Introduction Babies born before thirty-seven weeks gestation are considered to be preterm, or premature. More than one in every ten babies is born too early. Preterm birth complications are the leading cause of death among children under five years of age. Premature birth has a wide range of effects. All babies born before thirty-seven weeks gestation are at risk for complications that can have a lasting effect on the growing baby and family. At twenty-four weeks, the survival rate of a premature baby is only fifty percent. The many different causes and effects that premature birth can have on the baby, his/her future development and family will be further discussed in this paper. At birth a baby is considered one of the following: “Premature (less than thirty-seven weeks gestation), Full term (thirty-seven to forty-two weeks gestation), Post term (born after forty-two weeks gestation)” (Kaneshiro). A premature baby is not fully developed due to exiting the womb prior to reaching full term. Due to this complication, premies will spend time in the NICU (Neonatal Intensive Care Unit) if the doctor deems it necessary. A baby born at full term weighs somewhere between five pounds eight ounces and eight pound thirteen ounces. A baby born at thirty-two weeks weighs somewhere around three and a half pounds, twenty-eight weeks two and a half pounds, and twenty-four weeks one and a half pounds. This low birth weight and underdevelopment causes many issues for the
According to the World Health Organization (WHO, 2016), preterm birth are the birth that happened before 37 ended weeks of pregnancy and is one of the number reason of newborn deaths and the second prominent cause of deaths in children below five. The preterm babies have chances of an amplified risk of illness, disability and death. In the first weeks, the complications of premature birth may include: breathing problems, heart problems, brain problems, temperature control problems, gastrointestinal problems, blood problems, metabolism problems, immune system problems. Long-term complications includes cerebral palsy, impaired cognitive skills, vision problem, hearing problems, dental problems, behavioral and psychological problems, chronic health issues.
According to Lucile Packard Children’s Hospital, “In the United States, nearly thirteen percent of babies are born preterm, and many of these babies also have a low birth weight.” The baby may be put into the NICU for varies reasons. However, the most common reason that a child is put into the NICU is because he or she is
Babies born earlier, such as 25 weeks will need medical support in order to survive and are usually placed in incubator – designed to keep baby worm and free from infection. Premature babies are at a higher risk of developing, sight problems or learning difficulties.
Premature birth is an important public health priority in terms of health of women and infants. Every year an estimated 15 million preterm babies are born and this number is still rising (WHO, 2015).In 2014, 1 of every 10 babies born in United States were premature and black infants were 50% more likely to be born premature than white, Hispanic and Asian/Pacific islander infants (CDC,2015). Almost 1 million children die each year due to complications of premature birth (WHO, 2015). Major survivors face lifelong disabilities like learning disabilities, hearing, visual, feeding, digestive, breathing and respiratory problems (CDC, 2015) and low birth weight (March of Dimes, 2014). A major challenge in decreasing the rate of preterm birth is
Infant deaths in the neonatal period are caused by complications arising from preterm births, birth defects, maternal health conditions, complications of labor and delivery, and lack of access to appropriate care at the time of delivery. Infant deaths in the post-neonatal period are driven by sudden unexpected infant death (SUID) (including sudden infant death syndrome [SIDS]), injury, and infection (MMRW, 2013). An increasing proportion of post-neonatal infant deaths occur among infants who were born preterm but survived the neonatal period (Callaghan, 2006). On the other hand there is lesser knowledge of the incidence and etilogy of fetal mortality which according to MacDorman et al, makes fetal mortality an overlooked public health issue. Lee et al, echoed the same idea when they said infant mortality has been the main focus of public health programming while fetal deaths have gone untargeted. However, with the decrease in infant mortality rates there have been recent approaches such as perinatal period of risk analysis framework (PPOR) that highlight the need to include fetal
Premature birth has been linked to a vast array of lungs problems, the earlier the birth the greater risk of health complications(Davis R and Mychaliska G, 2013). A majority of the health problems will affect the infant for the rest of their life (Davis R and Mychaliska G, 2013). Infants born between the canalicular and the saccular period (week 25) have lung development that is unsuitable for gas exchange (Davis R and Mychaliska G, 2013). Two major complications that arise with undeveloped lungs is bronchopulmonary dysplasia, and pulmonary arterial hypertension (Mahgoub L. et al. 2017).
