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Infant Mortality, Stillbirths and Maternal Mortality 2016

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Infant mortality

During the year 2016 there were 194 deaths of infants under one year, compared to 225 in 2015.  The infant mortality rate was 3.0 per 1,000 live births in 2016, a decrease of 0.4 from 2015.  See tables 4.1, 4.2 and 4.3.

Infant mortality rates in the EU-28

 Malta had the highest rate at 7.4 infant deaths per 1,000 live births in 2016 while Finland had the lowest rate at 1.9 per 1,000 live births. Of the EU28 countries, Ireland ranked 9th with a rate of 3.0.  See fig. 4.1.

CountryInfant mortality rate
Finland1.9
Slovenia2
Estonia2.3
Sweden2.5
Cyprus2.6
Spain2.7
Czech Republic2.8
Italy2.8
Ireland3
Denmark3.1
Austria3.1
Belgium3.2
Portugal3.2
Germany3.2
Netherlands3.2
France3.7
Latvia3.7
Luxembourg3.8
United Kingdom3.8
Hungary3.9
Poland4
Greece4.2
Croatia4.3
Lithuania4.5
Slovakia5.4
Bulgaria6.5
Romania7
Malta7.4

Infant Mortality by detailed age

Over a third (37.6%) of all infant deaths occurred within the first day of birth and 59.8% occurred within the first week.  See table 4.5.

There were 147 neonatal deaths (deaths of infants under 4 weeks) in 2016, a decrease of 27 on the 2015 figure.  The neonatal mortality rate of 2.3 per 1,000 live births was a decrease of 0.4 on the 2015 rate of 2.7.  See tables 4.2, 4.3, 4.8 and fig. 4.2.

Infant Mortality by cause

Certain conditions originating in the perinatal period accounted for 44.8% of infant deaths in 2016.  Congenital malformations, deformations and chromosomal abnormalities accounted for a further 39.7% while sudden infant death syndrome accounted for 5.7% of such deaths.  See table 4.8.

For infant deaths occurring in the first day of life, the causes of death were split between certain conditions originating in the perinatal period (64.4%), congenital malformations, deformations and chromosomal abnormalities (32.9%), diseases of the nervous system and the sense organs (1.4%) and all other causes (1.4%).  See table 4.8.

Roscommon had the highest rate for infant mortality in 2016 (6 infant deaths) with a rate of 7.9 per 1,000 births. See table 4.3.

Stillbirths

The number of stillbirths in 2016 was 173, a decrease of 21 on the 2015 total of 194.  The corresponding rate decrease was 0.3 down from 3.0 in 2015 to 2.7 in 2016.  See tables 4.1, 4.2 and fig. 4.3.

YearInfantNeonatalPost neonatal
197517.5125.6
197615.710.55.2
197715.59.95.6
197814.99.85
197912.88.44.4
198011.16.74.4
198110.36.53.8
198210.56.63.9
198310.16.14
19849.663.7
19858.85.33.6
19868.953.9
19877.94.33.6
19888.65.23.4
19898.14.83.3
19908.24.83.4
19917.652.6
19926.54.32.2
19936.142.1
19945.741.7
19956.44.81.6
199664.11.9
19976.13.52.6
19985.93.41.6
19995.941.8
20006.24.31.9
20015.741.7
200253.61.5
20035.33.81.5
20044.63.41.3
20053.82.71.1
20063.92.71.2
20073.22.21
20083.82.71.1
20093.32.21
20103.62.61
20113.52.51
20123.32.60.7
20133.62.60.9
20143.32.31
20153.42.70.8
201632.30.7
YearPerinatalStillbirth
20056.34.1
200663.8
20076.24.4
200863.9
20095.73.9
20105.73.6
20114.82.8
20124.62.6
201352.8
20144.22.4
20155.13
20164.52.7
YearPerinatalStillbirth
20056.254.12
20065.973.84
20076.184.42
20086.043.9
20095.713.88
20105.693.62
20114.822.84
20124.632.62
20134.982.75
20144.212.43
20155.112.95
20164.51463742306372.70253382072672

For stillbirths, the highest rate per 1,000 live and stillbirths was in Cavan (8.6).  There were no registered stillbirths for Longford or Leitrim in 2016.  See table 4.3.

In 2016, stillbirths classified as being due to certain conditions originating in the perinatal period accounted for 78.0% of all registered stillbirths, 20.8% were due to congenital malformations, deformations and chromosomal abnormalities and the remaining were due to neoplasms of uncertain or unknown behaviour (0.6%) and endocrine, nutritional and metabolic diseases (0.6%).  See table 4.12a.

