Preterm birth: high vulnerability and no resiliency? Reflections on van Lieshout et al. (2018)

Dieter Wolke1

  • 1Department of Psychology and Warwick Medical School, University of Warwick, Coventry, UK.

Insights

Globally, 15 million babies are born preterm (<37 weeks gestation) annually, with significant survival rates due to advanced neonatal care. Very preterm infants (<32 weeks gestation) require extended neonatal intensive care before discharge.

Area of Science:

  • Neonatal Medicine
  • Perinatal Epidemiology
  • Public Health

Background:

  • Preterm birth (<37 weeks gestation) affects 15 million newborns globally each year, accounting for 11% of all live births.
  • In the UK, approximately 7% of births are preterm, with 15% of these being very preterm (VPT) or very low birth weight (VLBW).
  • Despite improved survival rates due to advances in antenatal and neonatal care, prematurity remains a leading cause of infant mortality.

Purpose of the Study:

  • To highlight the global and UK-specific incidence of preterm birth.
  • To underscore the challenges and prolonged care requirements for very and extremely preterm infants.

Main Methods:

  • Analysis of global and UK birth statistics.
  • Review of current advancements in neonatal intensive care.

Main Results:

  • 15 million preterm births occur globally each year.
  • UK preterm birth rate is around 7%, with 15% classified as VPT or VLBW.
  • Very and extremely preterm infants often require prolonged neonatal care.

Conclusions:

  • Preterm birth is a significant global health concern.
  • Advances in neonatal care have improved survival but do not eliminate the need for extensive care for vulnerable infants.
  • Further research and interventions are needed to address the long-term outcomes and care needs of preterm infants.

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