South Carolina’s Preterm Birth Rate of 11.2% Earns Palmetto State a “D” Grade

Columbia, SC, NOV. 1, 2018 — South Carolina’s preterm birth rate in 2017 remained at 11.2 percent and the state received a “D” grade, according to the 2018 Premature Birth Report Card from March of Dimes, the nation’s leading maternal and infant health nonprofit. For the third year in a row, more U.S. babies were born too soon with serious risks to their health. Premature birth and its complications are the largest contributor to death in the first year of life in the United States, and the leading cause of death in children under age five worldwide.

In South Carolina, the rates of babies that are born too soon (before 37 weeks of pregnancy) vary across population, with racial disparities and access to care a leading factor in preterm births.

Programs launched by the March of Dimes and health partners in South Carolina to address these inequities include:

March of Dimes worked with partners across the state to pass two key pieces of legislation in 2018:  One to protect pregnant women from discrimination and to allow for reasonable workplace accommodations for pregnancy, and related medical conditions; another to ensure new parents are provided education on safe sleep practices, sudden unexplained infant death syndrome and shaken baby syndrome prior to leaving the hospital.   

South Carolina March of Dimes is piloting a maternal screening for mothers during their children’s Well Child Visit (WCV) in family medicine and pediatric care settings.  The tool screens for maternal depression, tobacco use, and pregnancy intentionality.  This project aims to support increased access to services and subsequent referrals for mothers in South Carolina. This intervention addresses a gap in services for women who do not attend postpartum checkups but who can be reached at WCVs.

In keeping with March of Dimes’ long history of support for the military, two Mission: Healthy Baby showers were held in South Carolina this year. The baby showers are designed to address the unique needs of military members who may be stationed far away from the support of family and friends, or who may be actively deployed while their partner is expecting a child at home. The events were held at Charleston Air Force Base and Marine Corp Air Station in Beaufort.

The overall U.S. preterm birth rate rose to 9.93 percent of births in 2017 from 9.85 percent in 2016, according to data from the National Center for Health Statistics (NCHS).  While there is no single cause of preterm birth, research shows that chronic inequities and unequal access to quality health care do have a negative impact on these rates. These factors contribute to the reality that women of color are up to 50 percent more likely to deliver prematurely and their children can face a 130 percent higher infant death rate compared to white women. Promising interventions can help reverse these trends, and better access to health care is essential. A recent March of Dimes report revealed the unequal access to maternity care across the US, particularly in communities with higher poverty rates.

The continued rise in its preterm birth rate earned the U.S. a “C” grade on the March of Dimes Premature Birth Report Card, which grades all 50 states, DC and Puerto Rico on their preterm birth rate. This year, 30 states had a worse rate compared to last year and 10 of those states received a worse grade. The Report Card shows the racial, ethnic and geographic disparities in preterm birth within each state. Visit March of Dimes to download broadcast-quality videos, high-resolution pictures, documents and other links about preterm birth.)

“We must all come together to take concrete, commonsense steps to reverse this alarming trend,” says Stacey D. Stewart, president of March of Dimes. “Our country’s most important resource is human potential. That begins with ensuring every baby has the healthiest possible start in life, regardless of racial and ethnic background or their family’s income. By expanding proven programs and innovative solutions we can shift our health care system to improve treatment and preventive care for moms and lower the preterm birth rate. Birth equity is our goal; it can be reached.” 

The 2018 Report did show bright spots of progress in several states where a range of organizations, including the March of Dimes, have been able to reverse the trend and lower the preterm birth rate.

While many of the underlying causes of preterm birth remain unknown, March of Dimes leads the fight for the health of all moms and babies by:

The March of Dimes Premature Birth Report Card is based on final 2017 natality data from NCHS. Compared to 2016, preterm birth rates in 2017 worsened in 30 states, stayed the same in 6 states and improved in 16 states.

1 state –Vermont-- earned an “A” on the 2018 Premature Birth Report Card;

Among the 100 largest U.S. cities, based on the number of births in 2016, Irvine, California once again had the best (lowest) rate of preterm birth at 5.5 percent, and Detroit, Michigan now has the worst (highest) preterm birth rate at 14.5 percent.

March of Dimes leads the fight for the health of all moms and babies. We support research, lead programs and provide education and advocacy so that every family can have the best possible start. Building on a successful 80-year legacy of impact and innovation, we stand up for every mom and every baby. Visit or for more information. Visit for comfort and support. Find us on Facebook and follow us on Instagram and Twitter.

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