Urgent Alarm Over Preterm Birth Rates in the US
New insights from the March of Dimes report reveal alarming trends in maternal and infant health across the United States, highlighting the urgent necessity for enhanced Medicaid support and improved access to early healthcare services.
Once again, the US has been assigned a D+ grade in the 2025 March of Dimes Report Card, marking the fourth consecutive year at this troubling level regarding preterm birth rates. The report, published recently, indicates a national preterm birth rate that remains stagnant at 10.4%, resulting in nearly 380,000 newborns being born prematurely in 2024, which constitutes one in ten births.
This persistent low grade should serve as a wake-up call to stakeholders in maternal and infant health, revealing a system in need of serious reform.
New Findings in Maternal Health
The latest report reveals several sobering trends concerning maternal health. Notably, racial disparities in preterm births have increased, with rates for infants born to Black mothers rising to a staggering 14.7%, almost 1.5 times the overall preterm birth rate. Furthermore, data indicates that infants born to mothers who were covered by Medicaid face an even higher preterm birth rate of 11.7%, compared to the 9.6% rate among those with private insurance.
Challenges in Prenatal Care
The report highlights a concerning decline in prenatal care, with 24.5% of expectant mothers failing to access care during their first trimester—the fourth consecutive year of decline. This is alarming as early prenatal care is crucial in preventing complications for both mothers and babies.
Chronic Diseases Impacting Pregnancies
The rising prevalence of chronic health conditions among pregnant individuals is another red flag. The report shows that preexisting conditions, such as hypertension and diabetes, have increased by 6% and 8% respectively this year. These conditions are recognized risk factors for preterm birth and can significantly affect maternal and infant health outcomes.
Stagnant Infant Mortality Rates
Despite efforts, the infant mortality rate remains unchanged at 5.6 deaths per 1,000 live births. In 2023, this meant that over 20,000 babies lost their lives before reaching their first birthday, underscoring an urgent need for action to save lives.
Dr. Michael Warren, Chief Medical and Health Officer at March of Dimes, expressed his frustration regarding the data, emphasizing that despite the known risk factors associated with preterm birth, the national rate has not seen improvement. This calls for a renewed commitment to research, expanded access to maternity care, and the implementation of effective policies to safeguard the health of mothers and newborns.
Key Findings from the 2025 Report Card
A deeper look into the report reveals that while some states made progress in reducing preterm births, others saw a significant increase. Nineteen states improved, led by South Dakota with a 10% decrease, while 21 states experienced worsening rates, notably Washington, Michigan, and Connecticut.
- State Extremes: The disparities illustrate a national patchwork of maternal health, where outcomes can vary drastically from state to state.
- Maternal Mortality Trends: National maternal mortality has returned to pre-pandemic levels at 18.6 deaths per 100,000 live births. However, mothers from marginalized communities continue to face disproportionately high risks, with Black and American Indian/Alaska Native mothers experiencing two to three times the mortality rates of their White counterparts.
Cindy Rahman, President & CEO of March of Dimes, emphasized the need for an urgent response to these systemic inequities. She indicated that the country is in a maternal and infant health crisis, where families, particularly those of color and those covered by Medicaid, are at an increased risk. Improving early prenatal care access and addressing chronic disease burdens are critical steps that must be prioritized.
March of Dimes is actively working to confront these challenges through various initiatives. They are expanding their Prematurity Research Centers, including new collaborations aimed at better understanding the drivers behind preterm births. The organization is also operating mobile health centers that bring essential prenatal and postpartum care to underserved communities.
Furthermore, March of Dimes advocates for significant policy changes, including sustained funding for Maternal Mortality Review Committees and increased Medicaid postpartum coverage. By addressing access issues to doulas, midwives, and telehealth services, the organization strives to tackle the structural racism perpetuating health disparities.
Moving forward, even though the report indicates a troubling status quo in maternal and infant health, March of Dimes remains steadfast in advancing research and advocating for the policies needed to ensure healthier beginnings for moms and their babies.
About March of Dimes
March of Dimes is dedicated to enhancing the health of all mothers and infants. Their multifaceted approach includes research, education, and advocacy. Founded in 1938, the organization continues its legacy of providing resources and support to every family and expects that every mother receives the best possible care during and after pregnancy.
Frequently Asked Questions
What is the current preterm birth rate in the US?
The current national preterm birth rate is 10.4%, according to the latest March of Dimes report.
How does Medicaid coverage impact preterm births?
Infants born to mothers covered by Medicaid have a higher preterm birth rate of 11.7% compared to 9.6% for those with private insurance.
What are some causes of rising preterm birth rates?
Rising preterm birth rates are linked to worsening racial disparities, declining prenatal care access, and increased chronic health conditions among pregnant individuals.
What actions is March of Dimes taking?
March of Dimes is increasing research efforts, expanding outreach programs, and advocating for policies to improve maternal and infant health outcomes.
How can pregnant individuals access care in underserved areas?
The Mom & Baby Mobile Health Centers operate in underserved communities, providing essential prenatal and postpartum care to pregnant individuals.
