Infant mortality rates in the United States as a whole have been dropping, but South Dakota has seen a rise in recent years. Since 2000, South Dakota has seen an average infant mortality rate of 7 (infant mortality rate defined as the number of deaths between birth and one year out of 1000 births), edging out the national average of 6.8, and considerably higher than surround states of North Dakota (5.9), Minnesota (5), Iowa (5.2), Nebraska (5.9) and Montana (6).