A Systematic Review: The Prenatal and Postnatal Events Associated with Infant Mortality Rate (IMR)

Infant mortality rate (IMR) is an indication of overall population health, maternal and child health, accessibility and quality of primary health care, and the availability of community resources. The current IMR in the United States is high despite advances made in the medical field. The purpose of our systematic review is to describe and critically appraise research about prenatal events, postnatal events, and increased infant mortality rate and to give nursing practice recommendations to help decrease the rate. We used CINAHL, Medline and PubMed to find 20 research articles. Overall, the research stated that going to prenatal visits had a direct correlation to the outcomes of the infant after delivery, the importance of patient teaching after delivery is imperative to help prevent infant deaths through sudden infant death syndrome (SIDS), and that smoking before, during, or after pregnancy puts both the mother and infant at risk for a multitude of complications including ones that lead to infant death. Limitations across studies included small sample sizes, self-reported data, small population sizes, and government statistics being used to determine causation of death in infants