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Infant mortality down in U.S., but this surprising change could make babies even safer

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Over the last decade, the infant mortality rate in the United States has dropped considerably. Data from the U.S. Centers for Disease Control and Prevention showed that the number of newborns who died before age 1 dropped 15% between 2005 and 2014. But new research shows that the odds of a newborn dying in their first year of life, including full-time babies, are far higher in the United States than many other developed countries.


Luckily there are steps parents, doctors and lawmakers can take to ensure our little ones will live long, healthy and happy lives.

According to a new study published in PLOS Medicine, the U.S. infant mortality rate for babies born full-term were 50% to 200% higher than other affluent nations including Austria, Denmark, Finland, Norway, Sweden and Switzerland. In particular, researchers studied more than 10 million full-term infants born in the United States between 2010 and 2012 and discovered that, out of every 5,000 full-term births, 11 newborns died before 1 year old. More than 7,000 babies born between 37 and 42 weeks gestation die in the United States each year, the study showed.

So what’s behind the high infant mortality rate? There are two main causes, according to study co-author Neha Bairoliya of the Harvard Center for Population and Development study: Congenital malformations, which accounted for 31% of newborn deaths during the study, and high risk of sudden unexpected deaths in infancy (SUID), which represented 43% of cases.

“While we do not have data on actual sleeping arrangements from our study, other data sources suggest that a substantial number of babies continue to sleep on their tummy,” Bairoliya tells Reuters. “We also found a shockingly large number of babies dying from suffocation, which suggests that parents either use covers that are not safe, or let children sleep in their own beds.”

(While many parents find co-sleeping works best for them, according to the American Academy of Pediatrics, “infants should sleep in the same bedroom as their parents – but on a separate surface, such as a crib or bassinet, and never on a couch, armchair or soft surface”.)

Though not involved in the study, Michael Gradisar, a psychology researcher at Flinders University in Adelaide, Australia, says its findings illuminate key differences between the United States and Europe when it comes to maternal and infant health. Particularly, Gradisar tells Reuters, different approaches to infant sleep and parental leave between the two continents may influence survival rates among newborns.

“Once a baby is born in the U.S., the odds of that baby dying in its first year from poor sleeping arrangements (sleeping position, co-sleeping) is higher than the best European countries, especially in Scandinavia,” he says. “There are also clear links between paid parental leave, which is higher in Scandinavian countries, and lower infant mortality risk in the first year of life.”

So how can we lower the infant mortality rate in the United States?


Enact a federal paid parental leave law

There are clear links between paid parental leave and a lower infant mortality rate. Studies show paid leave has significant health benefits for parents and their babies that ensure survival: Reduced postpartum depression rates, encourage breastfeeding, and increase the number of infant checkups and vaccinations.

But the United States is the only country, out of 41 developed nations, that doesn’t have a federal paid leave law of any kind. On the other hand, Sweden, one of the nations with a low infant mortality rate, comparatively, offers new parents 480 days of paid leave at 80% of their normal salary.

Increase access to affordable prenatal and neonatal care

Although medical advances have made prenatal and neonatal care more accessible, there is still a large number of women and infants who are not receiving these services. Many mothers, particularly mothers of color, face significant barriers to accessing adequate healthcare for themselves and their children: Lack of insurance, lack of affordable care, unreliable transportation, and financial insecurity, among others. And research shows that babies of mothers who receive late to no prenatal care are five times more likely to die.

Improve training around risk factors

It’s not only the accessibility of care that affects infant mortality rates—it’s also the quality of that care. Research shows that the leading causes of neonatal death include infections, complications during pregnancy and childbirth and congenital abnormalities. But all of these conditions are preventable or can be diagnosed and treated early with better healthcare.

That’s where improved training comes in: A ProPublica investigation published last year found that many postpartum nurses had poor knowledge of the warning signs associated with pregnancy- and childbirth-related complications. By improving training and education, nurses will be better able to educate parents.

Have better support systems for new parents

Parenthood may be rewarding, but it’s also incredibly stressful. There are so many challenges that new mothers face while trying to handle their new responsibilities. Research shows that, without adequate support and services available to parents, the risk for infant mortality is heightened, particularly among underserved populations. Support for new parents could be anything from creating free or affordable activity groups to offering to act as a night babysitter for a few weeks to a few months.

The infant mortality rate is high in the United States compared to other developed countries, but it doesn’t have to be. There are solutions that, when implemented, can have a tremendous influence on a baby’s survival.

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While breastfeeding might seem like a simple task, there are so many pieces to the puzzle aside from your breasts and baby. From securing a good latch, boosting your milk supply and navigating pumping at work or feeding throughout the night, there's a lot that mama has to go through—and a number of products she needs.

No matter how long your nursing journey may be, it can be hard to figure out what items you really need to add to your cart. So we asked our team at Motherly to share items they simply couldn't live without while breastfeeding. You know, those ones that are a total game-changer.

