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. 2018 Oct 17;36(1):121–138. doi: 10.1007/s10815-018-1333-z

Table 7.

Distribution of infant, neonatal, and postneonatal mortality by plurality: leading causes of infant death

All US births* Study singletons Study twins
ICD-10 Rank Number % of total Rank Number % of total Rank Number % of total
Codes Deaths Deaths Deaths
Infant mortality (birth to 364 days)
All causes 23,161 8657 2404
Congenital malformations, deformations, and chromosomal abnormalities Q00-Q99 1 4816 20.8 1 2200 25.4 2 317 13.2
Disorders related to short gestation and low birthweight P07 2 3927 17.0 2 884 10.2 1 459 19.1
Sudden infant death syndrome R95 3 1500 6.5 3 679 7.8 8 68 2.8
Newborn affected by maternal complications of pregnancy P01 4 1402 6.1 4 268 3.1 3 232 9.7
Accidents (unintentional injuries) V01-X59 5 1219 5.3 5 421 4.9 9 30 1.2
Newborn affected by complications of placenta, cord, and membranes P02 6 841 3.6 6 242 2.8 7 101 4.2
Bacterial sepsis of newborn P36 7 583 2.5 7 246 2.8 6 121 5.0
Respiratory distress of newborn P22 8 488 2.1 8 245 2.8 4 157 6.5
Diseases of the circulatory system I00-I99 9 460 2.0 9 211 2.4 9 44 1.8
Neonatal hemorrhage P50-P52, P54 10 398 1.7 10 199 2.3 5 119 5.0
Neonatal mortality (birth to 27 days)
All causes 15,282 5202 1855
Disorders related to short gestation and low birthweight P07 1 3855 25.2 2 819 15.7 1 424 22.9
Congenital malformations, deformations, and chromosomal abnormalities Q00-Q99 2 3394 22.2 1 1482 28.5 2 251 13.5
Newborn affected by maternal complications of pregnancy P01 3 1389 9.1 3 256 4.9 3 227 12.2
Newborn affected by complications of placenta, cord, and membranes P02 4 829 5.4 5 228 4.4 7 99 5.3
Bacterial sepsis of newborn P36 5 555 3.6 6 212 4.1 6 105 5.7
Respiratory distress of newborn P22 6 479 3.1 4 229 4.4 4 150 8.1
Neonatal hemorrhage P50-P52, P54 7 391 2.6 7 187 3.6 5 110 5.9
Intrauterine hypoxia and birth asphyxia P20-P21 8 331 2.2 8 134 2.6 10 19 1.0
Necrotizing enterocolitis of newborn P77 9 303 2.0 9 118 2.3 8 54 2.9
Atelectasis P28.0-P28.1 10 261 1.7 10 77 1.5 9 34 1.8
Postneonatal mortality (28–364 days)
All causes 7879 3449 544
Congenital malformations, deformations, and chromosomal abnormalities Q00-Q99 1 1422 18.0 1 718 20.8 1 65 11.9
Sudden infant death syndrome R95 2 1380 17.5 2 605 17.5 2 62 11.4
Accidents (unintentional injuries) V01-X59 3 1084 13.8 3 339 9.8 6 25 4.6
Diseases of the circulatory system I00-I99 4 361 4.6 4 154 4.5 5 26 4.8
Assault (homicide) X85-Y09 5 253 3.2 5 96 2.8 10 7 1.3
Diarrhea and gastroenteritis of infectious origin A09 6 205 2.6 7 41 1.2 8 22 4.0
Septicemia A40-A41 7 190 2.4 6 83 2.4 7 23 4.2
Influenza and pneumonia J09-J18 8 164 2.1 8 70 2.0 9 14 2.6
Chronic respiratory disease originating in the perinatal period P27 9 89 1.1 10 59 1.7 4 30 5.5
Disorders related to short gestation and low birthweight P07 10 72 0.9 9 65 1.9 3 32 5.9

*2016 deaths, from Heron M. Deaths: Leading Causes for 2016. National Vital Statistics Reports, July 26, 2018, vol. 67, no. 6, pp. 1–77