(May 04, 2012) About 15 million premature babies are born every year - more than
1 in 10 of the world's births and a bigger problem than previously believed, according
to the first country-by-country estimates of this obstetric epidemic. The startling
toll: 1.1 million of these fragile newborns die as a result, and even those who survive
can suffer lifelong disabilities. Most of the world's preemies are born in Africa
and Asia, says the report released on Wednesday. But the starkest difference between
rich and poorer countries is survival according to Dr. Joy Lawn of Save the Children,
who co-authored the report with the March of Dimes fundraising organization, the United
Nations World Health Organization and a coalition of international health experts.
Sophisticated and expensive intensive care saves the majority of preterm babies in
the U.S. and other developed nations, even the tiniest, most premature ones. The risk
of death from prematurity is at least 12 times higher for an African newborn than
for a European baby, the report found. Globally, prematurity is not only the leading
killer of newborns but the second-leading cause of death in children under 5. Three-quarters
of the deaths could be prevented by spreading some simple, inexpensive treatments
to the neediest countries, the report concludes. For example, providing $1 steroid
shots during preterm labor hastens development of immature fetal lungs. They're standard
in developed countries; wider use in low-income countries could save nearly 400,000
babies a year. Even more lives could be saved by teaching ``kangaroo care,'' in which
moms carry their tiny babies nestled skin-to-skin on their bare chests for warmth
when there are no incubators. Survival isn't the only hurdle. No one knows how many
preemies suffer disabilities including cerebral palsy, blindness or learning disorders.