News From Terre Haute, Indiana

News Columns

November 11, 2013

Pence eyes reducing infant mortality as key legislative goal for administration

INDIANAPOLIS — Indiana Gov. Mike Pence opened the state’s Infant Mortality Summit last week by sharing a personal story: He and his wife had struggled with infertility issues early in their marriage, so the eventual arrival of their three children was met with deep gratitude and appreciation.

“Anybody who knows me, knows I have Ph.D. in ‘Dad,’” he said. Pence went on to promise his audience of public health officials that a key goal of his administration will be to reduce the number of babies in Indiana dying before their first birthday.

It’s an ambitious goal. Over the last decade, Indiana’s has dropped from 32nd to 45th in the nation in infant mortality rates. A ranking that Pence called “deplorable.”

There are multiple causes for the state’s high rate, of 7.7 deaths for every 1,000 live births, with many linked to the state’s poor overall health and the lack of access to health care.

A majority of babies less than 1-year-old die due to complications related to birth defects, premature births or a mother’s weight, age or illness. More Hoosier women smoke while pregnant — almost 17 percent in Indiana versus 9 percent nationally — and they’re more likely to obese.

Indiana mothers are also less likely to breastfeed; more likely to sleep in the same bed with their infants, putting babies at risk for suffocation; and increasingly likely to have doctors who are electing, for convenience rather than medical need, to deliver babies before they reach full term. Also: more than one-third of pregnant women in Indiana don’t get any prenatal care during the critical first trimester.

“Indiana is consistently one of the worst in the U.S.,” said Indiana Health Commissioner William VanNess. “It’s not that a lot of good people haven’t worked on this, but we haven’t been able to stop the heartbreak.”

VanNess’ efforts to elevate the issue are critical, because it will take an infusion of resources to make an impact. So far, both Pence and the Indiana General Assembly have been averse to expanding health care coverage to the uninsured, and have worked to prevent Medicaid dollars from going to women’s health clinics like Planned Parenthood because they also provide abortions.

Some advice for how to handle the politics of infant mortality was offered by another summit speaker: Texas health commissioner and Indiana native Dr. David Lakey, who told the audience: “We have a moral obligation to confront this issue.”

To do so in his state, he had to convince conservative lawmakers to restore the funding for primary health care for low-income women that was slashed as part of a bitter battle to remove abortion-affiliated providers, namely Planned Parenthood, from the state’s health program.

Earlier this year, the Texas legislature agreed to do so, by offsetting the impact of those cuts with the largest financial package for women’s health services in state history, increasing spending by more than $100 million. The state plans to spend 60 percent of its primary care expansion dollars on family planning services, and provide wraparound benefits, including prenatal and dental care for pregnant women, which are not covered by other public programs.

Lakey said Texas legislators were persuaded to restore the funding in part by an economic argument: Nearly 60 percent of all births in Texas are paid for by the state’s Medicaid dollars, and the average cost to the state Medicaid program for a prematurely born baby is $71,000.

What also worked: Lakey convinced Texas legislators that reducing infant mortality was a noble cause that would appeal to voters back home.  

“I don’t think there is a cause that can line folks up better than to talk about increasing the chances that every baby born in your state will have a healthy, happy first birthday,” Lakey said. “Who can argue that’s not a role government should play?”

1
Text Only | Photo Reprints
News Columns
Latest News
TribStar.com Poll
AP Video
Rodents Rampant in Gardens Around Louvre US Ready to Slap New Sanctions on Russia Girl Struck by Plane on Florida Beach Dies Raw: 2 Shells Hit Fuel Tank at Gaza Power Plant Raw: Massive Explosions From Airstrikes in Gaza Looming Demand Could Undercut Flight Safety Giant Ketchup Bottle Water Tower Up for Sale Kerry: Not Worried About Israeli Criticism House to Vote on Slimmed-down Bill for Border Boater Rescued From Edge of Kentucky Dam Raw: Earthquake Rocks Mexico's Gulf Coast Easier Nuclear Construction Promises Fall Short Kerry: Humanitarian Cease-fire Efforts Continue Judge OKs Record-setting $2B Sale of Clipper Mother of 2 Makes NFL Cheerleading Squad at 40 Fox Dons 'Bondage Strap' Skirt at Comic-Con Raw: Massive Dust Storm Covers Phoenix Gaza Official: at Least 100 Killed Tuesday Raw: Airstrike Shatters Fragile Calm in Gaza Raw: NH Man Held on $1M in Teen's Kidnapping
NDN Video
Weird 'Wakudoki' Dance Launches Promotional Competition Two women barely avoid being hit by train Chris Pratt Adorably Surprises Kids at a 'Guardians of the Galaxy' Screening Chapter Two: Designing for Naomi Watts NOW TRENDING: Peyton Manning dancing at practice "The Bachelorette" Makes Her Decision Thieves pick the wrong gas station to rob Golden Sisters on '50 Shades' trailer: 'Look At That Chest!' Staten Island Man's Emotional Dunk Over NYPD Car - @TheBuzzeronFOX GMA: Dog passes out from excitment to see owner Baseball Hall of Famers Inducted 'Hunger Games: Mockingjay Part 1' Sneak Peek Florida Keys Webcam Captures Turtles Hatching Morgan Freeman Sucks Down Helium on 'Tonight Show' Robin Wright Can Dance! (WATCH) She's Back! See Paris Hilton's New Carl's Jr. Ad Big Weekend For Atlanta Braves In Cooperstown - @TheBuzzeronFox Chapter Two: Becoming a first-time director What's Got Jack Black Freaking Out at Comic-Con? Doctors Remove 232 Teeth From Teen's Mouth
Parade
Magazine

Click HERE to read all your Parade favorites including Hollywood Wire, Celebrity interviews and photo galleries, Food recipes and cooking tips, Games and lots more.
  • -

     

    March 12, 2010

activity