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US Gets a 'D' for Premature Birth Rate
In the 2009 Premature Birth Report card, seven states improved their performance by one letter grade and two fared worse. Criteria that affect preterm birth improved in many states:
33 states and the District of Columbia reduced the percentage of women of childbearing age who smoke;
21 states and the District of Columbia reduced the percent of uninsured women of childbearing age;
27 states, the District of Columbia, and Puerto Rico lowered the late preterm birth rate.
As in 2008, no state earned an "A," and only Vermont received a "B." The grades were determined by comparing preterm birth rates to the national Healthy People 2010 preterm birth objective, which is 7.6 percent of all live births. The U.S. preliminary preterm birth rate was 12.7 percent in 2007.
"Although we don't yet understand all the factors that contribute to premature birth, we do know some interventions that can help prevent it, and we must consistently make use of all of these," said Dr. Jennifer L. Howse, President of the March of Dimes. She cited smoking cessation programs; health care before and during pregnancy; progesterone supplementation; and improved adherence to professional guidelines on fertility treatment and early Cesarean-sections and inductions.
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