Born Too Soon

Decade of Action on Preterm Birth

Preterm birth is the leading cause of death of children under five, and neonatal conditions still occupy the top slot — among all conditions, of all ages — in the global burden of disease. To make progress on maternal and newborn health, we must address preterm birth.

Together, we have all the ingredients for success and many countries around the world have shown how it can be done.

Dr. Tedros Adhanom Ghebreyesus
Dr. Tedros Adhanom Ghebreyesus
WHO
Natalia Kanem
Natalia Kanem
UNFPA
Catherine Russell
Catherine Russell
UNICEF
Helen Clark
Helen Clark
PMNCH
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The 2012 Born Too Soon report ignited a movement for preterm birth.

A decade on, an even larger coalition of partners is uniting through this new version of Born Too Soon to call for a healthier and more equitable future for millions of babies, women and families.

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Why this report,

why now?

A decade after the first Born Too Soon report, 70+ organizations in 45+ countries have come together to develop an updated version.

This report:

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shines a spotlight
on country achievements that can inform and inspire further progress.
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roots the agenda
for preterm birth within the SDGs and calls for intersectoral action - from climate change to girls' education
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puts affected communities
women, babies and their families — at the centre

Born Too Soon: Decade of Action on Preterm Birth looks to the future, setting an ambitious agenda to reduce the burden of preterm birth by ensuring that every woman and every newborn, even if they face a preterm birth, can survive and thrive.

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Data and trends

Nearly 1 in 10 babies worldwide are born too soon.

Complications from preterm birth are the leading cause of under-5 child mortality, accounting for about 1 million deaths. Worldwide, deaths related to preterm birth account for:

1 in 3
newborn deaths (first 28 days)
nearly 1 in 5
deaths of children under 5
3 in 4
of all stillbirths are preterm in countries with robust data

Neonatal conditions are the leading cause of lost human capital, unchanged since 1990.

The past decade has seen no measurable change in global preterm birth rates.

Trends in annual number of preterm births by SDG region, 2010–2020

Estimated national preterm birth rates and numbers in 2020

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Inequalities in care between and within countries result in unacceptable survival gaps for babies born preterm.

9 in 10 extremely preterm babies (<28 weeks) survive in high-income countries while only 1 in 10 survive in low-income countries

85% of preterm births occur between 32-37 weeks of gestation where survival is usually possible without neonatal intensive care – but there are still far too many deaths in this age group in low-resource settings.

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In 2020, nearly 1.2 million preterm newborns were born in the 10 most fragile countries, where access to care is particularly difficult

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Millions of survivors of preterm birth have mild to severe disabilities that follow them throughout their lives. Many of these disabilities are preventable and are a sensitive marker of quality of care.

Solutions

Decade of change:

to 2030 and beyond

Today, we are poised for progress to implement known and cost-effective solutions. To reduce the unacceptable burden of preterm birth, action in the coming decade needs to focus on two priority tracks and four key actions.

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We need leadership at the highest level as well as strong and empowered grass-roots movements to:

  • increase investments;
  • accelerate implementation;
  • better integrate with other sectors;
  • to fully leverage innovations.

Everyone has a role to play. Together we can enable rapid change to reduce the burden of preterm birth in the coming decade and optimize high-quality care for women and babies everywhere.

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Chapter 1
Decade of change: looking back to inform our future
PDF version
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Chapter 2
Counting and accounting for preterm births
PDF version
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Chapter 3
Rights and respect: putting people at the centre of the response to preterm birth
PDF version
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Chapter 4
Women’s health and maternal health services: seizing missed opportunities to prevent and manage preterm birth
PDF version
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Chapter 5
Care for small and sick newborns: high return on investment is possible now
PDF version
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Chapter 6
Intersectoral action: integration for impact on preterm birth
PDF version
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Chapter 7
Decade of change: to 2030 and beyond
PDF version
Download the full report
(PDF)
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Born Too Soon collaborating partners

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