Royds, Thornton & Allerton, Tong, Wyke.

Source: NHS Bradford and Airedale Health Intelligence and Analysis team

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