Global burden of prematurity

Margo S Harrison1, Robert L Goldenberg1

  • 1Department of Obstetrics & Gynecology, Columbia University Medical Center, New York, NY, USA.

Insights

Preterm birth (PTB) affects 15 million babies annually, causing significant neonatal and childhood mortality. This review examines PTB epidemiology, causes, and interventions to improve outcomes globally.

Area of Science:

  • Obstetrics and Gynecology
  • Neonatology
  • Global Health

Background:

  • Preterm birth (PTB) is a major global health challenge, leading to significant infant morbidity and mortality.
  • Prematurity is the primary cause of death for newborns and children up to five years old worldwide.
  • Approximately 11% of global deliveries, totaling 15 million births annually, result in preterm birth, with rates increasing in many regions.

Purpose of the Study:

  • To provide a comprehensive overview of the global epidemiology and etiology of preterm birth (PTB).
  • To analyze survival rates by gestational age for preterm infants.
  • To review effective interventions and preventative strategies for PTB, particularly in high-burden countries.

Main Methods:

  • This is a review article, synthesizing existing data and literature on preterm birth.
  • Epidemiological data, etiological factors, survival statistics, and intervention outcomes were compiled from global sources.
  • Focus on high-burden countries to identify effective strategies.

Main Results:

  • Preterm birth remains the leading cause of neonatal and childhood mortality globally.
  • An estimated 15 million babies are born preterm each year, representing about 11% of all births.
  • Preterm birth rates are increasing in most countries, highlighting an urgent need for intervention.

Conclusions:

  • Preterm birth poses a critical and growing threat to global child survival.
  • Understanding the epidemiology and etiology is crucial for developing targeted interventions.
  • Implementing evidence-based preventative measures and improving care for preterm infants are essential to reduce mortality and morbidity.

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