> Not to give birth before 39 weeks, read why;

For decades, doctors have warned on the danger of having babies to be born before term without a medical reason. But the practice is remained stubbornly persistent.

Now, with the pressure on doctors and hospitals by the american federal government, private insurers, and public and advocacy groups of patients, the percentage of parts in advance of choice before 39 weeks is decreased in a significant way according to results from the latest survey of the hospital conducted by the Leapfrog Group, a coalition of some of the major national companies that buy insurance  for the health of their employees.

The national average of parts in advance is down to 11.2 percent last year from 14 percent in 2011 and 17 percent in 2010. Nearly 800 U.s. hospitals report their data to the Leapfrog Group as well as about a third of the facilities in the u.s. that offer services for maternityà.

These data demonstrate that in many hospitals , said Cindy Pellegrini, senior vice president of the March of Dimes, è was the education of women and the work done in hospitals and with doctors to decrease lower the rate of parts in advance. “This means children that are born healthy and have a better start in life, with a probability; it is much greater to avoid consequences for health più later in life.”

All children born before 39 weeks are the ones who have più probability; to have trouble breathing, feeding, and infectious processes that can lead to hospitalizations in the unità neonatal intensive care, compared to those that are born after the 39th week,as studies show.

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The parts in advance can also lead to problems in child development that manifest themselves years after birth.

Theinduction early of the birth also poses risks for mothers as it increases the probability; of caesarean section.

individual hospitals

Rates of parts in advance according to the group to Leapfrog.

Since 1979, the American College of Obstetricians and Gynecologists has issued recommendations for avoid the parts upfront before 39 weeks unless there is a medical indication, such as the blood pressure of the mother or the diabetes, or signs of fetal distress.

However, about 10 to 15 percent of children in the United States has continued to rise in advance without any medical justification, according to a report last year from the Department of Health and Human Services.

the Leapfrog would take a rate of the parts anticipated not more than 5, a target reached almost from the metà of the hospitals of reference  with values of up to 39 per cent for all hospitals in 2011.

The open state varies from a high of 26 percent in Pennsylvania to a low of 5.9 percent in Massachusetts and New York. Only states with at least 10 hospitals reporting data comparable with the average values

One of the reasons why some hospitals have been slow to lower their rate is a reluctance of doctors to change their practice, ” said Cindy Pellegrini.

Some rural hospitals may also have rates più high, perché doctors, which in practice are only to plan their work, they are the first to push to decrease their workload. The women, who are not aware of the risks più high they could encounter can also ask them to give birth as soon as possible.

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Some of the improvements in più important of the last year came from States such as South Carolina and Illinois where business groups and insurers have exerted pressure to decrease high-risk parts in advance.

In Illinois, the rate has been cut almost in halfà down to about 7 percent, through the efforts of organizations such as the Business Group in the Midwest .


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