A premature birth is a birth that takes place more than three weeks before the baby is due. A normal pregnancy usually lasts about 40 weeks. The importance of growth and development of the baby happens through pregnancy. Premature birth gives the baby less time to develop in the mother’s womb. A late preterm is when a baby is born between 34-36 weeks of pregnancy. Moderately preterm are born between 32-34 weeks. Very preterm is born less than 32 weeks of pregnancy and extremely preterm is born before 25 weeks. “Each year nearly 500,000 babies are premature or preemies. That is about 1 out of every 8 infants born in the U.S.”
The advanced technology today makes it possible to fetus’s potential conditions when it is born. Not everything is perfect and sometimes we find out that a baby
In 2006, data was collected on 303 babies who were diagnosed with anencephaly and were not terminated. Of those 303 babies, about 40% were born prematurely (before 37 weeks) and 4% beyond 42 weeks. Two-thirds of the mothers were either induced or had a planned cesarean section for those born at term. Polyhydramnios was present in 30% of the cases which accounted for 60% of those born prematurely. When delivered by cesarean section, 4% died during birth, 53% died within twenty-four hours, 30% lived up to five days, and 13% lived longer than six days. For vaginal births, 37% of babies died during birth when a doctor or midwife ruptured the amniotic bag, opposed to 18% if the amniotic bag ruptured naturally.
The patient population is the preterm babies that are less than 37 weeks’ and weight
According to the World Health Organisation [WHO] (2014) pre-term babies are at increased risk of illness, disability and death. It also states that globally 15 million babies are born pre-term and the figures are rising. In England and Wales during 2012 7.3% of live births were pre-term under 37 weeks nearly 85% of all babies born prematurely will have a very low birth weight (Office for National Statistics, 2012). Pre-term birth is associated with respiratory complications and lung disease, long-tern neurological damage and problems with bowel function (Henderson & Macdonald, 2011). Neonatal services provide care to babies who are born prematurely or are ill and require specialist care. It is seen that sixty per cent of infant deaths occur in the neonatal period (DH,
Prematurity is the primary cause of increasing infants’ serious illnesses and deaths in the United States (CDC, December 2014).Preterm infants are more likely to have developmental delays, impaired cognitive growth, and behavioral problems as compared to their normal counterparts. Also, the expenditure for the care of premature babies is constantly increasing due to their extended stay in Neonatal Intensive Care Unit (NICU). Previous studies have estimated that the Average daily expense of NICU stay is over $ 3000 for each preterm infant (Muraskas& Parsi 2008). The longer the stay, more will be the cost. The length of NICU stay depends upon the gestational age and complications associated with prematurity. The
Preterm birth can be a devastating experience not only for the mother, but also for the child. This issue has plagued the United States and other countries for many years, and no concrete evidence have been found to tell us why preterm birth occurs. One in eight babies in the United States is born premature each year. The impact of social support on the psychological well-being, attitudes, and behavior of parents is rapidly becoming a major issue. It is becoming more and more difficult for mothers to cope with the long-term and short-term effects of premature birth. These parents’ attitude and behavior can have both a direct and indirect effect on the child's
Pregnancy is normally the best and the happiest stage of any woman, but it can also be uncertain because anything can go wrong if you do not know exactly what to do. In order to understand the reasons of why Preterm Birth occurs, it is important to know what it is and how risky it can be. Preterm Birth is also known as Premature labor which mainly begins after “20 weeks but before 37 completed week’s gestations. Approximately 12.9 million babies worldwide are born too early every year representing an incidence of PTB of 9.6%” (Berghella, pp. 2, 8). Baby Center Medical Advisory Board says that about 12 percent of babies
While some women who received no prenatal care had normal, uncomplicated births, others did not. Most of the women who did not receive adequate prenatal care gave birth to an underweight and underdeveloped infant. Among the benefits of early, comprehensive prenatal care are decreased risk of preterm deliveries and low birth weight (LBW)-both major predictors of infant morbidity and mortality. (Dixon, Cobb, Clarke, 2000). Preterm deliveries, deliveries prior to 37 weeks of gestation, have risen. Since the studies in 1987, which showed the rate of preterm deliveries as 6.9% of births, the 1997 rate shows an increase to 7.5%. Low birth weight, defined as an infant weighing less than 2500 grams (5lbs. 5oz) is often preceded by preterm delivery. Low