Health Indicator Report of Preterm birth

Notes

Note: County represents county of mother's residence. * Use caution in interpreting rates for estimates with an asterisk. These estimates have a coefficient of variation >30% and are therefore deemed unreliable by Utah Department of Health and Human Services standards. ** The estimates for Daggett, Piute, Rich, and Wayne counties have been suppressed because 1) the relative standard error is greater than 50% or the relative standard error can't be determined or 2) the observed number of events is very small and not appropriate for publication. U.S. data is provisional. Preterm birth is calculated by obstetric estimate.

Data Interpretation Issues

Reporting of preterm birth (PTB) trends has been complicated by a change in how gestational age (GA) is reported by the National Center for Health Statistics. PTB is defined as a birth less than 37 weeks gestation. Historically, GA was calculated by the mother's last menstrual period (LMP) and PTB rates were reported this way. Since the 2003 revision of the birth certificate, GA is also reported by obstetric estimate (OE), which is considered more accurate. Beginning in 2007, national rates are reported using OE and are not consistent with rates reported before 2007. Utah rates have been reported using OE since 1996.

Definition

The number of live births under 37 weeks gestation divided by the total number of live births over the same time period.

Numerator

Number of live born infants born less than 37 weeks gestation.

Denominator

Total number of live births.

Other Objectives

The Healthy People 2030 has an objective of reducing Preterm Births- MICH-07 with a baseline of 10% (2018) and a goal of 9.4%.

How Are We Doing?

The Utah preterm birth rate increased from 8.8% in 1990 to a high of 10.1% in 2005. The rate has remained under 10% from 2006 to the present. The percentage of infants born preterm in Utah was 9.35% in 2023 and 2022, a decrease from 9.88% in 2021.

How Do We Compare With the U.S.?

The U.S. preterm birth rate was 10.41% in 2023, essentially unchanged from 10.38 in 2022. The percentage of infants born preterm decreased from 2007 (the first year for which national data are available based on the obstetric estimate of gestation) to 2014, and generally increased from 2015 to 2021 when it reached a 15-year maximum of 10.49%. Available from: [https://www.cdc.gov/nchs/data/databriefs/db507.pdf]. The Utah 2022 rate of 9.35% is below the national rate of 10.38% and marginally below the Healthy People 2030 goal of 9.4%. In 2007, the U.S. began reporting preterm birth rates based on obstetric estimates rather than based on the last menstrual period (LMP) making it difficult to compare Utah to the U.S. farther back than 2007. The obstetric estimate has been shown to more accurately reflect the true gestational age of the infant than LMP.

What Is Being Done?

Approximately half of the preterm births in Utah are due to complications of the pregnancy (multiple births, placental problems, fetal distress, infections) or maternal health factors such as high blood pressure or uterine malformations. The remaining preterm births have unexplained causes. In an effort to reduce the preterm birth rate, emphasis is being placed on maternal preconception health to help women achieve optimal health prior to pregnancy. Some ways women can achieve optimal health include stopping the use of tobacco and alcohol, controlling chronic diseases such as diabetes and high blood pressure, and obtaining an optimal pre-pregnancy weight. Early and continuous prenatal care is encouraged to detect problems that may arise during pregnancy. Education should be provided on the urgent maternal warning signs ([https://www.cdc.gov/hearher/maternal-warning-signs/index.html]) and the importance of recognition and treatment for these symptoms. Standards for assisted reproductive technology should be followed to reduce the frequency of twins or higher-order multiple pregnancies. Pregnant women should also be referred for appropriate services such as Women, Infant, and Children (WIC) and psychosocial counseling.

Available Services

'''Baby Your Baby Hotline:''' 1-800-826-9662[[br]] A public resource to answer pregnancy related questions and locate services. '''The Maternal and Inftnt Health website:''' [https://mihp.utah.gov/][[br]] Public education about how to be at optimal health before, during and after pregnancy. '''Utah Tobacco Quit Line:''' 1-888-567-8788 '''Utah Women and Newborn Quality Collaborative:''' [https://mihp.utah.gov/uwnqc/][[br]] Provider and patient education about improving maternal and neonatal outcomes through collaborative efforts centered on quality improvement methodology and data sharing. '''MotherToBaby:'''[[br]] Phone - 1-800-822-2229[[br]] Text - 1-855-999-3525[[br]] Email - expertinfo@mothertobaby.org[[br]] Live Chat- [http://www.mothertobaby.org][[br]] A service to answer questions about what's safe during pregnancy and breastfeeding.[[br]] [[br]] Social media for MotherToBaby include: *Facebook: [http://www.facebook.com/MotherToBaby] *Twitter: @MotherToBaby *Pinterest: [http://www.pinterest.com/MotherToBaby][[br]] [[br]] '''Baby Watch Early Intervention Hotline:''' 1-800-961-4226[[br]] Utah's network of services for children, birth to three years of age, with developmental delay or disabilities. '''March of Dimes''' [http://www.marchofdimes.org][[br]] The mission of the March of Dimes is to improve the health of babies by preventing birth defects, premature birth and infant mortality.[[br]] *Facebook: [https://www.facebook.com/marchofdimes][[br]] *Twitter: @MarchofDimes[[br]] *YouTube: [https://www.youtube.com/marchofdimes][[br]] [[br]] '''University of Utah Health Care Parent-to-Parent Support Group:''' 1-801-581-2098[[br]] Support Program for families of high risk/critically ill newborns.