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Rate of Premature1 Births Rising Worldwide
The birth of a child....what should be a joyous2 experience, too often ends in death if that child is born prematurely3 in a developing country.
A major report about premature delivery called "Born Too Soon" shows that globally, one in 10 babies is born prematurely. As a midwife, Carole Presern has seen newborns die.
"It's a devastating4 experience. It touches you and you remember those faces," she said.
Presern's organization, the Partnership5 for Maternal6, Newborn and Child Health, is one of the report's contributors --along with the World Health Organization, Save the Children and the March of Dimes7. She says there's much that can be done to prevent preterm births.
"You make sure people are not having their babies too young. You make sure if they have pre-existing conditions, like if they are too underweight, which is quite common in the developing world. But you've also got to look at if they've had a history of preterm birth. They need much more attention. You want to look at the spacing between births. You don't want people having their children too fast because that can lead to prematurity," she said.
Presern says if there's a danger that a baby will be born prematurely, there are simple, inexpensive things that can be done to help that baby survive.
"You can give the mother steroids before the baby is born. That helps the lungs to mature. That's a very cheap, very cost effective intervention," Presern said.
After birth, a no-cost option is called "kangaroo care" where the baby is strapped8 to the mother's chest. It's highly effective because it keeps the baby warm, says Dr. Joy Lawn with Save the Children, another report co-author.
"Kangaroo mother care, even compared to care of a baby in an incubator, halves the risk of death," Lawn said.
The report also shows premature births are rising worldwide. In rich countries like the United States, it's often due to multiple births following in-vitro fertilization -- and because of the common practice of having caesarian deliveries that are medically unnecessary. But the numbers are also rising in developing countries, says co-author Christopher Howson with the March of Dimes.
"Over 60 percent of preterm births occur in sub-Saharan Africa and South Asia," Howson said.
The data suggest that's where it's most dangerous to be born too soon. But no matter where a birth occurs, a baby born even a couple of weeks short of full gestation9 faces far more health complications than a baby born full term. And experts say continued research is needed to better understand the many causes of premature births, how to make them happen less often, and how best to help premature babies survive, and thrive.
1 premature | |
adj.比预期时间早的;不成熟的,仓促的 | |
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2 joyous | |
adj.充满快乐的;令人高兴的 | |
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3 prematurely | |
adv.过早地,贸然地 | |
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4 devastating | |
adj.毁灭性的,令人震惊的,强有力的 | |
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5 partnership | |
n.合作关系,伙伴关系 | |
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6 maternal | |
adj.母亲的,母亲般的,母系的,母方的 | |
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7 dimes | |
n.(美国、加拿大的)10分铸币( dime的名词复数 ) | |
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8 strapped | |
adj.用皮带捆住的,用皮带装饰的;身无分文的;缺钱;手头紧v.用皮带捆扎(strap的过去式和过去分词);用皮带抽打;包扎;给…打绷带 | |
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9 gestation | |
n.怀孕;酝酿 | |
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