Tuesday, April 2, 2013

U.S. Tops Thailand in preterm delivery

In the United States, commonly known as a "miracle" that babies, children born several weeks, even months, before the due date to enter the world. With modern medicine, the assumption is that most newborns will survive and thrive if they are lucky enough to receive expensive neonatal care. But the appearance of a vast global study released on May 2 as far as destroying a problem with the 15 million babies are born prematurely each year worldwide, causing 1.1 million deaths and a low cost solution that can prevent ambitious report, led by the March of Dimes ,. Save the Children, and World Health Organization-backed Partnership for Maternal, Newborn and Child, the first time comparative national rate of preterm birth in 184 countries. Ranking the U.S. is not satisfied as well, falling between Thailand and Timor-Leste with a preterm birth rate of 12 per 100 live births. That puts the U.S. in 54th place, with 130 countries faring well. Like so much else in the U.S., there are racial differences: The rate for black Americans is about 17.5 percent, while white Americans have a 10.9 percent chance of premature birth. (Not surprisingly, there is an age gap, too, with the mother more than 40 years and under 17 are most at risk of having a premature baby.) But the real value of the report may lie more in the description of the problem rather than the analysis of possible solutions. While premature infants may evoke images incubators and intensive care in the U.S., the authors suggest that about three-quarters of deaths worldwide could be avoided with a few simple steps. They include the basics such as heat, breastfeeding support, simple treatment of infections, and frequent skin-to-skin contact with the mother, otherwise known as steroid injections for mothers with premature "kangaroo care." Make, an intervention that costs about $ 1, you can save about 400,000 lives per year. (Steroids promote the development of the lungs.) These factors help explain why more than 90 percent of babies born before 28 weeks in developing countries die, while 10 percent of those born in do.That developed countries does not mean that there are difficult ethical questions around what happens when some premature babies do survive. The press conference May 2 show some Connecticut where my daughter was born at 29 weeks. Kendall has undergone 10 brain operations in the first two years of life, but her family has racked up more than $ 1.2 million in health care costs. While Adam Pallone said his daughter "who lit up a room with her smile," he does not hide pain note that cerebral palsy and other health problems meant he would "probably require lifelong care." Treatment like this is much more than parents in many poor countries, the rich countries, the cost has prompted debate about the limits of medical intervention report. not delve into issues such as ethics, although it will put the social cost of premature births in the U.S. alone reached more than $ 26200000000 per year. It is also noted that the increased rate of preterm birth more symptoms of modern health care as a result of lack. Increased levels of in vitro fertilization, which raised the possibility of multiple births, including the increase in older mothers and the delivery time scheduled all play a role in increasing the likelihood that the baby will not achieve full term.The biggest focus, of course, tries to help her achieve a full-term pregnancy . That ultimately fall further education in family planning, nutrition, and more programs that address diabetes risk factors of smoking. As a primary care not only reduce the rate of preterm birth, increasing the likelihood that children will survive and thrive in order to help build their communities. It is a powerful call to action that policy makers will prospect of taking the time to listen carefully.

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