Neonatologist Dr. Karen Dudley joined the "Wake Up With Dee Morning Show" on World Prematurity Day to discuss the ongoing challenges of preterm birth and the importance of advocacy for families and infants.
Dr. Dudley emphasized Georgia’s high rates of premature birth, noting that the state earned an F on the March of Dimes report card for prematurity, while Atlanta recently improved from an F to a D. “In my household with my children growing up, Ds and Fs were not acceptable. So it shouldn't be acceptable for this as well,” Dr. Dudley said, underscoring the need for continued improvement. She explained that factors contributing to preterm birth include inadequate prenatal care, hypertension, diabetes, unhealthy weight, and limited access to obstetric services, especially in rural areas where hospitals have closed.
Dr. Dudley stressed that prevention and early care are key to reducing risks. She highlighted the role of parents as advocates, describing how patient voices are essential in neonatal care. “We as medical providers have to listen to our patients. That is what happens when they don’t, is what's going viral right now across the United States,” she said, urging families to speak up when something feels wrong and to bring support networks with them to appointments.
The neonatologist also discussed survival rates for extremely premature infants. Advances in neonatal care have increased survival rates, particularly in specialized centers, though outcomes vary across the country. Even when babies survive, she noted, there are risks of developmental delays and long-term health challenges. Dr. Dudley emphasized the importance of collaboration between families, physicians, and care teams to provide the best outcomes for preterm infants.
In addition to medical care, Dr. Dudley encouraged building trust between parents and healthcare providers. She advised parents to participate in care conferences and regular meetings to ensure their concerns are addressed. “Trust your team, but your team has to trust you to know that you know what's going on with your baby as well,” she said, stressing that effective communication is essential to delivering optimal care.
To listen to the full interview, click the link above.