Considering how some areas, like DC, have infant mortality rates the level of third world countries, the trend is unsurprising.
DC is fairly high for the US, but in 2010, the latest year I was able to find that sort of information for all states, Mississippi and Alabama had even higher rates and DC has managed to bring its rate down since 2010.
http://www.cdc.gov/nchs/pressroom/states/INFANT_MORTALITY_RATES_STATE_2010.pdfhttp://mayor.dc.gov/release/mayor-vincent-c-gray-and-dc-department-health-announce-continued-decrease-district%E2%80%99s-infantIt is odd that you'd pick DC to be your poster child for infant mortality. While there are exceptions of course, infant mortality doesn't appear to be concentrated in urban (or rural) areas. If one were to make a generalization from the data, it tends to be higher in red states like Alabama, Indiana, and Wyoming and lower in blue states like Vermont, New York, and California. (Tho the state with the lowest rate is Alaska.)