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Is It Worth It? (Full length)

To view the original video, please go to http://www.nichd.nih.gov/ncmhep/isitworthit/Pages/default.aspx.

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Video fades to camera view on Dr. Catherine Spong in her office.

Text appears at bottom of screen that reads: “Catherine Y. Spong, MD; Associate Director of Extramural Research; Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH.”
[MUSIC IN]
Dr. Catherine Spong: Pregnancy—we call it nine months, but in actuality it’s ten months. It’s 40 weeks.
Video cuts to camera view on Heather Spohr in her home.

Text appears at bottom of screen that reads: “Heather Spohr, Mother; Pregnancy and parenting blogger; The Spohrs Are Multiplying.”
Heather Spohr: I think that there is this sort of feeling out there that once they get to 36 weeks, it’s nine months and we’re told that pregnancy is nine months long.
Video cuts to camera view on a woman rubbing her exposed pregnant belly. Ms. Spohr: And so you get to 36 weeks, you think, “Okay, well I’m done,” and you’re not. You still have four more weeks.
Video cuts to camera view on Dr. Spong her office. Dr. Spong: It’s very, very important, if you can, to wait for delivery until 39 weeks. Because that
Video cuts to camera view on a mother playing with her newborn while sitting in a hospital bed. She touches her finger to the baby’s nose and he reacts. Dr. Spong: after 39 weeks your risks are much less for many complications.
Video cuts to a camera view on a health professional holding a stethoscope up to an infant’s chest while the infant rests in an incubator in the hospital. Dr. Spong: Babies can develop lung problems.
Video cuts to camera view on another infant resting in an incubator in the neonatal intensive care unit (NICU). An eye mask covers the infant’s face. Dr. Spong: They can also have difficulty with vision and hearing later in life.
Video cuts to camera view on Dr. Spong in her office. Dr. Spong: The baby's brain almost doubles in size in the last
GRAPHICS SLIDE

Animated graphic shows illustration of the size of baby’s brain at 35 weeks of gestation and then the size of a baby’s brain at 39 to 40 weeks of gestation. The illustration of the brain at 35 weeks is smaller with fewer contours in the brain. The baby’s brain at 39 to 40 weeks of gestation is larger with more definition and a greater amount of contours.

Text at the top of the graphic reads: “A baby’s brain at 35 weeks weighs only two-thirds of what it will weigh at 39 to 40 weeks.”

Text at the bottom of the graphic reads: “Adapted from material developed by the March of Dimes.”
Dr. Spong: several weeks of pregnancy. And the brain is forming all of the connections that are going to be important for coordination, for movement, and for learning.
Video cuts to camera view on Dr. Spong in her office.

Video cuts to camera view on Dr. Spong reviewing and writing notes on paperwork in a hospital setting.
Dr. Spong: Data from the National Institutes of Health has shown a dramatic increase in those risks—those respiratory complications, those infections—for babies who were born at 37 weeks and 38 weeks. And that even lasted right into the end of the 38th week.
Video cuts to camera view on Dr. Spong in her office. Dr. Spong: In fact, there’s a 20% increase in these complications for those babies. So even just a couple of days at 38 weeks and 4 days or 38 weeks and 5 days, you still have a significant increase in complications as compared to waiting to the 39 weeks.
Video cuts to camera view on Ms. Spohr pushing her daughter in a stroller while walking down the sidewalk with her husband. Ms. Spohr: There is this sort of like misconception that the last four weeks, the babies are just fattening up.
Video cuts to camera view on Ms. Spohr in her home.

Video cuts to camera view on Ms. Spohr playing with her daughter while holding her on her hip and walks inside her home.
Ms. Spohr: But they’re still learning how to breathe and learning how to—their brains are learning the wiring and there's just so much going on. It's worth a little bit of discomfort to have a healthy baby.
Video cuts to camera view on Dr. Spong in her office. Dr. Spong: Babies who are born in this late preterm period who don’t have the benefit of developing all of the connections in a healthy environment inside the womb; may be at higher risk later on in life of learning difficulties—difficulties with reading, difficulties with spelling. 
Video cuts to camera view on Ms. Spohr playing on the floor with her daughter in a home setting. The daughter plays with toys. Dr. Spong: So those are the reasons you don’t want to electively deliver early or deliver less than 39 weeks, because you want to optimize the outcome for your baby and for your baby's brain.
Video cuts to camera view on Dr. Debra Bingham in a playground setting.

Text appears at the bottom of the screen that reads: “Debra Bingham, Dr/PH, RN; VP of Research, Education and Publications; Association of Women’s Health, Obstetric and Neonatal Nurses.”
Dr. Debra Bingham: If a baby’s not ready to be born, then they end up needing more intensive care.
GRAPHICS SLIDE

Video zooms out on an image of a mother’s hands resting on the head and hand of a premature infant who is sleeping in an incubator in the NICU. Monitoring tubes are hooked up to the baby’s nose, mouth and stomach.

