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Campaign 2015 Progress Report PREMATURITY CAMPAIGN 2015 PROGRESS REPORT NEW GOALS AND A FOCUS ON HEALTH EQUITY “May the security and the happiness of every boy and girl in our land be our concern, our personal concern, from now on.” — Franklin Delano Roosevelt At the triennial 2015 March of Dimes National Prematurity Prevention Conference, our many partners TABLE OF CONTENTS A LETTER FROM THE joined us to commit to working together on the 2020 PRESIDENT and 2030 goals. The conference was held in November to coincide with Prematurity Awareness Month and World Prematurity Day (WPD) on November 17. A LETTER FROM THE PRESIDENT �����������������������������������������������������������������������������1 The March of Dimes Dr. Howse, Dr. Jarris. Prematurity Campaign, launched and Dr. Regina Benjamin, I� PREMATURITY CAMPAIGN: ROADMAP TO 2020 AND 2030 GOALS ������������������������3 in 2003, completed its 12th year former U.S. Surgeon with an urgent new set of goals General and March of Dimes Trustee at the II� PREMATURE BIRTH REPORT CARDS ��������������������������������������������������������������������6 and plans for the future. The Prematurity Prevention U.S. preterm birth rate declined Conference. to 9.6 percent in 2014, meeting the original March of III� VICTORIES IN FEDERAL AND STATE ADVOCACY �������������������������������������������������7 Dimes 2020 goal of 9.6 percent. This was due to the National Center for Health Statistics (NCHS) change The March of Dimes released the 2015 Premature IV� PREMATURITY RESEARCH NETWORK ������������������������������������������������������������������8 in measurement of gestational age, and continued Birth Report Cards in November and grades were reset progress in rate reduction. In 2015, the March of to reflect the 2020 goal of 8.1 percent. States with a V� PREMATURITY ON THE GLOBAL HEALTH AGENDA ���������������������������������������������11 Dimes reset its preterm birth rate goals for the nation preterm birth rate of 8.1 percent earned an “A”. For and outlined a new plan — the Prematurity Campaign the first time, Report Cards included a new March of VI� NICU INITIATIVES: RESOURCES FOR FAMILIES AND STAFF �������������������������������13 Roadmap — to work towards their achievement. Dimes “Index of Racial/Ethnic Disparity in Preterm Birth” to highlight the importance of addressing The new March of Dimes preterm birth prevention disparities as part of prematurity prevention, and VII� CONCLUSION ��������������������������������������������������������������������������������������������������13 goals are both challenging and urgent. The 2030 goal to embrace the principle of health equity for every of a 5.5 percent preterm birth rate moves the U.S. baby in every community. The disparity index allows PARTNERS, ALLIANCES AND SPONSORS����������������������������������������������������������������14 preterm birth rate from among the worst of high- comparison across geographic areas and over time. resource countries, to among the best. The shorter- term 2020 goal of 8.1 percent demands a new level of 2015 PREMATURE BIRTH REPORT CARD commitment and partnership from public and private Preterm Birth Rate Grade stakeholders. United States 9.6% C The March of Dimes Prematurity Campaign aims to reduce preterm birth rates across the United States. Premature Birth Report Card grades are assigned by comparing the 2014 preterm birth rate in a state or locality to the March of Dimes goal of 8.1 percent by 2020. The Report Card also provides city or county and race/ethnicity PreterPretermm Birth birthRedu reductionsctions data to highlight areas of increased burden and elevated risks of prematurity. Fewer 21,000 25,000 32,000 43,000 51,000 55,000 231,000 PRETERM BIRTH RATES & GRADES BY STATE preterm 4,000 fewer babies births born preterm Potential $1.1B $1.3B $1.7B $2.2B $2.6B $2.8B $11.9 cost $0.2B billion savings (in billions) saved 12.8 12.7 Preterm 12.3 12.2 birth 12.0 11.7 rate 11.5 11.4 (% of live births) 2006 2007 2008 2009 2010 2011 2012 2013 Source: Preterm birth rates—National Center for Health Statistics, 2006 – 2013 final natality data Fewer preterm births—calculated as the reduction in preterm birth rate since 2006 times the number of live births per year. Potential cost savings—based on estimated number of fewer preterm births and the average societal costs due to preterm birth Cover quote: Radio Address at the White House from the Institute of Medicine, 2007. Prepared by March of Dimes Perinatal Data Center, January 2015. Conference on Children in a Democracy, Washington, D.C., January 19, 1940 231,000 fewer babies were born preterm from 2006 through 2013, with a cost savings of $11.9 billion Preterm is less than 37 weeks gestation based on obstetric estimate. Source: National Center for Health Statistics, final natality data 2014. For more information on how we are working to reduce premature birth, contact the March of Dimes National Office at (914) 997-4286. 