In NSW, there are significant opportunities both to reduce preterm birth and to improve short term and long term consequences of preterm birth.
Judicious decision making about the timing of early planned birth is likely to be an effective strategy for safely prolonging gestation to prevent prematurity or reduce its consequences.
We are developing materials that help clinicians in this often difficult decision making and we are also producing educational public awareness messaging about the important maturational changes that occur late in pregnancy.
Smoking is universally accepted as a modifiable risk factor to improve pregnancy outcomes. In NSW we plan to identify those areas in which interventions can be specifically targeted to produce most effective results.
Finally, multiple pregnancy contributes to preterm birth and we are developing strategies to optimise outcomes in this high risk group.