News / Africa

Saving Premies from Death or Disability

Three-day-old premature baby Jessica Thelusma is carried by her mother Silvie Estain in the emergency room at General Hospital in Port-au-Prince, Saturday, May 8, 2010. (AP Photo/Esteban Felix)
Three-day-old premature baby Jessica Thelusma is carried by her mother Silvie Estain in the emergency room at General Hospital in Port-au-Prince, Saturday, May 8, 2010. (AP Photo/Esteban Felix)

Multimedia

Audio
Joe DeCapua

It’s estimated about 15-million babies are born prematurely each year. About one million of them die, while many others suffer life-long disabilities.  A major study says half the women at risk of pre-term deliveries are not receiving simple, low cost treatments that could help prevent death or disabilities in newborns.

De Capua report on pre-term delivery risk
De Capua report on pre-term delivery riski
|| 0:00:00
...
 
🔇
X

The study of more than 300,000 births in 29 low and middle income countries appears in The Lancet.

The World Health Organization’s Dr. Joshua Vogel, who led the research, said, “It’s a very big problem and a global one. Our best estimates are that over one in ten births worldwide actually occur before 37-weeks. So occur pre-term before the baby is fully grown and that’s in the region of about 15-million births annually.”

Most of the pre-term births occur in sub-Saharan Africa and South Asia. Why pre-term births occur, he said, is a complex question.

“Many conditions can actually cause it, for example, infections. But often we don’t know the reason. They just occur and we need to do the best we can to manage them.”

Besides the nearly one million deaths each year among pre-term babies, many of those who survive have serious health issues. These include cardiovascular problems, visual and hearing difficulties and learning disabilities.

“And of course we need to consider how this can have an impact on the family, not just the individual baby or child, but also the economic consequences as well,” he said.

Vogel -- who‘s with the WHO’s Reproductive Health and Research Department – said there are simple, effective and inexpensive treatments that can prevent many of these problems.

“We have the antenatal corticosteroids that can help develop the lungs a bit quicker. And we also have another group of medications called tocolytics. And tocolytics can actually slow down or even in some cases temporarily stop a woman’s contractions. And this can buy us a little bit of time, not just in terms of helping to deliver, but more to give time for us to administer antenatal corticosteroids – for those drugs to work – or indeed to transfer the woman to a facility where she can get access to the best newborn care for the premature newborn when it is born,” he said.

But many women simply are not receiving these treatments.

Vogel said, “Of the women that are eligible for those drugs only just over half of them are actually receiving it. And in the case of the tocolytics medications, we found most women who are eligible were not receiving tocolytics medication or an antenatal corticosteroid. We also found that instead of tocolytics drugs women were often being treated with regimens that we know don’t really make much of a difference in this particular clinical situation.”

About a third of the women studied received ineffective treatments for pre-term risk, such as bed rest, hydration and magnesium sulfate. And many who did receive the tocolytics were not getting the best form known as calcium channel blockers. Instead, they were given the more risky beta-agonists, which can increase the risk of cardiovascular problems, nausea and vomiting.

Vogel said the precise reasons why women are not getting proper treatments are unclear. Further study is needed on that. But he gives a few possibilities.

“It can be misunderstanding on the behalf of health staff or a lack of information. It can be a fear amongst women or the doctors or health care providers themselves. And of course it can be a lot of economic and financial barriers -- not just for hospitals and getting access to the drugs, but in the case of women and their families being able to afford it,” he said.

Vogel said to reduce the risk of pre-term births the medications should be given to eligible women between 26 and 34 weeks into pregnancy.  The WHO official agreed with those who say the drugs are not a panacea and that a comprehensive approach is needed to reduce deaths and disabilities associated with pre-term births.

You May Like

Photogallery Pistorius Sentenced, Taken to Prison

Pistorius, convicted of culpable homicide in shooting death of girlfriend Reeva Steenkamp, will likely serve about 10 months of five-year sentence, before completing it under house arrest More

UN to Aid Central Africa in Polio Vaccinations

Synchronized vaccinations will be conducted after Cameroon reports a fifth case of the wild polio virus in its territory More

WHO: Ebola Vaccine May Be in Use by Jan.

