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This article has been peer reviewed. It is the authors' final version prior to publication in Delaware medical journal Volume 80, Issue 8, August 2008, Pages 289-292. The published version is available at Copyright © Medical Society of Delaware.


Delaware's high infant mortality rate continues to be driven by an increasing number of premature births. Premature birth is a complex problem with both social and medical roots. Based on the CDC road map, programs aimed at improving preconception health of women of childbearing age are blossoming in Delaware. In addition, Delaware's infant mortality rate can only be reduced if we are able to diminish disparities in health care delivery, and improve the social factors influencing infant mortality. These factors include diminishing family support, low high school graduation rate, poor housing, and a lack of health insurance.

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