Worldwide, more than 4 million children die in the first 4 weeks of life, and 28% of these deaths are thought to be due directly to preterm birth.1,2 Reducing child mortality by 2015 is one of 8 goals in the United Nations Millennium Declaration, adopted by more than 180 nations.3 Birth spacing is mentioned in the strategies set out to achieve the goals but its potential seems underemphasized.
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