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Published on: October 10, 2025
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
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.
Abstract:
Preterm birth, defined as a pregnancy ending at less than 37 completed weeks of gestation, is the leading cause of infant mortality in the United States. The occurrence of preterm births rose steadily from 9.4% of all pregnancies in the United States in 1981 to 12.8% in 2006, before declining to 12.7% in 2007 and 12.3% in 2008. Most of the increase was attributable to increases in multiple gestations. Recent research has sought to understand this condition by evaluating its familial occurrence and both clinical and pathologic information to derive an etiologically homogeneous categorization.
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