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Published on: November 20, 2015
Increasing rates of prematurity and epidemiology of late preterm birth
Jeanie L Y Cheong1, Lex W Doyle
1Neonatal Services, Royal Women's Hospital, Parkville, Victoria, Australia. cheong@thewomens.org.au
Insights
Late preterm births (34-36 weeks) are rising in Australia, posing significant health and educational challenges. Further research is crucial to understand risks and developmental deficits in these infants.
Area of Science:
- Public Health
- Neonatalogy
- Developmental Pediatrics
Background:
- Preterm birth rates in Australia have increased over the past two decades.
- Late preterm births (34-36 weeks gestation) account for 70% of all preterm births, totaling approximately 16,000 annually.
- Potential contributing factors include increasing maternal age, assisted reproductive technologies, and multiple births.
Purpose of the Study:
- To highlight the rising trend of late preterm births in Australia.
- To underscore the associated health and developmental risks for affected children.
- To emphasize the need for further research into risk factors and developmental deficits.
Main Methods:
- This study is an observational analysis of preterm birth trends.
- Data analysis focuses on the incidence and implications of late preterm births.
- Literature review on potential aetiologies and long-term outcomes.
Main Results:
- Late preterm births represent a significant and growing proportion of preterm births in Australia.
- Children born late preterm face increased mortality, morbidity (e.g., respiratory difficulties), and long-term developmental issues.
- The public health and educational impact is substantial.
Conclusions:
- The rise in late preterm births presents a considerable public health concern.
- Understanding risk factors is essential for early identification and intervention.
- Further research is imperative to mitigate the long-term consequences for affected children.
Abstract:
Preterm birth rates in Australia have risen in the last two decades, mostly accounted for by the rise in late preterm births. Late preterm births (34-36 weeks) comprise 70% of all preterm births, which translates to approximately 16,000 births annually in Australia. The precise causes for this trend are unclear; however, possible aetiologies include increasing maternal age, increased use of artificial reproductive technologies and increased multiple births. Compared with term-born children, late preterm children not only have increased mortality and in-hospital morbidity including respiratory difficulties, but also long-term cognitive, school performance, behaviour and psychiatric problems. The potential public health and educational burden of late preterm birth is considerable. More research is required in this area to understand the risk factors for late preterm birth and to help identify those children at highest risk of developmental deficits.
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