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Targeted Research Needed
To Prevent Premature Births
Targeted research to prevent premature birth is needed in order
to save the lives of thousands of babies each year, according
to a March of Dimes expert panel report recently released.
"Preterm birth is a complex disorder, like heart disease or diabetes,
with no single cause, and it requires a multifaceted approach,"
report lead author Dr. Nancy S. Green, March of Dimes medical
director, said in a prepared statement.
"We need to stimulate more funding for research in six promising
areas that may lead to new clinical strategies for identifying
who is at greatest risk for premature birth and how to prevent
it," Green said.
The six priority areas are:
Epidemiological studies that examine the risk of extremely
preterm births to spot factors that predispose women to very
early labor and delivery.
Genes and their interaction with the environment that, combined,
result in preterm birth.
Racial and ethnic differences that may explain why non-Hispanic
black American women have the highest rate of premature babies
in the U.S.
The impact of infection and immune response to infection.
The effects of stress on the mother and fetus.
Clinical trials to assess the effectiveness of potential treatments.
More than 12 percent (about 500,000) of babies born each year
in the United States are born prematurely and the rate of premature
births in the country has increased by more than 30 percent since
1981. Premature birth is the leading cause of death among U.S.
newborns, and preterm babies who survive often suffer lifelong
health problems.
The recommendations appear in the current issue of the American
Journal of Obstetrics and Gynecology.