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

    Taj Mahal Battles New Threat from Insects

    Swarms of insects are proliferating in the heavily contaminated waters of the Yamuna River, which flows behind the 17th century monument

    Self-doubt, Cultural Barriers Hinder Cambodian Women in Tech

    Longtime Cambodian tech observer Sok Sikieng says that although more women have joined profession in recent years, there remain significant factors hindering women from reaching tech potential

    Trans-Adriatic Pipeline to Boost European Energy Security

    $4.5 billion-pipeline will become operational in 2020 and will deliver gas from Azerbaijan’s Shah Deniz II field to southern Italy

    By the Numbers

    Featured Videos

    Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
    Vietnamese-American Youth Optimistic About Obama's Visit to Vietnami
    X
    Elizabeth Lee
    May 22, 2016 6:04 AM
    U.S. President Barack Obama's visit to Vietnam later this month comes at a time when Vietnam is seeking stronger ties with the United States. Many Vietnamese Americans, especially the younger generation, are optimistic Obama’s trip will help further reconciliation between the two former foes. Elizabeth Lee has more from the community called "Little Saigon" located south of Los Angeles.
    Video

    Video Vietnamese-American Youth Optimistic About Obama's Visit to Vietnam

    U.S. President Barack Obama's visit to Vietnam later this month comes at a time when Vietnam is seeking stronger ties with the United States. Many Vietnamese Americans, especially the younger generation, are optimistic Obama’s trip will help further reconciliation between the two former foes. Elizabeth Lee has more from the community called "Little Saigon" located south of Los Angeles.
    Video

    Video First-generation, Afghan-American Student Sets Sights on Basketball Glory

    Their parents are immigrants to the United States. They are kids who live between two worlds -- their parents' homeland and the U.S. For many of them, they feel most "American" at school. It can be tricky balancing both worlds. In this report, produced by Beth Mendelson, Arash Arabasadi tells us about one Afghan-American student who seems to be coping -- one shot at a time.
    Video

    Video Newest US Citizens, Writing the Next Great Chapter

    While universities across the United States honor their newest graduates this Friday, many immigrants in downtown Manhattan are celebrating, too. One hundred of them, representing 31 countries across four continents, graduated as U.S. citizens, joining the ranks of 680,000 others every year in New York and cities around the country.
    Video

    Video Vietnam Sees Strong Economic Growth Despite Incomplete Reforms

    Vietnam has transformed its communist economy to become one of the world's fastest-growing nations. While the reforms are incomplete, multinational corporations see a profitable future in Vietnam and have made major investments -- as VOA's Jim Randle reports.
    Video

    Video Qatar Denies World Cup Corruption

    The head of Qatar’s organizing committee for the 2022 World Cup insists his country's bid to host the soccer tournament was completely clean, despite the corruption scandals that have rocked the sport’s governing body, FIFA. Hassan Al-Thawadi also said new laws would offer protection to migrants working on World Cup construction projects. VOA's Henry Ridgwell reports.
    Video

    Video Infrastructure Funding Puts Cambodia on Front Line of International Politics

    When leaders of the world’s seven most developed economies meet in Japan next week, demands for infrastructure investment world wide will be high on the agenda. Japanese Prime Minister Shinzo Abe’s push for “quality infrastructure investment” throughout Asia has been widely viewed as a counter to the rise of Chinese investment flooding into region.
    Video

    Video Democrats Fear Party Unity a Casualty in Clinton-Sanders Battle

    Democratic presidential front-runner Hillary Clinton claimed a narrow victory in Tuesday's Kentucky primary even as rival Bernie Sanders won in Oregon. Tensions between the two campaigns are rising, prompting fears that the party will have a difficult time unifying to face the presumptive Republican nominee, Donald Trump. VOA national correspondent Jim Malone has more from Washington.
    Video

    Video Portrait of a Transgender Marriage: Husband and Wife Navigate New Roles

    As controversy continues in North Carolina over the use of public bathrooms by transgender individuals, personal struggles with gender identity that were once secret are now coming to light. VOA’s Tina Trinh explored the ramifications for one couple as part of trans.formation, a series of stories on transgender issues.
    Video

    Video Amerikan Hero Flips Stereotype of Middle Eastern Character

    An Iranian American comedian is hoping to connect with American audiences through a film that inverts some of Hollywood's stereotypes about Middle Eastern characters. Sama Dizayee reports.
    Video

    Video Budding Young Inventors Tackle City's Problems with 3-D Printing

    Every city has problems, and local officials and politicians are often frustrated by their inability to solve them. But surprising solutions can come from unexpected places. Students in Baltimore. Maryland, took up the challenge to solve problems they identified in their city, and came up with projects and products to make a difference. VOA's June Soh has more on a digital fabrication competition primarily focused on 3-D design and printing. Carol Pearson narrates.

    Special Report

    Adrift The Invisible African Diaspora