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Monday, April 24, 2006

Concern Over Rising Preterm Births 

Doctors in this week's BMJ express concern over the apparent increase in preterm births.

Research from Denmark, published on bmj.com in February, found that preterm deliveries increased by 22% from 1995 to 2004. Even among low risk women aged 20-40, there was a 51% increase in early delivery.

The study also showed that assisted conceptions, multiple pregnancies, and elective deliveries increased during this time and were associated with early birth.

Now doctors in the UK warn that, if these trends are real, the impact for society is considerable.

Preterm deliveries account for fewer than 1 in 10 births but result in 75% of neonatal deaths and most neonatal intensive care admissions, write Andrew Shennan and Susan Bewley of St Thomas' Hospital, London.

Preterm birth also has considerable impact on long term future health. For instance, 1 in 4 survivors born less than 25 weeks' gestation have severe mental or physical disability. Even beyond 32 weeks, 1 in 3 children have educational and behavioural problems by the age of 7.

Obstetricians should re-evaluate the risks and benefits of delivering babies earlier. If these findings from Denmark are true, the implications are worrying.

Gina froze in time on 8:12 PM [ | ]


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