Preterm birth, an unresolved issue

Jose M Belizán1, Justus Hofmeyr, Pierre Buekens

  • 1Instituto de Efectividad Clínica y Sanitaria (IECS), Buenos Aires, Argentina. belizanj@gmail.com.

Reproductive Health
|November 16, 2013
PubMed

Insights

Premature birth is a major global health challenge, causing neonatal deaths worldwide. Research focuses on interventions to reduce incidence and improve survival rates for preterm infants.

Area of Science:

  • Reproductive Health
  • Neonatal Mortality
  • Global Health

Background:

  • Premature birth affects 11.1% of global live births, with increasing rates and survival disparities between developed and developing nations.
  • It remains a critical unresolved issue, driving research into uterine function, 'omics' technologies, and implementation science.

Discussion:

  • The 'Born Too Soon' supplement in Reproductive Health highlights preconception and pregnancy factors increasing preterm birth risk.
  • It also outlines interventions to decrease incidence and enhance preterm infant survival.

Key Insights:

  • Addressing preterm birth is crucial for achieving child survival goals (Millennium Development Goal 4).
  • Interventions can potentially improve preterm infant survival rates significantly.

Outlook:

  • Continued research into uterine quiescence, activation, and advanced 'omics' approaches is vital.
  • Implementation science is key to translating research findings into effective global interventions for preterm birth prevention and improved neonatal outcomes.

Related Concept Videos

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...
4.2K
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,...
73
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,...
3.9K
Fetal Circulation01:14

Fetal Circulation

Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
5.1K
Neurulation01:30

Neurulation

Neurulation is the embryological process which forms the precursors of the central nervous system and occurs after gastrulation has established the three primary cell layers of the embryo: ectoderm, mesoderm, and endoderm. In humans, the majority of this system is formed via primary neurulation, in which the central portion of the ectoderm—originally appearing as a flat sheet of cells—folds upwards and inwards, sealing off to form a hollow neural tube. As development proceeds, the...
40.4K
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...
68