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Prematurity--infant mortality: the scourge remains

Diane Ashton1

  • 1March of Dimes National Office, 1275 Mamaroneck Ave, White Plains, NY 10605, USA. dashton@marchofdimes.com

Ethnicity & Disease
|June 16, 2006
PubMed

Insights

Preterm birth significantly impacts African-American families, with rates increasing over two decades. Addressing this public health crisis requires research beyond prenatal care to improve pregnancy outcomes.

Area of Science:

  • Public Health
  • Neonatal Health
  • Reproductive Health

Background:

  • Preterm birth is a significant health issue, disproportionately affecting African-American families in the U.S.
  • It is a leading cause of neonatal death and highlights racial disparities in health outcomes.
  • Preterm birth rates have risen substantially, from 9.5% in 1982 to 12.3% in 2003.

Purpose of the Study:

  • To highlight the escalating rates and racial disparities in preterm birth.
  • To emphasize the need for expanded research and interventions for improved pregnancy outcomes.
  • To advocate for healthcare approaches addressing women's needs before pregnancy.

Main Methods:

  • Analysis of national preterm birth statistics over a 20-year period (1982-2003).
  • Comparison of preterm birth likelihood between African-American infants and the general U.S. infant population.
  • Review of public health challenges and economic costs associated with prematurity.

Main Results:

  • Preterm birth rates increased by 30% between 1982 and 2003.
  • In 2003, 1 in 6 African-American infants were born premature, compared to 1 in 8 for all U.S. infants.
  • Preterm birth remains a primary driver of neonatal mortality in African-American newborns.

Conclusions:

  • Preterm birth and associated infant mortality are critical public health concerns, particularly for African-American populations.
  • Effective interventions require comprehensive social, clinical, and scientific research.
  • Healthcare strategies must extend beyond prenatal care to address pre-conception health needs.

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