Goals and strategies for prevention of preterm birth: an obstetric perspective

Christopher T Lang1, Jay D Iams

  • 1Department of Obstetrics and Gynecology, Division of Maternal-Fetal medicine, The Ohio State University College of Medicine, Columbus, OH 43210, USA. ctlmed1@aol.com

Insights

Complications from preterm birth are now the leading cause of infant death in the US. This review highlights risks and opportunities for improving fetal and infant health outcomes.

Area of Science:

  • Obstetrics and Gynecology
  • Neonatology
  • Public Health

Background:

  • Complications of prematurity have surpassed congenital malformations as the primary cause of infant mortality in the United States.
  • A concerning, steady increase in preterm birth rates since 1990 has alarmed healthcare professionals across disciplines.

Purpose of the Study:

  • To review the issue of preterm birth from a prenatal perspective.
  • To identify risks and opportunities for enhancing the health of fetuses, newborns, and infants.

Main Methods:

  • Literature review focusing on prenatal factors and outcomes.
  • Analysis of fetal and live-born outcomes related to prematurity.

Main Results:

  • Preterm birth complications are the leading cause of infant mortality in the US.
  • There has been a consistent rise in preterm births since 1990.

Conclusions:

  • The rising trend in preterm birth necessitates urgent attention and intervention.
  • Improving prenatal care and addressing prematurity risks are crucial for reducing infant mortality and improving infant health outcomes.

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