NATION AND UTAH RECEIVE A “D”
March of Dimes Releases Premature Birth Report Card

(SALT LAKE CITY, UTAH, NOV. 12, 2008) - The United States is failing hundreds of thousands of its youngest citizens on the day they are born, according to the March of Dimes.  Utah lags behind in preventing premature birth and urgently needs to take action to prevent more deaths and disabilities.
In the first of what will be an annual Premature Birth Report Card, the nation received a “D” and not a single state earned an “A,” when the March of Dimes compared actual preterm birth rates to the national Healthy People 2010 objective. The grade of D indicates how far Utah, with a preterm birth rate of 11.4%, is from the Healthy People 2010 objective of 7.6 percent of all live births. Latest available data (2005) show that the national preterm birth rate is 12.7 percent. 
The only state to earn a “B” was Vermont. Eight states earned a “C,” 23 states earned a “D,” and 18 states plus Puerto Rico and the District of Columbia got failing grades of “F.”
“It is unacceptable that our nation is failing so many preterm babies,” said Jennifer L. Howse, PhD, president of the March of Dimes. “We are determined to find and implement solutions to prevent preterm birth, based on research, best clinical practices, and improved education for moms.”
In addition to providing state rankings, the March of Dimes Premature Birth Report Card analyzes contributing factors and prevention opportunities, including rates of late preterm birth, smoking, and uninsured women of child-bearing age. In Utah, the rate of late preterm births is 8.6 percent; the rate of women smoking is 9.3 percent, and the rate of uninsured women is 18.9 percent.
“The Report Card illustrates the importance of ensuring every pregnant woman in Utah has access to health coverage, and that even in tough economic times we cannot afford to cut vital
March of Dimes/Preterm Birth Report Card -2-

care for pregnant women,” said Amy Hansen, March of Dimes, Utah Chapter Director. “Protecting and expanding Medicaid eligibility for pregnant women will continue to be March of Dimes advocacy priorities.”
Other contributing factors to premature birth include elective inductions and cesarean deliveries or c-sections. “About 1 in 12 live births in Utah is late preterm, 34-36 weeks gestation,” says Dr. Michael Varner, professor and vice-chair of research, Dept. of OBGYN at the University of Utah Health Sciences Center. “The rise in late preterm births has been linked to rising rates of early induction of labor and c-sections.”
The Report Card calls for Hospital leaders to voluntarily review all c-section births and inductions of labor that occur before 39 weeks gestation, in an effort to reverse America’s rising preterm birth rate.  The review should ensure that all c-sections and inductions meet established professional guidelines.
Intermountain Healthcare started an initiative in 2000 to do just that. “As a system we moved from having 28 percent elective inductions before 39 weeks to about three percent and have sustained this for several years,” says Dr. Sean Esplin, maternal-fetal medicine specialist at Intermountain Medical Center. “We found that this was not only a clinical improvement but also resulted in savings for patients.”
The Report Card also calls for:
• Expanded federal support for prematurity-related research to uncover the causes of premature birth and lead not only to strategies for prevention, but also improved care and outcomes for preterm infants.
• Policymakers to improve access to health coverage for women of childbearing age and to support smoking cessation programs as part of maternity care.
• Businesses to create workplaces that support maternal and infant health, such as providing private areas to pump breast milk, access to flextime, and information about how to have a healthy pregnancy and childbirth.
November 12th marks the nation’s 6th Annual Prematurity Awareness Day, a time when the March of Dimes mobilizes volunteers and parents to draw attention to premature birth (birth before 37 weeks gestation), which affects more than 530,000 babies each year in the United States. Premature birth is the leading cause of newborn death and a major cause of lifelong disability.
March of Dimes/Preterm Birth Report Card-3-

In this election year, the March of Dimes invites all Americans to help send a message to our new President and to federal and state lawmakers by signing the 2008 Petition for Preemies at marchofdimes.com/petition.
The purpose of the Petition and the Report Card is to raise public awareness of the growing crisis of preterm birth so elected and appointed officials will commit more resources to address this problem and policymakers will support development of strategies that benefit mothers and babies.
The Report Card also is supported by the American Academy of Pediatrics, the Association of Women’s Health Obstetric and Neonatal Nurses, the National Business Group on Health, the American Benefits Council and dozens of other businesses and maternal and infant health organizations. 
The March of Dimes says that in 2009, Report Card grades will reflect state actions taken that have the potential to reduce preterm birth rates in future years.
Preterm birth is the leading cause of death in the first month of life in the United States. The preterm birth rate has increased more than 20 percent since 1990 and costs the nation more than $26 billion a year, according to the Institute of Medicine report issued in July 2006.
 Babies who survive a premature birth face the risk of serious life-long health problems including learning disabilities, cerebral palsy, blindness, hearing loss, and other chronic conditions including asthma. Even infants born just a few weeks too soon have a greater risk of breathing problems, feeding difficulties, temperature instability (hypothermia), jaundice and delayed brain development.
The March of Dimes is the leading nonprofit organization for pregnancy and baby health.  Its mission is to improve the health of babies by preventing birth defects, premature birth and infant mortality.  For the latest resources and information, visit marchofdimes.com or nacersano.org.

-30-