The international comparisons in "infant mortality" rates aren't comparing the same thing. We also count every baby who shows any sign of life, irrespective of size or weight at birth.
By contrast, in much of Europe, babies born before 26 weeks' gestation are not considered "live births." Switzerland only counts babies who are at least 30 centimeters long (11.8 inches) as being born alive. In Canada, Austria and Germany, only babies weighing at least a pound are considered live births.
By excluding the little guys, these countries have simply redefined about one-third of what we call "infant deaths" in America as "miscarriages."
Moreover, many industrialized nations, such as France, Hong Kong and Japan -- the infant mortality champion -- don't count infant deaths that occur in the 24 hours after birth. Almost half of infant deaths in the U.S. occur in the first day.
Apart from the fact that we count -- and try to save -- all our babies, infant mortality is among the worst measures of a nation's medical care because so much of it is tied to lifestyle choices, such as the choice to have children out of wedlock, as teenagers or while addicted to crack.
The main causes of infant mortality -- aside from major birth defects -- are prematurity and low birth-weight. And the main causes of low birth-weight are: smoking, illegitimacy and teenage births. Americans lead most of the developed world in all three categories. Oh, and thank you for that, Britney Spears.
No comments:
Post a Comment