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[Epidemiology of preterm birth: Prevalence, recent trends, short- and long-term outcomes]

H Torchin1, P-Y Ancel2, P-H Jarreau3

  • 1Équipe de recherche en épidémiologie obstétricale, périnatale et pédiatrique, Inserm U1153, centre de recherche d'épidémiologie et statistique, Sorbonne Paris-Cité, bâtiment Port-Royal, 53, avenue de l'Observatoire, 75014 Paris, France; DHU risques et grossesse, 53, avenue de l'Observatoire, 75014 Paris, France.

Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|July 6, 2015
PubMed

Insights

Globally, 15 million babies are born preterm annually. Careful monitoring of all preterm infants is crucial due to significant risks of mortality and long-term disabilities, varying by gestational age.

Area of Science:

  • Neonatal Medicine
  • Pediatric Health
  • Public Health

Context:

  • Preterm birth affects approximately 15 million newborns globally each year, with rates around 11%.
  • Preterm infants are categorized by gestational age: moderate (32-36 weeks), very (28-31 weeks), and extremely preterm (<28 weeks).
  • While neonatal mortality is declining, it remains substantial and is strongly linked to gestational age at birth.

Purpose:

  • To highlight the critical need for monitoring all preterm infants, regardless of gestational age.
  • To underscore the importance of understanding the prognosis and potential outcomes for preterm babies.
  • To address the significant disparities in care and outcomes between and within countries.

Summary:

  • Preterm birth, occurring before 37 weeks of gestation, impacts millions worldwide annually.
  • Neonatal mortality and severe morbidities, including developmental disabilities, are significantly higher in preterm infants and increase with lower gestational age.
  • The risk of motor or cognitive impairment is notably higher even in late preterm infants (34-36 weeks) compared to full-term infants.

Impact:

  • Emphasizes the necessity for vigilant monitoring and care for all preterm infants to mitigate risks.
  • Promotes greater awareness among healthcare professionals regarding the diverse outcomes and prognoses associated with preterm birth.
  • Calls attention to the global and national inequities in healthcare access and outcomes for preterm infants.

Keywords:
EpidemiologyMorbidité à court et moyen termePreterm birthPrématuritéShort- and long-term morbiditySurvieSurvivalÉpidémiologie

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