Posts Tagged ‘disparity ratio’

Premature Birth Report Cards grades are not so good this year

Tuesday, November 6th, 2018

The 2018 March of Dimes Premature Birth Report Cards are in and the grades aren’t good. The United States received a disappointing grade “C.”

March of Dimes Premature Birth Report Cards monitor progress in reducing the number of babies born prematurely in the United States each year. The Report Cards grade all 50 states, DC and Puerto Rico on their preterm birth rate, as well as the nation as a whole. The Report Cards also show racial, ethnic and geographic disparities (differences) in premature birth in each state. Premature birth is birth that happens early, before 37 weeks of pregnancy. Premature babies are more likely than babies born on time to have health problems at birth and later in life.

The number of babies born prematurely has increased for the third year in a row in the United States. Every two seconds a baby is born prematurely in our country. More than 380,000 babies are born prematurely in the U.S. each year, and more than 20 percent of them are born to black women.  Premature birth and its complications are the largest contributors to babies dying in the first year of life. We need to come together as a community to create awareness and find solutions that help moms and babies be healthy.

According to the National Center for Health Statistics, the overall United States preterm birth rate rose from 9.85 in 2016 to 9.93 in 2017. Compared to rates in 2016, in 2017:

  • 30 states had a worse rate
  • 6 states stayed the same
  • 16 states improved their rate

There is no single cause of premature birth, but research shows that unequal access to quality health care does have a negative impact on these rates. This was revealed in a recent March of Dimes report showing how certain counties in the United States don’t have access to maternity care. Communities with higher poverty rates tend to have less access to quality maternity care. These and other factors contribute to the continued increase in premature birth in this country.

Although we don’t know all the causes of premature birth, March of Dimes leads the fight for the health of all moms and babies by:

  • Working to ensure women have access to health checkups before, during and after pregnancy
  • Providing programs that help more women have access to care, like group prenatal care
  • Educating families and communities to help women have healthier pregnancies
  • Supporting moms through every stage of the pregnancy journey, even when things don’t go as planned
  • Researching the causes of premature birth
  • Advocating for policies to protect moms and babies and give them the best possible start
  • Helping the voices of all women and families be heard

Find out your state’s grade and visit marchofdimes.org/blanketchange to learn more about what you can do to help every pregnant woman in America get the care she needs.

Premature birth rate in U.S. increases for second year

Friday, November 3rd, 2017

For the second year in a row, the rate of preterm birth in the United States has increased. The premature birth rate went up from 9.6 percent of births in 2015 to 9.8 percent in 2016, giving the U.S. a “C” on the March of Dimes 2017 Premature Birth Report Card. The report card also shows that across the U.S., black women are 49 percent more likely to deliver preterm compared to white women. American Indian/Alaska Native women are 18 percent more likely to deliver preterm compared to white women.

More than 380,000 babies are born prematurely in the U.S. each year. An additional 8,000 babies were born prematurely in 2016 due to the increase in the preterm birth rate. Premature babies may have more health problems or need to stay in the hospital longer than babies born on time. Some of these babies also face long-term health effects, like problems that affect the brain, lungs, hearing or vision.

The Premature Birth Report Card provides rates and grades for all 50 states, plus the District of Columbia and Puerto Rico. Preterm birth rates worsened in 43 states, the District of Columbia and Puerto Rico. The rates stayed the same in three states (AL, AZ, WA), and improved in only four states (NE, NH, PA, WY).

  • Four states earned an “A” on the 2017 Premature Birth Report Card;
  • 13 states received a “B”;
  • 18 states got a “C”;
  • 11 states and the District of Columbia got a “D”;
  • 4 states and Puerto Rico received an “F.”

Among the 100 cities in the U.S. with the greatest number of births (latest data is for 2015), Irvine, California had the lowest rate of preterm birth (5.8 percent), and Cleveland, Ohio had the highest preterm birth rate (14.9 percent).

This year’s Report Card also includes a preterm birth disparity ratio. This measures the disparities in preterm birth rates across racial/ethnic groups in a geographic area. The disparity ratio shows that the differences in preterm birth rates among racial/ethnic groups are getting worse nationally and no state has shown improvement since the measurements started being recorded in 2010-2012.

There is no single cause of premature birth and therefore there is no simple solution. However, things like expanding research, increasing education, strengthening advocacy, and improving clinical care and community programs can all help. The March of Dimes continues to work towards giving every mom the opportunity to have a healthy pregnancy and every baby the chance to survive and thrive.

If you want to learn how you can help increase awareness of the serious problem of premature birth throughout November, check out our blog post.