November 17 is recognised as World Prematurity Day and commemorates about 15 million premature babies born each year, according to the World Health Organization (WHO).

Around 1 in 10 babies worldwide who are preterm–born before 37 weeks of pregnancy, without effective care, are at high risk of life-threatening health conditions. These include respiratory distress, infections, and hypothermia, which together lead to hundreds of thousands of preventable deaths each year.

Speaking to Dr Rogers Mmabatswa, an obstetrician and gynaecologist based in Pretoria, he says that premature births are the leading cause of neonatal deaths.

“Prematurity remains one of the leading causes of neonatal deaths and long-term disabilities; however, with timely antenatal care, early detection of risk factors, and access to quality neonatal support, many of these outcomes can be improved,” says Mmabatswa.

He emphasises that awareness and education are key to prevention and better management. Common risk factors for preterm birth include multiple pregnancies, infections, chronic conditions such as hypertension and diabetes, and lifestyle factors such as smoking or poor nutrition.

“Expectant mothers are encouraged to attend all antenatal visits, maintain a healthy lifestyle, and seek medical advice early if they notice warning signs such as abdominal pain, contractions or fluid leakage before 37 weeks,” Mmabatswa added.

This year’s World Prematurity Day theme, ‘Small actions, big impact: skin-to-skin care for premature babies’ highlights the importance of simple yet effective interventions in support of preterm infants.

Kangaroo Mother Care (a method of taking care of preterm babies), breastfeeding support, and emotional counselling for parents can make a lasting difference in survival and development outcomes.

Mmabatswa says he and his team remain committed to supporting mothers and families through comprehensive obstetric care – from early pregnancy through delivery and postnatal recovery.

“Every baby deserves a healthy start, regardless of how early they arrive,” he concludes.

The Tshwane District Hospital wore the colour purple in recognition of the day.

Hospital CEO Dr Sasha Nkusi took a moment to thank the amazing staff at the Kangaroo Mother Care unit for their unwavering dedication to supporting the mothers and their tiny fighters.

The matron in charge of the mother and child wards, Ellah Dikgale, organised an epic event to uplift these incredible mothers and the teams who care for them.

“These little warriors may be small, but they’re packed with strength and determination,” Dikgale remarked.

Breastfeeding was encouraged, and everything to know about empowering the little ones was shared with their families gathered.

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