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Published on: January 12, 2018
Describing the Increase in Preterm Births in the United States, 2014-2016
Insights
Preterm birth, before 37 weeks gestation, poses significant health risks. Recent US data (2014-2016) show an increasing trend in preterm births after a prior decline.
Area of Science:
- Neonatal Health
- Public Health Surveillance
- Reproductive Epidemiology
Background:
- Preterm birth (before 37 weeks gestation) is linked to increased infant mortality and developmental issues.
- US preterm birth rates increased until 2006, decreased from 2007-2014, and have recently begun rising again.
- Understanding current trends is crucial for public health interventions.
Purpose of the Study:
- To describe trends in total, early (<34 weeks), and late (34-36 weeks) preterm births.
- To analyze these trends by plurality, maternal race/Hispanic origin, and state of residence.
- To provide updated data for the 2014-2016 period.
Main Methods:
- Analysis of national birth data for the years 2014-2016.
- Stratification of preterm birth rates by gestational age categories (early and late).
- Examination of demographic factors (plurality, race/Hispanic origin) and geographic variations (state).
Main Results:
- The overall preterm birth rate showed an upward trend during 2014-2016.
- Trends varied across different states and demographic subgroups.
- Early preterm births (<34 weeks) and late preterm births (34-36 weeks) exhibited distinct patterns.
Conclusions:
- The recent resurgence in preterm birth rates warrants attention and further investigation.
- Disparities in preterm birth exist across maternal demographics and geographic locations.
- Continued monitoring and targeted strategies are necessary to address preterm birth trends.
Abstract:
Infants born before 37 weeks of gestation, commonly referred to as preterm, are at greater risk of early death than those born later in pregnancy and can suffer numerous health and developmental problems, especially at earlier gestational ages (1-3). The incidence of preterm birth in the United States rose from the early 1980s through 2006 but declined from 2007 through 2014 (4-6). Recent data for 2014-2016, however, indicate that the preterm rate is on the rise again (6). This report describes trends in total, early (less than 34 weeks), and late (34-36 weeks) preterm births by plurality, race and Hispanic origin of the mother, and state of residence during 2014-2016.
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