Here are the best 13 products that they recommend—and you can get them all from Walmart.com:

1. Medela Nursing Sleep Bra

"This fuss-free nursing bra was perfect for all the times that I was too tired to fumble with a clasp. It's also so comfy that, I have to admit, I still keep it in rotation despite the fact that my nursing days are behind me (shh!)." —Mary S.

Price: $15.99

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2. Dr. Brown's Baby First Year Transition Bottles

"My daughter easily transitioned back and forth between breastfeeding and these bottles." —Elizabeth

Price: $24.98

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3. Multi-Use Nursing Cover

"When I was breastfeeding, it was important to me to feel like a part of things, to be around people, entertain guests, etc. Especially since so much of being a new mom can feel isolating. So having the ability to cover up but still breastfeed out in the open, instead of disappearing into a room somewhere for long stretches alone to feed, made me feel better."—Renata

Price: $11.99

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4. Lansinoh TheraPearl Breast Therapy Pack

"I suffered from extreme engorgement during the first weeks after delivery with both of my children. I wouldn't have survived had it not been for these packs that provided cold therapy for engorgement and hot therapy for clogged milk ducts." —Deena

Price: $10.25

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5. Medela Quick Clean Breast Pump Wipes

"Being a working and pumping mama, these quick clean wipes made pumping at the office so much easier, and quicker. I could give everything a quick wipe down between pumping sessions. And did not need a set of spare parts for the office." —Ashley

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6. Earth Mama Organic Nipple Butter

"This nipple butter is everything, you don't need to wash it off before baby feeds/you pump. I even put some on my lips at the hospital and it saved me from chapped lips and nips." —Conz

Price: $12.95

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7. Medela Double Electric Pump

"I had latch issues and terrible postpartum anxiety, and was always worried my son wasn't getting enough milk. So I relied heavily on my breast pump so that I could feed him bottles and know exactly how much he was drinking. This Medela pump and I were best friends for almost an entire year" —Karell

Price: $199.99 Receive a $50 gift card with purchase at walmart.com

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8. Lansinoh Disposable Stay Dry Nursing Pads

"I overproduced in the first couple weeks (and my milk would come in pretty much every time my baby LOOKED at my boobs), so Lansinoh disposable nursing pads saved me from many awkward leak situations!" —Justine

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9. Haakaa Silicone Manual Breast Pump

"This has been a huge help in saving the extra milk from the letdown during breastfeeding and preventing leaks on my clothes!" —Rachel

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10. Medela Harmony Breast Pump

"Because I didn't plan to breastfeed I didn't buy a pump before birth. When I decided to try, I needed a pump so my husband ran out and bought this. It was easy to use, easy to wash and more convenient than our borrowed electric pump." —Heather

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11. Milkies Fenugreek

"I struggled with supply for my first and adding this to my regimen really helped with increasing milk." —Mary N.

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12. Lansinoh Breast Milk Storage Bags

"I exclusively pumped for a year with my first and these are hands down the best storage bags. All others always managed to crack eventually. These can hold a great amount and I haven't had a leak! And I have used over 300-400 of these!" —Carla

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13. Kiinde Twist Breastfeeding Starter Kit

"The Kiinde system made pumping and storing breastmilk so easy. It was awesome to be able pump directly into the storage bags, and then use the same bags in the bottle to feed my baby." —Diana

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This article is sponsored by Walmart. Thank you for supporting the brands that support Motherly and mamas.

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Ashley Graham is having a baby! The supermodel recently shared the exciting news on social media — and it didn't take long for her to make an important statement about pregnant bodies.

Ashley shared a beautiful photo featuring something nearly every woman on the planet has: stretch marks. The photo, which features Ashley nude and seemingly unfiltered, is kind of revolutionary—because while it's completely normal for a woman to have stretch marks (especially during pregnancy), we don't often get to see celebrities rocking this reality on magazine covers or even in social media posts.

That's probably why Ashley, who will welcome her firstborn with husband Justin Ervin, is earning so much praise for the photo, which she posted on Instagram. The images shows the model's side with the caption "same same but a little different".

One follower who is loving this real look at a pregnant body? Hillary Scott of Lady Antebellum, who writes "My Lord, THANK YOU for this."

Ashley's post touches another user in an unexpected way: "I'm such a wimp. I'm pregnant, hormonal, and going though so many body changes. This made me tear up. I really needed this today," she writes.

Another user adds: "I showed my husband this photo and he said, 'See! She's just like you' I am almost 21 weeks pregnant and I've been struggling with my changing body. I love how much you embrace it. I've always looked up to you and your confidence. ❤️ Congratulations on your babe!"

Yet another follower adds: "This is what girls need to see. We need this as a reference for real and relatable. Women young and old. Thank you!"

Of course this is social media we're talking about so a few hateful comments make their way into the mix—but Ashley's many advocates shut that down. We have to applaud this stunning mom-to-be for showing the world how pregnancy really changes your body.

Women everywhere can see themselves in this photo of a supermodel (and how often does that happen?). That's powerful stuff—and it just might make it a little bit easier for the rest of us to embrace the changes we see in our own bodies.

One follower sums it all up best, writing: "I CANNOT WAIT for you to be a mother and teach another human being that ALL bodies are beautiful. You're going to be such an amazing mother."