WHO assistant director Dr. Marie Paule Kieny says clinical trials of Ebola vaccines are underway or planned in Europe, US and Africa More

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
After Decades of Pressure, Luxembourg Drops Bank Secrecy Rulesi
X
October 21, 2014 12:20 AM
European Union finance ministers have reached a breakthrough agreement that will make it more difficult for tax cheats to hide their money. The new legislation, which had been blocked for years by countries with a reputation as tax havens, was approved last week after Luxembourg and Austria agreed to lift their vetoes. But as Mil Arcega reports, it doesn’t mean tax cheats have run out of places to keep their money hidden.
Video

Video After Decades of Pressure, Luxembourg Drops Bank Secrecy Rules

European Union finance ministers have reached a breakthrough agreement that will make it more difficult for tax cheats to hide their money. The new legislation, which had been blocked for years by countries with a reputation as tax havens, was approved last week after Luxembourg and Austria agreed to lift their vetoes. But as Mil Arcega reports, it doesn’t mean tax cheats have run out of places to keep their money hidden.
Video

Video Kobani Refugees Welcome, Turkey Criticizes, US Airdrop

Residents of Kobani in northern Syria have welcomed the airdrop of weapons, ammunition and medicine to Kurdish militia who are resisting the seizure of their city by Islamic State militants. The Turkish government, however, has criticized the operation. VOA’s Scott Bobb reports from southeastern Turkey, across the border from Kobani.
Video

Video China Political Meeting Seeks to Improve Rule of Law

China’s communist leaders will host a top level political meeting this week, called the Fourth Plenum, and for the first time in the party’s history, rule of law will be a key item on the agenda. Analysts and Chinese media reports say the meetings could see the approval of long-awaited measures aimed at giving courts more independence and include steps to enhance an already aggressive and high-reaching anti-corruption drive. VOA’s Bill Ide has more from Beijing.
Video

Video US ‘Death Cafes’ Put Focus on the Finale

In contemporary America, death usually is a topic to be avoided. But the growing “death café” movement encourages people to discuss their fears and desires about their final moments. VOA’s Jerome Socolovsky reports.
Video

Video Ebola Orphanage Opens in Sierra Leone

Sierra Leone's first Ebola orphanage has opened in the Kailahun district. Hundreds of children orphaned since the beginning of the Ebola outbreak face stigma and rejection with nobody to care for them. Adam Bailes reports for VOA about a new interim care center that's aimed at helping the growing number of children affected by Ebola.
Video

Video Young Nairobi Tech Innovator on 'Track' in Security Business

A 24-year-old technology innovator in Nairobi has invented a tracking device that monitors and secures cars. He has also come up with what he claims is the most robust audio-visual surveillance system yet. As Lenny Ruvaga reports from the Kenyan capital, his innovations are offering alternative security solutions.
Video

Video Latinas Converting to Islam for Identity, Structure

Latinos are one of the fastest growing groups in the Muslim religion. According to the Pew Research Center, about 6 percent of American Muslims are Latino. And a little more than half of new converts are female. VOA’s Carolyn Presutti travelled to Miami, Florida -- where two out of every three residents is Hispanic -- to learn more.
Video

Video Exclusive: American Joins Kurds' Anti-IS Fight

The United States and other Western nations have expressed alarm about their citizens joining Islamic State forces in Syria and Iraq. In a rare counterpoint to the phenomenon, an American has taken up arms with the militants' Syrian Kurdish opponents. Elizabeth Arrott has more in this exclusive profile by VOA Kurdish reporter Zana Omer in Ras al Ayn, Syria.
Video

Video South Korea Confronts Violence Within Military Ranks

Every able-bodied South Korean male between 18 and 35 must serve for 21 to 36 months in the country’s armed forces, depending upon the specific branch. For many, service is a rite of passage to manhood. But there are growing concerns that bullying and violence come along with the tradition. Reporter Jason Strother has more from Seoul.
Video

Video North Carolina Emerges as Key Election Battleground

U.S. congressional midterm elections will be held on November 4th and most political analysts give Republicans an excellent chance to win a majority in the U.S. Senate, which Democrats now control. So what are the issues driving voters in this congressional election year? VOA National Correspondent Jim Malone traveled to North Carolina, one of the most politically competitive states in the country, to find out.
Video

Video Comanche People Maintain Pride in Their Heritage

The Comanche (Indian nation) once were called the “Lords of the Plains,” with an empire that included half the land area of current day Texas, large parts of Oklahoma, New Mexico, Kansas and Colorado.The fierceness and battle prowess of these warriors on horseback delayed the settlement of most of West Texas for four decades. VOA’s Greg Flakus reports from Lawton, Oklahoma, that while their warrior days are over, the 15,000 members of the Comanche Nation remain a proud people.
Video

Video Turkey Campus Attacks Raise Islamic Radicalization Fears

Concerns are growing in Turkey of Islamic radicalization at some universities, after clashes between supporters of the jihadist group Islamic State (IS) or ISIS, and those opposed to the extremists. Pro-jihadist literature is on sale openly on the streets of Istanbul. Critics accuse the government of turning a blind eye to radicalism at home, while Kurds accuse the president of supporting IS - a charge strongly denied. Henry Ridgwell reports from London.

All About America

AppleAndroid