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Literature review on reducing preterm birth
Effects of preterm birth
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Preterm Birth: Preterm birth is defined as a baby who is born before 37 weeks of pregnancy. In 2006, the infant mortality rate in the United States due to prematurity/low birth weight accounted for 17 percent of all infant deaths (M.Bitler & Currie, 2011). It is not only problematic emotionally for the family involved; it is also problematic financially for both the family and the economy. According to the March of Dimes, in 2009 the average medical costs for a preterm baby was more than 10 times higher than when a woman had a healthy full-term infant (Peristats - March of Dimes, 2009).The average costs were $49,033 and $4,551 respectively (Healthy People 2020).The more risk factors that are identified the more it will allow public health and individuals to focus on specific interventions that will help prevent the occurrence of preterm birth, which is problematic for both families as well as our health care system (Ratzon, 2010). Health People 2020: Maternal, Infant and child health Healthy People 2020 objectives related to the indicators are Maternal, Infant, and Child health (MIC) 9.1-9.4 which addresses reducing preterm births. MIC 9.1 focuses on reducing total preterm births. The baseline is 12.7 percent and the target is 11.4 percent. MIC 9.2 pertains to reducing late preterm or live births at 34 to 36 weeks of gestation. The baseline is 9 percent and the target is 8.1 percent. MIC 9.3 relates to reducing live births at 32 to 33 weeks of gestation. The baseline is 1.6 percent and the target is 1.4 percent. Lastly, MIC 9.4 addresses preterm or live births at less than 32 weeks of gestation. The baseline is 2 percent and the target is 1.8 percent ( Ohio Department of Health). Preterm Birth Statistics: Using CDC vita... ... middle of paper ... ...n of a first or subsequent pregnancy. Most relative to our community and the preterm birth indicator: 1) integrate reproductive health messages into health promotion campaigns, 2) increase health provider awareness regarding the importance of addressing preconception health among all women of childbearing age, 3) develop and implement modules on preconception care for specific clinical conditions for use in clinical education at graduate, postgraduate, and continuing education levels, 4) develop, evaluate, and replicate intensive evidence-based inter-conception care and care coordination models for women at high social and medical risk, and 5) increase health coverage among women who have low incomes and are of childbearing age by using federal options and waivers under public and private health insurance systems and the state children’s health insurance program.
The very low birth weight are newborns that weigh less than 3.3 pounds (1,500 grams). Unfortunately, newborns that are under 3.3 pounds (1,500 grams) do not often survive, and the ones that do have delayed motor skills and cognitive development. The numbers decrease further to extremely low birth weight of 2.2 pounds (1,000 grams), where chance of life is very small. Low birth weight babies 1,500 grams – 2,500 grams (3.3 -5.5 pounds) have a good chance they will survive with proper care. Newborns that are small-for-date are placed in incubators that are sealed beds where temperature and air quality is regulated. The beds isolate the infants from pathogens and the environment. The babies need sensory stimulation to grow, so a recorded tape is played of the mothers soothing voice. Visual stimulation from video, and tactile stimulation helps foster physical and cognitive development in the baby. At five months while the fetus is in the womb ithas sensory capabilities, and can hear the mother’s heart beating, food digestion, speaking, and others speaking to her! The incubator stimulates this environment. There is great success with proper attention and care to the low birth weight babies, and. Many of the low birth weight babies are effects of parents that live in poverty, unable to access adequate medical care, and they experience stress due to an unhealthy family life.
The disparities may be attributed to the amount of prenatal care that pregnant women of different ethnicities receive. In 1996, 81.8% of all women in the nation received prenatal care in the first trimester--the m...
Two-thirds of infants die during the first month of life due to low birth weight (Lia-Hoagberg et al, 1990). One reason for this outcome is primarily due to difficulties in accessing prenatal care. Prenatal health care encompasses the health of women in both pre and post childbearing years and provides the support for a healthy lifestyle for the mother and fetus and/or infant. This form of care plays an important role in the prevention of poor birth outcomes, such as prematurity, low birth weight and infant mortality, where education, risk assessment, treatment of complications, and monitoring of fetus development are vital (McKenzie, Pinger,& Kotecki, 2012). Although every woman is recommended to receive prenatal health care, low-income and disadvantaged minority women do not seek care due to structural and individual barriers.