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Finding out that you are having multiples is always a surprise, but finding out that you're in labor with triplets when you didn't even know you were pregnant, well that's the mother of all surprises.

It happened to Dannette Glitz of South Dakota on August 10. The Associated Press reports she had no idea she was pregnant and thought the pain she was experiencing was kidney stones.

"I never felt movement, I never got morning sickness, nothing!" Glitz explains in a social media post.

"Well this was a huge shock"

When Glitz posted photos of her triplets to her Facebook page last week one of her friends was confused. "What? You really had triplets?" they asked.

Glitz (who has two older children) started getting pain in her back and sides in the days before the birth, but it felt like the kidney stones she had previously experienced so she brushed it off. Eventually, she was in so much pain all she could do was lay in bed and cry.

"It hurt to move and even breath[e]," she wrote, explaining that she decided to go to an Urgent Care clinic, "thinking I'm going to have to have surgery to break the stones up."

A pregnancy test at Urgent Care revealed Glitz was pregnant—that was the first surprise. The second surprise happened when a heart monitor revealed the possibility of twins.

'I need another blanket, there's a third'

Glitz was transferred to a regional hospital in Spearfish, South Dakota. "And in about 2 hours they confirmed twins as there was 2 heart beats," she writes.

Glitz was 34 weeks along and four centimeters dilated. She was transferred again, rushed by ambulance to the hospital in Rapid City and prepped for a C-section. When the C-section was happening she heard the doctor announce that Baby A was a boy and Baby B was a girl.

"Then [the doctor] yells 'I need another blanket, there's a third' ....I ended up having triplets, 1 boy [and] 2 girls," Glitz writes.

Glitz and her husband Austin named their surprise children Blaze, Gypsy and Nikki and each of the trio weighed about 4 pounds at birth. Because the couple's older children are school-aged, they didn't have any baby stuff at home. Friends quickly rallied, raising over $2,000 via a Facebook fundraiser to help the family with unexpected expenses.

A family of seven 

The family is getting used to their new normal and is so thankful for the community support and donations. "It's amazing in a small town how many people will come together for stuff that's not expected," Glitz told KOTA TV.

Her oldest, 10-year-old Ronnie, is pretty happy about a trio of siblings showing up suddenly.

"One time I seen a shooting star and I wished for a baby brother, and I wished for like two sisters for my little sister because she always wanted a little sister, I knew this day was always going to come," Ronnie told TV reporters.

Ronnie may not have been surprised, but everyone else in this story certainly was.

Congratulations to Danette and her family! You've got this, mama.

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Orange Is the New Black star Danielle Brooks is pregnant and frustrated. The actress took to Instagram this week to lament the lack of plus-sized options for pregnant people.

"It's so hard to find some clothes to wear today....Although I get to pregnant I still can't find no clothes. It's so hard to find some clothes when you're pregnant," she sings in a lighthearted yet serious video.

"It's so hard to find cute plus size maternity fashion while pregnant, but ima push through," she captioned the clip.

Brooks has been talking a lot this week about the issues people who wear plus size clothing face not just when trying to find clothes but in simply moving through a world that does not support them.

"I feel like the world has built these invisible bullets to bully us in telling us who we're supposed to be and what we're supposed to look like. And I've always had this desire to prove people wrong—to say that this body that I'm in is enough," she told SHAPE (she's on the new cover).

"Now that I'm about to be a mother, it means even more—to make sure that this human being I'm going to bring into the world knows that they are enough," she said.

Danielle Brooks is the body-positive hero we need right now. Now can someone make her some cute maternity clothes, please?

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News

Can pregnancy be contagious among friends? Science says yes, and so do some staff at a hospital in Maine where nine nurses from the Labor & Delivery Unit were all expecting at the same time, and now they are all mamas.

About 5 months ago, after one of the nurses posted a photo of 8 of the 9 mamas-to-be the sweet pic quickly went viral.

Soon local news stations picked up the story of the baby boom on the L&D unit at Maine Medical Center.



"It's really nice coming to work and seeing other people who are just as pregnant and watching their bellies pop and just talking about these experiences that we are going through together," one of the nurses, Amanda Spear, told WMTW.

"I feel like every other day we would come into work and it would be like, 'someone else is pregnant,'" Spear told NBC.

Another of the nurses, Erin Grenier, said that with every pregnancy announcement the staff got more and more excited for each other.

Nurse Brittney Verville couldn't believe the photo she posted to Facebook before resting up for the night shift got thousands of likes and shares. "When we woke up we're like, 'oh my gosh I think we're viral,'" she told NBC.

Now, the mamas are going viral again, as a picture of the babies is blowing up, even making it to CNN.

The youngest is 3 weeks old and the oldest is 3½ months. The mamas are already getting them together for playdates. The photographer who snapped the viral pic, Carly Murray, told CNN she hopes one say these kiddos understand how important the work their mamas do is.

Congrats to the nurse of the Maine Medical Center Labor and Delivery Unit! 🎉

[A version of this post was originally published March 26, 2019. It has been updated.]

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