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Updated: Jul 9, 2026

Biochemical Measurement of Neonatal Hypoxia
Published on: August 24, 2011
Biochemical markers for the prediction of preterm delivery
1Department of Obstetrics and Gynecology, University of Missouri-Kansas City, 2301 Holmes, Kansas City, MO 64108, USA. jyeast@saint-lukes.org
Insights
Spontaneous preterm birth remains a significant global health challenge, contributing to infant illness and death. Despite medical advancements, its frequency has not decreased over the last fifty years.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Perinatal Medicine
- Public Health
Background:
- Preterm delivery is a leading cause of infant mortality and morbidity worldwide.
- In the U.S., approximately 1 in 8 infants are born prematurely.
- While some preterm births are medically indicated, spontaneous preterm births remain a persistent issue.
Purpose of the Study:
- To highlight the ongoing impact of preterm delivery on perinatal health outcomes.
- To underscore the stagnation in spontaneous preterm birth rates over the past five decades.
Main Methods:
- Analysis of global and national statistics on preterm birth rates.
- Review of trends in indicated versus spontaneous preterm deliveries.
- Examination of historical data spanning the last 50 years.
Main Results:
- Preterm delivery is identified as the primary factor in perinatal morbidity and mortality globally.
- The rate of spontaneous preterm birth in the United States has shown no significant change over the last 50 years.
Conclusions:
- Spontaneous preterm birth represents a critical, unresolved challenge in perinatal medicine.
- Further research and interventions are needed to address the persistent rates of preterm birth.
Abstract:
Preterm delivery is the largest contributor to perinatal morbidity and mortality throughout the world. In the United States, nearly 1 in every 8 infants is born prematurely. Although a portion of these births are indicated preterm deliveries, the frequency of spontaneous preterm birth has remained largely constant over the past 50 years.
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