Childbirth is biological, psychological, and natural activities by which the human species grow into its family cycle and childbirth also have a sexual tradition. Beyond the emotions and the various phases that it creates, childbirth has specific criteria to be met on both man and woman. Their union must be founded on the reciprocal love, the biological and psychological maturation, and a developed sense of responsibility. Because of this, a pregnancy occurred early in life is becoming a situation full of social, economical and psychological difficulties. The birth’s pain is weighted quickly on the young and premature couple. In the United States, teen’s pregnancies from ages 15 -19 remain one of the highest situations in the modern world. It has had little chance of success because many teens are still becoming parents and this problem is constantly increasing in the Latino/ Hispanic community. Immigration, peer pressures, dropout rate, cultural difference, and economic disadvantages are main reasons behind the majority teen’s pregnancies in this community. After I explain why it’s important to reduce teen’s pregnancy rates, I will suggest some challenging yet feasible solutions to break the cycle of unplanned pregnancies.
have higher rates of low birth weighted need special care right after birth for times as
How the provision of information in the antenatal period can positively affect health and life style choices in the pregnant woman and her family.
O'Connor, P. (2008, October 18). US infant mortality rate now worse than 28 other countries. Retrieved June 9, 2010, from World Socialist Web Site: http://www.wsws.org/articles/2008/oct2008/mort-o18.shtml
Unintentional pregnancies statistically bring a host of economic, emotional, and physical ills to mother and baby. About half of the unintended pregnancies in Washington State are aborted, according to the state Department of Health. That rate is consistent with the rest of the US. Even though there is a demand for abortion providers, man...
March Dimes Foundation: Pregnancy and Newborn Health Education Center. Retrieved from http://www.marchofdimes.com/materials/teenage-pregnancy.pdf
There are many different areas to consider when preparing for and having a newborn. Whether the pregnancy was planned or unplanned or the couple is married or not, a newborn baby brings new responsibilities. Having a baby also forces people to make adjustments both financially and within the family. Parents also express concerns and expectations when having a newborn comma especially when it is their first; including what roles each parent and family member should play, how much confidence they have in their parenting skills, and how much financial strain would be placed on the family once the newborn has arrived. The newest issue in today’s society is the fact that many women are delaying childbirth and having more children in their later years of life.
Vered, N., Nadir, E., & Feldman, M. (2012). Late better than early elective term cesarean section. Acta Paediatrica, 101, 1054-1057. doi:10.1111/j.1651-2227.2012.02772.x
Preterm birth is defined as ‘any neonate whose birth occurs before the thirty seventh week of gestation’1 and represents approximately eight percent of all pregnancies1-4. It is eminent that these preterm infants are at risk of physical and neurological delay, with prolonged hospitalisation and an increased risk of long-term morbidity evident in prior literature3, 5-13. Innovative healthcare over the past thirty years has reduced mortality significantly14, with the survival rate of preterm infants having increased from twenty five percent in 1980 to seventy three percent in 200715. Despite, this drop in mortality long-term morbidity continues to remain within these surviving infants sparking a cause for concern15, 16.
...e increased technology that can help in the teenage pregnancy and also the care that should be given to the mother.
The chosen health improvement initiative that is going to be studied within this community profile is reducing the amount of teenage pregna...
In the United States since the beginng of the 1990’s until 2000’sthe teen pregnancy rate has decline tremdously. Although the U.S. has decline in teen birth it still leads all countries in teen pregnancy rate rate according to the 2013 statistics 52.1 per 1000 of female’s population age group of 15-19 (HTP,2013). Where as countries such as Canada have particually a low teen pregnancy rate where on average every 20.2 out of 1000 teens become pregnant before reaching 21. For the united states to decline in leading the nation in teen pregnancy and prevation plan needs to come interwish. The teen pregnancy prevation plan will constit of the follow topics such as Sexual education, teen abstinence, and open parent child realtionship.