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Related Experiment Video

Updated: Dec 25, 2025

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Preterm Birth: Two Startling Trends, One Call to Action.

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The United States faces a worsening preterm birth crisis, with rates increasing for four consecutive years. This trend disproportionately affects women of color and coincides with rising pregnancy-related deaths, demanding urgent, systemic solutions.

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Area of Science:

  • Public Health
  • Maternal and Child Health
  • Demography

Background:

  • The United States has experienced a continuous rise in preterm births (births at <37 weeks' gestation) since 2014.
  • This increase is occurring alongside a more than doubling of pregnancy-related mortality rates over the past 25 years.
  • Significant racial and ethnic disparities exist, with women of color facing higher risks of preterm birth and maternal mortality.

Purpose of the Study:

  • To highlight the concerning trends in preterm births and pregnancy-related deaths in the US.
  • To underscore the inequitable impact of these outcomes on racial and ethnic minority populations.
  • To advocate for a new, systems-level approach to address these public health crises.

Main Methods:

  • Analysis of data released by the Centers for Disease Control and Prevention (CDC) for 2018.
  • Review of the March of Dimes annual report card assessing national outcomes.
  • Examination of trends in preterm birth rates and pregnancy-related mortality over time.

Main Results:

  • A fourth consecutive annual increase in preterm births was reported for 2018.
  • The national preterm birth outcome received a "C" grade from March of Dimes.
  • Pregnancy-related deaths have more than doubled in the US over 25 years, with Black, American Indian, and Alaska Native women at 2-3 times higher risk than white women.

Conclusions:

  • The persistent rise in preterm births and maternal mortality necessitates a reevaluation of current strategies.
  • Addressing the crisis requires acknowledging and rectifying the disproportionate burden on minority women.
  • Population-based, systems-level interventions are crucial for improving maternal and infant health outcomes.