Word: preterm
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Failing to adhere to the IOM's recommendations could increase health risks for both mother and child, Rasmussen says. Women who do not gain enough weight during pregnancy face an increased risk of stunted fetal growth and preterm delivery. But more commonly, women put on too many extra pounds: approximately 40% of normal-weight and 60% of overweight women gained excessive weight during pregnancy, according to a study published in March by the Centers for Disease Control and Prevention; one-fourth of obese women gained more than 35 pounds, the recommended limit for women of healthy weight. (Watch TIME...
...come from preventing unwanted pregnancies in the first place through increased access to contraception and better prenatal and postnatal care. According to the March of Dimes, 1 in 5 infants born prematurely has ongoing health problems, and a recent Institute of Medicine report estimated that the economic burden of preterm births (including medical, educational and lost-productivity costs) was at least $26.2 billion...
...think the single most important thing we can do to lower the rate of infant mortality is to reduce the rate of preterm birth. But in fact the trend is going in the opposite direction - that rate [in the U.S.] is increasing. There are several causes of preterm birth. One is spontaneous preterm labor. But there's another component, which is medical intervention - for example, doing a preterm caesarean section or induction of labor. That component has been increasing as well, and I think that's worrisome...
...baby out a little bit early because they're going to do well - and it's true. It's only seven per 1,000 that are dying. Most of them do well. But still I think it's important to note that the infant mortality rate for late-preterm infants is three times what it is for [full-]term infants. This is not a difference that may be perceptible to the average obstetrician/gynecologist doing 300 deliveries a year. But when you're a statistician like me and you're grouping millions of births and thousands of infant deaths...
...Hispanic black women have much higher rates of preterm and low-birth-weight delivery. Why that is we're not exactly sure. But if you look at any of a wide variety of risk factors related to infant mortality, you can find differences between blacks and whites and between different races and ethnic groups. For example, a higher percentage of births to non-Hispanic black and American Indian mothers occurred to mothers who did not receive adequate prenatal care, were unmarried or were teenagers, were having a fourth or higher order birth, or had not completed high school. Certainly...