Changes in admissions, care processes and outcomes for very and extremely preterm infants in England and Wales: an 11-year whole population study.

Of note, we identified a highly significant fall in EPT births during the COVID-19 pandemic. 21 We therefore suggest that a major focus for future research should be identification of the causal determinants underpinning the strong associations between preterm birth and socioeconomic and environmental conditions, as public health policies may prove to be more effective than medical interventions.

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