While statistics of infant mortality are obtained in the course of the usual procedure for registration of deaths, which has been in operation since 1863, particulars of late foetal mortality have been obtained through a scheme of notification to the Directors of Community Care.  The scheme of notifying late foetal deaths was introduced in 1957, but comparisons between different areas of the country showed marked differences in the coverage of the scheme in the early years.  Consequently, the number of late foetal deaths in the early years of the scheme is believed to be understated.

In 1995 stillbirths were registered in Ireland for the first time under the Stillbirths Registration Act, 1994.  The definition of a stillbirth under the Act is broader than the definition used for late foetal deaths in previous Vital Statistics Reports.  Care should be taken in comparing statistics on stillbirths and late foetal deaths in consideration of the changes between the notification and registration systems.

The National Perinatal Reporting System (NPRS) (http://www.hpo.ie/,HIPE and NPRS Reports, Perinatal Statistics Reports).  Perinatal Statistics Reports also produces statistics on stillbirths, which can be compared to the numbers in these reports.  The NPRS figures are derived from birth notification forms, whereas the figures contained in this report are derived from stillbirths registered.  In recent years, the numbers of stillbirths according to NPRS reports have been higher than the numbers published in these reports.  This suggests that there is considerable non-registration of stillbirths and that caution should be taken in interpreting the statistics on stillbirths in these reports.

Pregnancy, childbirth and puerperium

There were 4 maternal deaths in 2016, giving a rate of 6.2 maternal deaths per 100,000 live and stillbirths.  See table 4.19.

YearMaternal death rate
1946240
1947214.6
1948188.1
1949201.1
1950155.7
1951163.8
1952142.3
1953132.7
1954110.3
1955113.6
195685.6
1957132.3
1958102.5
195964.8
196057.6
196145.1
196243.7
196334.8
196446.8
196528.3
196628.9
196722.8
196836.1
196931.8
197031.1
197125.2
197240.9
197311.6
197421.8
19757.4
197616.4
197711.6
197817.1
19799.6
19806.8
19814.2
19825.6
198311.9
19846.2
19856.4
19864.9
19873.4
19881.8
19893.8
19903.8
19915.7
19923.9
19932
19942.1
19950
19965.9
19975.7
19983.7
19991.9
20001.8
20015.2
20028.3
20030
20041.6
20051.6
20061.5
20072.8
20084
20094
20101.3
20112.7
20122.8
20134.4
20141.5
20151.5
20166.2

For definitions on the terms used in this chapter, see link to technical notes:

 Infant mortality, stillbirths and maternal mortality.

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Table 4.1 Live births, stillbirths and infant mortality, 2006 to 2016

Table 4.2 Live birth, stillbirth and infant mortality rates, 2001 to 2016

Table 4.3 Stillbirths and infant mortality 2016 per 1,000 live births

Table 4.4 Infant mortality rates per 1,000 live births by detailed age, 1941 to 2016

Table 4.5 Infant deaths during 2016 by detailed age

Table 4.6 Infant mortality rates in Ireland and neighbouring countries, 1941-2016

Table 4.7 Stillbirth and perinatal mortality rates in Ireland and neighbouring countries, 1998-2016

Table 4.8 Infant mortality - deaths under 1 year in 2016, classified by sex, age and cause

Table 4.9 Infant mortality - deaths under 1 year in 2016, classified by age under 4 weeks, age 4 weeks to one year, sex and cause, assigned to each province

Table 4.10 Infant mortality - deaths under 1 year in 2016, classified by sex and cause, assigned to each regional authority

Table 4.11 Infant mortality - deaths under 1 year in 2016, classified by age-group and cause, assigned to each regional authority

Table 4.12a Stillbirths in 2016, classified by sex and cause, and with mention of affecting maternal factors

Table 4.12b Stillbirths in 2016, classified by maternal factors

Table 4.13 Stillbirths in 2016, classified by age of mother, sex of child and period of gestation

Table 4.14 Stillbirths in 2016, classified by age of mother and number of previous live and stillborn children

Table 4.15 Stillbirths in 2016, classified by cause and period of gestation

Table 4.16 Stillbirths in 2016, classified by cause and number of previous children

Table 4.17 Stillbirths in 2016, classified by cause and age of mother at maternity

Table 4.18 Stillbirths in 2016, classified by cause and birthweight

Table 4.19 Maternal deaths per 100,000 total live and stillbirths, 1997 - 2016

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