1 Department of Pediatrics, University of Vermont College of Medicine, Burlington
Everyone agrees that the solution to the problem of prematurity would be to prevent preterm births. The perinatal study in Haguenau1 is one of the largest published studies (> 16,000 live births) that demonstrate that prevention of premature births is possible. In a 12-year period (1971 to 1982), Papiernik et al achieved a 31% reduction (5.4% to 3.7%) of premature births. In the first 3 years of the study, they had essentially no change in the incidence of prematurity. It is interesting to speculate what would have happened had this study been performed in the United States. It probably would have been abandoned.
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