U.S. (and Minnesota) lowers rate of premature births, but slowly

Source: March of Dimes/National Center for Health Statistics, 2011 preliminary data
March of Dimes gives the U.S. a ‘C’ in overall preterm birth rate reductions.

This article was produced by Kaiser Health News.

Kaiser Health NewsThe United States is slowly reducing its rate of premature births, bringing the rate to 11.7 percent in 2011, but the figure is still higher than public-health advocates believe it should be.

(Minnesota’s rate is 9.9 percent, down from 10.5 percent in 2006. The state was given a grade of “B” in an updated report [PDF].)  

The updated figures come from The March of Dimes, a nonprofit group that works to improve the health of mothers and babies, which released its annual Premature Birth Report Card this week. It gives the U.S. a ‘C’ in overall preterm birth rate reductions. And according to the Centers for Disease Control and Prevention and the American College of Obstetricians and Gynecologists, one out of eight babies is born prematurely in the U.S. each year.

In a report released earlier this year, the March of Dimes noted that the U.S. ranks 131 out of 184 countries — putting it close to countries such as Somalia, Thailand and Turkey.

According to their data, the U.S. preterm birth rate is now at the lowest rate in a decade. Dr. Jennifer L. Howse, the president of the March of Dimes and a member of the Kaiser Commission on Medicaid and the Uninsured, said that for 30 years up to 2006 the U.S. preterm birth rate had been increasing. (KHN is an editorially independent project of the Kaiser Family Foundation, which also supports the commission.)

“That’s a profoundly disturbing trend in birth outcomes,” Howse said. But for the last five years, the rates have been steadily decreasing in almost all states.

The March of Dimes’ goal is to bring the national preterm birth rate down to 9.6 percent by 2020. Four states earned “A-Ratings” on their report card: Vermont at 8.8 percent, Oregon at 9.1 percent, New Hampshire at 9.5 percent and Maine at 9.6 percent. The worst states on the report card included Louisiana at 15.6 percent and Mississippi at 16.9 percent and the Commonwealth of Puerto Rico at 17.6 percent.

Howse pointed to a 2006 report from the Institute of Medicine that notes that premature births cost the U.S. $26 billion a year. But she said this year’s improved numbers could have “potential savings of roughly $3 billion in health care and economic costs to society.” According to their data, approximately 64,000 fewer babies were born preterm in 2010 as compared to the peak year in 2006.

From this year’s report card, Howse said her group noted four evidence-based interventions that can contribute to lower premature birth rates: insuring soon-to-be moms, reducing the number of scheduled deliveries, investing in smoking cessation programs and investing in progesterone therapy that helps to delay early contractions.

The report card also notes that the rate of uninsured women of childbearing age increased to more than 21 percent since last year. Experts say uninsured women who are pregnant may forgo vital prenatal care during their pregnancy. According to the report card, seven states including the District of Columbia reduced their number of uninsured women.

Howse said that states that fared better on the report card ensured better access to health care. “It means that women of child bearing age have access to their physicians — that risks are detected earlier rather than later. I do believe we will start to see that kind of halo effect in our maternal and child health outcomes once the [Affordable Care Act] is fully implemented,” she said.

Kaiser Health News is an editorially independent program of the Henry J. Kaiser Family Foundation, a nonprofit, nonpartisan health policy research and communication organization not affiliated with Kaiser Permanente.

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Comments (1)

  1. Submitted by Rachel Kahler on 11/16/2012 - 02:30 pm.

    Factors

    Of the 4 interventions listed, there’s one that is almost totally preventable and easy to intervene on: scheduled deliveries. There are very few medical reasons to schedule a delivery. Between the additional medical costs and forcing the body to do something with artificially-administered hormones, the fact that it’s still a major reason for preterm births is a poor reflection on our medical system. Two of the 4 interventions could probably be ignored in favor of focusing on the other 2–smoking cessation and insurance. Most of the medical issues that might actually warrant the use of scheduled deliveries or the use of progesterone therapy are directly related to either smoking or poor medical/nutritional care of the mother. There are a few that simply can’t be avoided, but the majority of the costs related to preterm births can be boiled down pretty much to those 2 issues.

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