Key figures
Progress has stalled on addressing preterm birth rates over the past decade
- 1 in 10 babies are born too soon – every two seconds a baby is born before 37 weeks’ gestation - a figure that hasn’t changed significantly in the past decade
Persistent inequalities drive unacceptable preterm survival gaps
- 9 out of 10 extremely preterm babies, those born before 28 weeks gestation, survive in high-income countries while only 1 in 10 survive in low-income countries
- 1 in 10 preterm births are born in the 10 most fragile countries affected by humanitarian crises
The world is poised for progress on preterm births
- The SDGs have included the first ever global targets to reduce newborn mortality, and the Global Strategy for Women’s, Children’s and Adolescent’s Health (2016-2030) added a stillbirth reduction target with most stillbirths born preterm
- Over the past decade new evidence and lifesaving interventions have emerged and many babies are now born in health facilities – setting the stage for a strong response combined with the realization of rights and respect for women and intersectoral action
- Important gains have been achieved in countries by investing in neonatal care units with skilled staffing within district hospitals as part of strengthening primary health care systems and implementing proven and efficient care approaches like respiratory support for preterm newborns and skin-to-skin care (aka immediate Kangaroo Mother Care)
COUNTING AND ACCOUNT FOR PRETERM BIRTHS
- National, regional, and worldwide estimates of preterm birth in 2020, with trends from 2010: a systematic analysis
- Never Forgotten: The situation of stillbirth around the globe
- Every Newborn Action Plan 2020-2025
- Levels and trends in child mortality: United Nations Inter-Agency Group for Child Mortality Estimation (UN IGME), Report 2021
RESPECTFUL AND RIGHTS-BASED PRETERM BIRTH CARE
- Operationalizing a human rights-based approach to address mistreatment against women during childbirth.
- Respectful Maternity Care Charter: Universal rights of mothers and newborns. Washington DC: White Ribbon Alliance
- Experience of care of hospitalized newborns and young children and their parents: A scoping review
- Midwives' perspectives on (dis)respectful intrapartum care during facility-based delivery in sub-Saharan Africa: a qualitative systematic review and meta-synthesis.
- A scoping review of the impact of organisational factors on providers and related interventions in LMICs: Implications for respectful maternity care.
- Power On: A Toolkit for Community Organizing
- United Nations. Human rights instruments (website). United Nations Human Rights Office of the High Commissioner
- European Foundation for the Care of Newborn Infants (EFCNI). GLANCE - Global Alliance for Newborn Care (website). EFCNI
WOMEN'S HEALTH AND MATERNITY SERVICES
- Strengthening quality midwifery education for Universal Health Coverage 2030: Framework for action
- Managing complications in pregnancy and childbirth: a guide for midwives and doctors – 2nd ed.
- PMNCH maternal, newborn and child health brief
- World Health Organization. Ending Preventable Maternal Mortality (website)
- WHO recommendations: Intrapartum care for a positive childbirth experience. Geneva; 2018
- WHO recommendations on maternal and newborn care for a positive postnatal experience. Geneva; 2022
- The Global Strategy For Women’s, Children’s And Adolescents’ Health (2016-2030) | Every Woman Every Child
- Interventions during pregnancy to prevent preterm birth: an overview of Cochrane systematic reviews.
CARE FOR SMALL AND SICK NEWBORNS
- WHO/UNICEF. Survive and Thrive. Transforming care for every small and sick newborn. (2018).
- WHO Standards for improving the quality of care for small and sick newborns in health facilities. (2020).
- WHO Recommendations for care of the preterm or low-birth-weight infant. (2022).
- WHO Human resource strategies to improve newborn care in health facilities in low- and middle-income countries. (2020)
- High-quality health systems in the Sustainable Development Goals era: time for a revolution.
- Neonatal care during the COVID-19 pandemic - a global survey of parents' experiences regarding infant and family-centred developmental care.
- International Stillbirth Alliance Raising Parents' Voices Initiative. Stillbirth Advocacy Toolkit: Parent's version
- International Stillbirth Alliance Raising Parent Voices Initiative. Stillbirth Advocacy Toolkit - Health Providers
INTERSECTORAL INTERVENTIONS AND IMPACT FOR PRETERM BIRTH
- Partnership for Maternal, Newborn & Child Health, Making multisectoral collaboration work, BMJ Series (2018)
- World Health Organization. Every Newborn Action Plan (website)
- NEST360, United Nations Children’s Fund (UNICEF). Implementation Toolkit for Small and Sick Newborn Care. 2021
- The Lancet Countdown on health and climate change
- Partnership for Maternal, Newborn & Child Health and WHO. A Policy Guide for Implementing Essential Interventions for Reproductive, Maternal, Newborn and Child Health (RMNCH): A Multisectoral Policy Compendium for RMNCH.
- Ensuring multisectoral action on the determinants of reproductive, maternal, newborn, child, and adolescent health in the post-2015 era, BMJ
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Credit: GettyImages Credit: Doris Mollel Foundation Credit: WHO / Blink Media - Nana Kofi Acquah Credit: WHO / Bente Binderup Credit: Delil Soulieman for IRC