Text appears under the video footage of the infant that reads: “Babies born at 37 weeks are four times more likely to be admitted to the NICU than babies born at 39 to 41 weeks.”
Dr. Bingham: They often have breathing problems; they have problems with their temperatures; they have problems with feeding and they are often separated from their parents and may not go home with their parents
Video cuts to camera view on Dr. Bingham in a playground setting. Dr. Bingham: at the time that the mother is ready to go home.  And that’s very painful.
Video cuts to camera view on a mother pushing her daughter in the swing on the playground.

Video cuts to camera view on two young girls spinning around while seated on a tire swing on the playground.

Video cuts to camera view on Dr. Bingham in a playground setting.

Video cuts to camera view on a young girl swinging from a handle bar while playing on the playground.
Dr. Bingham: The safest for both mother and baby is to let labor begin on its own—to actually trust that a woman’s body, who knew how to grow a baby, also knows when it’s time to have their baby.
Video cuts to camera view on photo frames inside Ms. Sphor’s home on a counter.

Video cuts to camera view on Ms. Spohr  in her home.
Ms. Spohr: I get it. I really do. I know the discomfort and the physical pain. But your child could be developmentally and physically impaired for life because you don't want to wait that extra week, that extra day even. It’s just not worth it.
Video cuts to camera view on framed family photographs inside Ms. Sphor’s home and camera pans across showing a picture of her daughter and a picture of Heather holding her daughter. Ms. Spohr: It’s a hard thing to be pregnant but it’s a harder thing to have a sick child.
Video cuts to camera view on Dr. Spong in an office setting. Dr. Spong: If there's no risks—everything's healthy for the mom and the baby—you want to wait until at least 39 weeks to deliver. By saying wait till 39 weeks doesn’t mean you deliver at 39 weeks. It means you at least pass 39 weeks before you deliver.  It's not that many weeks.  It's about a month of your life. And, in fact, you will have a lifelong
Video cuts to camera view a young boy playing on the playground. Dr. Spong: impact for that baby. That baby will have a life of at least 70 to 90 years, we would hope. And by improving the health of that baby, by letting that baby get born at term, you're improving the life-long health of that baby.
Video cuts to camera view of a mother holding her sleeping baby while sitting in a rocking chair. She kisses the baby’s hand and cheek. Dr. Spong: The more time your baby spends inside in a healthy womb
Video cuts to camera view on Dr. Spong in an office setting. Dr. Spong: the better off he or she will be.
Video cuts to camera view of a girl tickling her younger sister on the playground. Dr. Spong: Sometimes this isn’t possible, but when it is, it’s worth it.
Video cuts to camera view on a newborn being examined with a stethoscope. Dr. Spong: Because of both the importance of this issue and research done in part by the Eunice Kennedy Shriver National Institute of Child Health and Human Development.
Graphic Slide

Text appears in the middle of the screen that reads: “‘full term’ is not what it used to be.”
Dr. Spong: The definitions for “term” gestation have been redefined or clarified for the last few weeks of pregnancy.
GRAPHICS SLIDE

Text appears in the middle of the screen that reads: “Early Term: 37 weeks through 38 weeks and 6 days.”

Text appears in the middle of the screen that reads: “Full Term: 39 weeks through 40 weeks and 6 days.”

Text appears in the middle of the screen that reads: “Late Term: 41 weeks through 41 weeks and 6 days.”

Additional text appears at the top of the screen that reads: “Pregnancy: The Terms Have Changed.”
Dr. Spong: The new label “early term” is now used to describe babies born at 37 weeks and 38 weeks.

“Full term” describes babies born at 39 weeks and 40 weeks. This is the sweet spot when research has shown it’s safest to deliver your baby.

And births during the 41st week are called “late term.”

These new definitions reflect the latest research and will impact both maternal and newborn health.
Video cuts to camera view on Dr. Spong in her office. Dr. Spong: Give your baby the best chance at life. If you can, wait for it.  Don’t rush it.
GRAPHICS SLIDE

“National Child & Maternal Health Education Program; www.nichd.nih.gov/wait39weeks

1-800-370-2943.”

U.S. Department of Health and Human Services logo, National Institutes of Health, Eunice Kennedy Shriver National Institute of Child Health and Human Development logo included at the bottom of the screen.
 
FADE TO BLACK SCREEN [MUSIC OUT]

 

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Is It Worth It? (60 sec)

To view the original video, please go to http://www.nichd.nih.gov/ncmhep/isitworthit/spreadtheword/Pages/index.aspx.

