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Fighting for the next generation: US Prematurity in 2030

Edward R B McCabe1, Gerard E Carrino2, Rebecca B Russell2

  • 1March of Dimes Foundation, White Plains, New York emccabe@marchofdimes.org.

Pediatrics
|November 5, 2014
PubMed

Insights

Preterm birth (PTB) remains a significant concern in the US, affecting 1 in 9 newborns. Achieving an aspirational goal of 5.5% PTB by 2030 is possible and crucial for infant health.

Area of Science:

  • Neonatal Health
  • Public Health Initiatives
  • Maternal-Fetal Medicine

Background:

  • Preterm birth (PTB) affects over 450,000 US neonates annually, with rates peaking at 12.8% in 2006.
  • Despite a decline to 11.4% by 2013, PTB remains a leading cause of neonatal mortality and lifelong disability.
  • The societal cost of PTB is substantial, estimated at over $26.2 billion annually.

Purpose of the Study:

  • To address the persistent challenge of preterm birth in the United States.
  • To advocate for a reduction in the national preterm birth rate.
  • To establish a benchmark for improved neonatal outcomes.

Main Methods:

  • Analysis of national preterm birth rate trends since 1980.
  • Benchmarking US PTB rates against Very High Human Development Index (VHHDI) countries.
  • Review of successful PTB reduction strategies in comparable nations.

Main Results:

  • The US experienced a significant rise in PTB from 1980 until 2006.
  • The US PTB rate, though declining, remains high compared to other VHHDI countries.
  • An aspirational goal of 5.5% PTB by 2030 is proposed, aligning with rates achieved in top-performing VHHDI nations.

Conclusions:

  • The current US preterm birth rate is unacceptably high, leading to significant morbidity and mortality.
  • Achieving a 5.5% preterm birth rate by 2030 is an attainable and critical goal for improving neonatal health.
  • This ambitious target, achievable with optimal care, will enhance the start of life for future generations.

Keywords:
infantneonatesprematuritypreterm birthpreterm birth rate

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