Fighting for the next generation: US Prematurity in 2030

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.