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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Research agenda for preterm birth: recommendations from the March of Dimes
Nancy S Green1, Karla Damus, Joe Leigh Simpson
1March of Dimes, White Plains, NY, USA. ngreen@modimes.org
Insights
Preventing preterm birth requires focused research into its complex causes, including genetics and environmental factors. This agenda prioritizes key areas to reduce the burden of premature births on infants and families.
Area of Science:
- Perinatology
- Public Health
- Genetics
Background:
- Preterm birth (PTB) affects 1 in 8 US births, with severe consequences for very preterm infants (<32 weeks' gestation).
- PTB presents a significant health and economic burden, necessitating urgent research and prevention strategies.
Purpose of the Study:
- To present a prioritized research agenda for PTB prevention.
- To guide expanded resources and research efforts toward understanding and mitigating PTB.
Main Methods:
- Development of a research agenda by the March of Dimes Scientific Advisory Committee.
- Identification of six key research categories: epidemiology, genetics, disparities, inflammation, biologic stress, and clinical trials.
Main Results:
- The agenda emphasizes the complex interplay of genetic, environmental, social, and behavioral factors in PTB.
- It highlights the need for new technologies and multipronged risk reduction strategies.
Conclusions:
- Advancing PTB prevention requires integrated scientific discovery and clinical translation.
- Adequately funded research is crucial for making significant inroads into reducing PTB rates.
Abstract:
Preterm birth (PTB) is a common, serious, and costly health problem affecting nearly 1 in 8 births in the United States. Burdens from PTB are especially severe for the very preterm infant (<32 weeks' gestation), comprising 2% of all US births. Successful prevention needs to include newly focused and adequately funded research, incorporating new technologies and recognition that genetic, environmental, social, and behavioral factors interact in complex pathogeneses and multiple pathways leading to PTB. The March of Dimes Scientific Advisory Committee created this prioritized research agenda, which is aimed at garnering serious attention and expanding resources to make major inroads into the prevention of PTB, targeting six major, overlapping categories: epidemiology, genetics, disparities, inflammation, biologic stress, and clinical trials. Analogous to other common, complex disorders, progress in prevention will require incorporating multipronged risk reduction strategies that are based on sound scientific discovery, as well as on effective translation into clinical care.
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