Epidemiology: the changing face of preterm birth

Mark A Klebanoff1, Sarah A Keim

  • 1Department of Pediatrics, The Ohio State University College of Medicine and Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA. Mark.Klebanoff@nationwidechildrens.org

Clinics in Perinatology
|September 6, 2011
PubMed

Insights

Preterm birth, ending before 37 weeks of gestation, is a leading cause of infant mortality. Research is exploring its familial occurrence and clinical data to better categorize this complex condition.

Area of Science:

  • Obstetrics and Gynecology
  • Neonatal Health
  • Public Health

Background:

  • Preterm birth, delivery before 37 completed weeks of gestation, is the primary cause of infant mortality in the U.S.
  • Preterm birth rates increased from 9.4% in 1981 to 12.8% in 2006, with a slight decline to 12.3% by 2008.
  • Increases in multiple gestations significantly contributed to the rise in preterm births.

Purpose of the Study:

  • To investigate the familial occurrence of preterm birth.
  • To analyze clinical and pathological information related to preterm birth.
  • To develop an etiologically homogeneous categorization for preterm birth.

Main Methods:

  • Evaluation of familial patterns in preterm birth.
  • Review of clinical data associated with preterm births.
  • Analysis of pathological findings in preterm infants.

Main Results:

  • The study aimed to understand the familial occurrence and clinical/pathological aspects of preterm birth.
  • Identified trends in preterm birth rates and contributing factors like multiple gestations.
  • Established a foundation for deriving a more precise categorization of preterm birth.

Conclusions:

  • Preterm birth remains a critical public health issue with complex contributing factors.
  • Further research into familial and clinical data is essential for accurate categorization.
  • Developing homogeneous categories will aid in understanding and potentially preventing preterm birth.

Related Concept Videos

Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
Prevalence and Incidence01:08

Prevalence and Incidence

In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health condition at a...
Introduction to Epidemiology01:26

Introduction to Epidemiology

Epidemiology, known as the cornerstone of public health, involves studying the distribution and determinants of health-related events in defined populations and applying these insights to control health issues. This is essential for understanding how diseases spread, identifying populations at greater risk, and implementing measures to control or prevent outbreaks. Epidemiology addresses not only infectious diseases but also non-communicable conditions like cancer and cardiovascular disease,...
Development of Human Microbiota01:30

Development of Human Microbiota

The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from the skin...
Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility, suggesting a...
Teratogenicity01:07

Teratogenicity

The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...