The increasing prevalence of preterm birth in the United States is a complex public health problem that requires multifaceted solutions. Preterm birth is a cluster of problems with a set of overlapping factors of influence. Its causes may include individual-level behavioral and psychosocial factors, sociodemographic and neighborhood characteristics, environmental exposure, medical conditions, infertility treatments, and biological factors. Many of these factors co-occur, particularly in those who are socioeconomically disadvantaged or who are members of racial and ethnic minority groups. While advances in perinatal and neonatal care have improved survival for preterm infants, those infants who do survive have a greater risk than infants born at term for developmental disabilities, health problems, and poor growth. The birth of a preterm infant can also bring considerable emotional and economic costs to families and have implications for public-sector services, such as health insurance, educational, and other social support systems. Preterm Birth assesses the problem with respect to both its causes and outcomes.This book addresses the need for research involving clinical, basic, behavioral, and social science disciplines. By defining and addressing the health and economic consequences of premature birth, this book will be of particular interest to health care professionals, public health officials, policy makers, professional associations and clinical, basic, behavioral, and social science researchers.
Richard E. Behrman, Adrienne Stith Butler, Editors, Committee on Understanding Premature Birth and Assuring Healthy Outcomes
1 Front Matter; 2 Summary; 3 1 Introduction; 4 SECTION I Measurement : 2 Measurement of Fetal and Infant Maturity; 5 Section I Recommendations; 6 SECTION II Causes of Preterm Birth: 3 Behavioral and Psychosocial Contributors to Preterm Birth; 7 4 Sociodemographic and Community Factors Contributing to Preterm Birth; 8 5 Medical and Pregnancy Conditions Associated with Preterm Birth; 9 6 Biological Pathways Leading to Preterm Birth; 10 7 Role of Gene-Environment Interactions in Preterm Birth; 11 8 Role of Environmental Toxicants in Preterm Birth; 12 Section II Recommendations; 13 SECTION III Diagnosis and Treatment of Preterm Labor: 9 Diagnosis and Treatment of Conditions Leading to Spontaneous Preterm Birth; 14 Section III Recommendations; 15 SECTION IV Consequences of Preterm Birth: 10 Mortality and Acute Complications in Preterm Infants; 16 11 Neurodevelopmental, Health, and Family Outcomes for Infants Born Preterm; 17 12 Societal Costs of Preterm Birth; 18 Section IV Recommendations; 19 SECTION V Research and Policy: 13 Barriers to Clinical Research on Preterm Birth and Outcomes of Preterm Infants; 20 14 Public Policies Affected by Preterm Birth; 21 Section V Recommendations; 22 15 A Research Agenda to Investigate Preterm Birth; 23 References; 24 Appendix A Data Sources and Methods; 25 Appendix B Prematurity at Birth: Determinents, Consequences, and Geographic Variation; 26 Appendix C A Review of Ethical Issues involved in Premature Birth; 27 Appendix D A Systematic Review of Costs Associated with Preterm Birth; 28 Appendix E Selected Programs Funding Preterm Birth Research; 29 Appendix F Committee and Staff Biographies; 30 Index
National Research Council, Division of Behavioral and Social Sciences and Education, Institute of Medicine, and Families Board on Children, Youth, Steve Olson
Institute of Medicine, Board on the Health of Select Populations, and Transgender Health Issues and Research Gaps and Opportunities Committee on Lesbian, Gay, Bisexual
Institute of Medicine, Board on Population Health and Public Health Practice, Division of Health Promotion and Disease Prevention, Division of International Health
Institute of Medicine, Committee to Develop Methods Useful to the Department of Veteran Affairs in Estimating Its Physician Requirements, Joseph Lipscomb
Institute of Medicine, Board on Health Sciences Policy, Committee on Palliative and End-of-Life Care for Children and Their Families, Richard E. Behrman, Marilyn J. Field
Institute of Medicine, Board on Health Sciences Policy, Committee on Clinical Research Involving Children, Richard E. Behrman, Marilyn J. Field, Richard E Behrman, Marilyn J Field
Institute of Medicine, Board on Health Sciences Policy, and Translation Forum on Drug Discovery, Development, Adrienne Stith Butler, Heather Begg, Jennifer Rainey, Jeffrey M. Drazen
Institute of Medicine, Board on Health Sciences Policy, Committee on Developing Evidence-Based Standards for Psychosocial Interventions for Mental Disorders, Monica L. Gonzalez, Adrienne Stith Butler, Mary Jane England
Institute of Medicine, Board on Health Sciences Policy, and Translation Forum on Drug Discovery, Development, Andrea Knutsen, Adrienne Stith Butler, Cori Vanchieri
Institute of Medicine, and Families Board on Children, Youth, Board on Health Sciences Policy, Committee on a Comprehensive Review of the HHS Office of Family Planning Title X Program, Ellen Wright Clayton, Adrienne Stith Butler
Institute of Medicine, Board on Health Sciences Policy, Committee on Institutional and Policy-Level Strategies for Increasing the Diversity of the U.S. Health Care Workforce, Lonnie R. Bristow, Adrienne Stith Butler, Brian D. Smedley
Institute of Medicine, Board on Neuroscience and Behavioral Health, Committee on Responding to the Psychological Consequences of Terrorism, Lewis R. Goldfrank, Allison M. Panzer, Adrienne Stith Butler
and Medicine National Academies of Sciences, Engineering, Division of Behavioral and Social Sciences and Education, and Sensory Sciences Board on Behavioral, Cognitive, Adrienne Stith Butler, Jeanne C. Rivard