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Conquering prematurity

机译:战胜早熟

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摘要

Pediatricians have long been combating the negative consequences of prematurity with ever-increasing sophistication of clinical care. As a result, a vast majority of premature infants have survived and complications of their early birth have been reduced substantially. These successes have not been matched by successes in the efforts to prevent preterm labor and to ensure that pregnancies at risk are carried to satisfactory full-term conclusions. Even worse, since the 1970s, the rate of preterm birth in the United States and in other countries where records are available actually has shown a steady increase, except perhaps in the last 4 years. Moreover, this increase in rate involved most social strata and all ethnic groups. Regardless of the absolute rate, all countries have experienced a continuous linear increase. The United States now ranks 131st of 184 countries worldwide in its rates of preterm birth.
机译:长期以来,儿科医生一直在与日益成熟的临床护理相抗衡早产的不良后果。结果,绝大多数早产儿得以幸存,其早产并发症大大减少。这些成功与预防早产和确保有风险的妊娠能够得出令人满意的完整结论的努力没有相提并论。更糟糕的是,自1970年代以来,美国和其他有记录的国家中的早产率实际上一直呈稳定增长的趋势,除了最近四年。此外,这一比率的增加涉及大多数社会阶层和所有族裔群体。无论绝对增长率如何,所有国家都经历了持续的线性增长。在早产率方面,美国目前在全球184个国家中排名第131。

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