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Epidemiology of preterm birth
Stephanie E Purisch1, Cynthia Gyamfi-Bannerman1
1Department of OBGYN, Division of Maternal-Fetal Medicine, Columbia University Medical Center, New York, NY.
Preterm birth affects 15 million globally each year. This review examines global and US trends, focusing on disparities in incidence, gestational age, and causes across diverse populations.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Epidemiology
Background:
- Preterm birth is a significant global health issue, with 15 million cases annually.
- Despite a recent decline in the United States, approximately 1 in 10 US infants are born preterm.
- Significant variations exist in preterm birth rates, gestational age, and causes across racial, ethnic, and geographic groups.
Purpose of the Study:
- To review the epidemiology of preterm birth globally and within the United States.
- To analyze temporal trends in preterm birth rates.
- To highlight racial, ethnic, and geographic disparities in preterm birth.
Main Methods:
- Literature review of epidemiological studies on preterm birth.
- Analysis of global and US incidence data.
- Examination of temporal trends and subgroup variations.
Main Results:
- Preterm birth remains a major global health concern.
- The United States has seen a modest decline in preterm birth rates.
- Substantial disparities persist across racial, ethnic, and geographic lines.
Conclusions:
- Understanding preterm birth epidemiology is crucial for targeted interventions.
- Addressing disparities is essential to reduce the global burden of preterm birth.
- Continued monitoring of trends and disparities is necessary.
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