1 marchofdimes.org/reportcard 1275 Mamaroneck Avenue White Plains, NY 10605 The U.S. 2015 Premature Birth Report Card includes a map of rates and grades by state. 1 In coming years, the Prematurity Campaign Roadmap, I am proud of the partnerships that have been INTERVENTIONS described in more detail on the next pages, will developed and sustained from the very first days of the I� PREMATURITY CAMPAIGN: focus on implementation of a set of emerging and Prematurity Campaign. Collaborations with federal Eight emerging and established interventions have established interventions that were selected due to the agencies, state health officials and policymakers, ROADMAP TO 2020 AND 2030 been selected for emphasis in the next phases of the available evidence about their potential contribution to sponsors, donors, and hundreds of national and GOALS Campaign, based on the available evidence about their reducing the preterm birth rate. The March of Dimes local alliances, volunteers, clubs and organizations potential contribution to reducing the preterm birth is committed to improving health equity in preterm have been essential to Campaign initiatives. I am rate. Others will be added as research is conducted and birth and driving towards optimal implementation of especially indebted to our Prematurity Campaign evidence of effectiveness emerges. Work on many of these known interventions. At the same time, we must partner organizations: the American Academy of To work towards achievement of the March of Dimes these interventions was ongoing in 2015. also continue to invest in discovery research and its Pediatrics, the American College of Obstetricians 2020 and 2030 rate-reduction goals, the March of translation into new opportunities for prevention. and Gynecologists, the Association of Maternal and Dimes Prematurity Campaign Roadmap will focus on Reduce non-medically indicated (elective) Both strategies are essential to meeting the March of Child Health Programs, the Association of State selected evidence-based interventions, and on states 1 deliveries. Inductions and caesarean sections Dimes 2020 and 2030 rate-reduction goals. and Territorial Health Officials, the Association of with high preterm birth rates and high numbers of scheduled before 39 weeks gestation without a medical Women’s Health, Obstetric & Neonatal Nurses and births. A preterm birth is a birth that takes place before reason increase the risk of early-term and late preterm A major 2015 research milestone was the June the National Association of County and City Health 37 completed weeks of pregnancy. birth and their health consequences. In 2015, the announcement of the fifth March of Dimes Officials. March of Dimes was active in 29 states with activities Prematurity Research Center, a collaboration between The first implementation phase will focus on the four related to reducing early elective deliveries. the University of Chicago, Northwestern and Duke. I am confident the ongoing collaborative nature of our states and territories with the highest preterm birth The March of Dimes has completed a national work to prevent premature birth, engage in discovery rates (Alabama, Louisiana, Mississippi and Puerto transdisciplinary network of researchers who are research and improve health equity will continue to Rico), as well as the two most populous high-rate EDUCATION AND AWARENESS: collaborating to discover the causes of preterm birth. benefit this and future generations. states (Texas and Florida). The second phase will EARLY ELECTIVE DELIVERIES target an additional 10 states with the highest volume The March of Dimes Healthy Babies are Worth of births (California, Georgia, Illinois, Michigan, the Wait national awareness and education Prematurity Research Network New Jersey, New York, North Carolina, Ohio, campaign continued in 2015, aiming to change Pennsylvania and Virginia). In each state, the March norms and reverse a trend toward earlier, of Dimes and its partners will analyze the latest non-medically indicated labor inductions and Dr. Jennifer L. Howse information on the factors that contribute to preterm c-sections. The Campaign reached millions of President birth and strengthen available interventions. The women through educational materials, web March of Dimes will continue its ongoing efforts to content, videos, public service advertising and a prevent preterm birth in all states. mobile phone app called CineMama®. CineMama delivers March of Dimes early elective delivery March of Dimes 2030 Roadmap Targeted States and other health messages and enables women to March of Dimes 2030 Roadmap Targeted
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