Video/Graphics

Audio

Image of moving sonogram shows a fetus in the womb with heart visibly beating.  Text at the bottom of the screen reads: "Many pregnant women are now requesting to deliver before 39 weeks…" [MUSIC IN]
[SOUND] Heartbeat
Dr. Catherine Spong talks on camera in an office setting
Text appears at bottom of screen that reads: "Catherine Y. Spong, MD; Associate Director of Extramural Research; Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH."
DR. CATHERINE SPONG: Pregnancy, we call it nine months, but in actuality it's 10 months. It's 40 weeks.
A mother plays with her newborn while in her hospital bed. She touches her finger to the baby's nose and he reacts. SPONG: The baby's brain almost doubles in size…
Spong talks on camera in an office setting. SPONG: …in the last several weeks of pregnancy.
Graphic shows illustration of a baby's brain at 35 weeks of gestation and a baby's brain at 39 to 40 weeks of gestation. The illustration of the brain at 35 weeks is smaller with fewer contours in the brain. The baby's brain at 39 to 40 weeks of gestation is larger with more definition and a greater amount of contours.
Text in graphic reads: "A baby's brain at 35 weeks weighs only two-thirds of what it will weigh at 30 to 40 weeks."
Copyright information at the bottom of the graphic reads: "2011 March of Dimes Foundation; Image for illustrative purposes only."
SPONG: And the brain is forming all of the connections that are going to be important for coordination, for movement and for learning.
Dr. Debra Bingham talks on camera in a playground setting.
Text appears at the bottom of the screen that reads: "Debra Bingham, Dr/PH, RN; VP of Research, Education and Publications; Association of Women's Health, Obstetric and Neonatal Nurses."
DR. DEBRA BINGHAM: It's important that we not just try to pick a date on the calendar and say, "That's when I'm going to have my baby."
A mother holds up her four year-old daughter as she swings through the monkey bar rings on a jungle gym.  
Bingham talks on camera in a playground setting. BINGHAM: For most healthy women, the body will go into labor at the time that's best suited for the baby's brain development and for the baby's health.
Spong talks on camera in an office setting. SPONG: It's very, very important, if you can, to wait for delivery until 39 weeks.
A woman rubs her exposed pregnant belly.  
Spong talks on camera in an office setting. SPONG: Because that – after 39 weeks your risks are much less for many complications.
A mother holds her sleeping baby while sitting in a rocking chair. She tickles the baby's chin with her finger and kisses the baby's hand.  
Spong talks on camera in an office setting. SPONG: By letting that baby get born at term you're improving the life-long health of that baby.
Text appears on screen that reads: "National Child and Maternal Health Education Program; www.nichd.nih.gov/ncmhep/IsItWorthIt"
U.S. Department of Health and Human Services logo, National Institutes of Health logo, and Eunice Kennedy Shriver National Institute of Child Health and Human Development logo included at the bottom of the screen.
 
Fade to black. [MUSIC OUT]

 

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Is It Worth It? (30 sec)

To view the original video, please go to http://www.nichd.nih.gov/ncmhep/isitworthit/spreadtheword/Pages/index.aspx.

Video/Graphics Audio
Image of moving sonogram shows a fetus in the womb with heart visibly beating. Text at the bottom of the screen reads: "Many pregnant women are now requesting to deliver before 39 weeks…" [MUSIC IN]
[SOUND] Heartbeat
Dr. Catherine Spong talks on camera in an office setting. DR. CATHERINE SPONG: Pregnancy, we call it nine months, but in actuality it's 10 months. It's 40 weeks.
Split screen shows Dr. Spong on the left side of the screen in her lab coat taking a call on her cell phone and looking at paperwork in a hospital setting.
Text appears on the right side of the screen that reads: "…better outcomes are associated with births after 39 weeks…"
 
Dr. Spong talks on camera in an office setting. Text appears at bottom of screen that reads: "Catherine Y. Spong, M.D.; Associate Director of Extramural Research; Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH." SPONG: It's very, very important, if you can, to wait for delivery until 39 weeks. Because that – after 39 weeks your risks are much less for many complications.
Split screen shows text on left side of screen that reads: "…better outcomes for your baby's lungs, ears, eyes, brain…" Right side of screen shows close up of a baby smiling.  
Dr. Spong talks on camera in an office setting. SPONG: By letting that baby get born at term you're improving the life-long health of that baby.
Text appears on screen that reads: "National Child and Maternal Health Education Program; www.nichd.nih.gov/ncmhep/IsItWorthIt"
U.S. Department of Health and Human Services logo, National Institutes of Health logo, and Eunice Kennedy Shriver National Institute of Child Health and Human Development logo included at the bottom of the screen.
 
Fade to black [MUSIC OUT]

 

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Last Updated Date: 07/08/2014
Last Reviewed Date: 07/08/2014