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U.S. ranks lower than Iraq, Afghanistan on this list
May 2nd, 2012
12:01 PM ET

U.S. ranks lower than Iraq, Afghanistan on this list

There are few places that illustrate the fragility of life better than a neonatal intensive care unit.  Premature babies, hooked up to tubes and monitors, their tiny legs sticking out of the smallest of diapers: it's a sight can bring tears to your eyes and a prayer to your lips.

One in 10 children are born prematurely every year around the world.  That comes to about 15 million babies.

You may think developing countries like Belarus and Libya have more preemies than the United States. Think again.

A new study - the first of its kind - ranks preterm birth rates around the globe. The United States comes in at 131 on the list of 184 countries.

According to the new report, Born Too Soon: The Global Action Report on Preterm Birth, twelve in every 100 babies born in the U.S. are premature. Belarus has the lowest preterm birth rate in the world (4.1 in 100) while Malawi has the highest (18 in 100). 

More than a million premature babies die each year. It's the No. 1 cause of death among newborns. And it's a major health concern because babies born prematurely can have breathing problems, cerebral palsy and intellectual disabilities.

"This report should be a call to action," says Chris Howson, vice president for global programs at the March of Dimes, one of the groups behind the report. "We are one of the countries with one of the highest survival rates, but we are not leading in preventing preemies."

So why is the premature birth rate higher in the U.S. than in countries like Iraq and Afghanistan

Howson says it's largely because women are having babies later in life, the increased use of fertility drugs and more C-sections and inductions.

Another thing at play, says Howson, is the lack of care some women - in particular minorities - get during pregnancy. For example, if diabetes is diagnosed early, it can be treated more successfully.  That, according to Howson, doesn't happen enough.

"It is absolutely critical that we provide the services that make it accessible to all women in this country, especially in the early stages of pregnancy," he says.

The study also looks at American premature births state-by-state.  Funding the report were the Partnership for Maternal, Newborn & Child Health, Save the Children and The World Health Organization.


soundoff (78 Responses)
  1. Thayer

    While we are figuring out how to keep every human being alive we also need to figure out how to keep from overpopulating.

    May 2, 2012 at 13:21 | Report abuse | Reply
    • Mazzata

      Tell that to the religious zealots...

      May 2, 2012 at 17:39 | Report abuse |
    • WhatNow

      That is so true.

      May 2, 2012 at 17:44 | Report abuse |
    • Matt

      Yeah, we should just kill them instead of letting them be born.

      May 2, 2012 at 21:43 | Report abuse |
    • Nathan

      Did anyone stop and think that we have lower survival rates and higher premature rates because these babies are actually born? If mothers miscarry because of a REAL lack of health care the dead fetus doesn't even get included in a study like this.

      May 3, 2012 at 08:36 | Report abuse |
    • Scott B

      If you want to solve overpopulation, then work towards improving the living conditions in the rest of the world. Most first world countries' population is decline because people have less kids when they are well off and there's a great chance their child will survive. It's in poor countries where most families are having many children.

      May 3, 2012 at 11:29 | Report abuse |
    • Nathan

      Population control is extremely important. I would never advocate legal controls on family size, as China has, but the fact is the entire world has benefited ENORMOUSLY from China's "one child policy". It should be US government policy to make sure that every person in the world has access to birth-control if they want it.

      And the number one predictor of fertility rate (the number of kids an average woman in a country has)? Female education. Turns out, the more educated a woman is, the fewer children she will have. This is true in Christian countries, Muslim countries, Buddhist countries, and pretty much everywhere else.

      Access to birth control and education are all it takes!

      May 3, 2012 at 11:41 | Report abuse |
  2. Sybaris

    Yet at the same time the U.S. doesn't even rank in the top ten for longevity.

    Greatest healthcare system in the world, right?

    May 2, 2012 at 13:29 | Report abuse | Reply
    • Mike

      Only if you're rich...

      May 2, 2012 at 13:33 | Report abuse |
    • Bill

      Demographics has a huge part of that number, though. The United States must support a massive influx of foreigners who generally have poor health care, particularly a huge number of illegals. Also, Americans are simply fat, and this is directly related to life expectancy. So not all of it can be blamed on the system.

      May 2, 2012 at 14:00 | Report abuse |
    • jerry

      We care more about money than people. It generates more money to fight a problem than to actually solve it. Our health care system is worse than mexico. I hear from lots of americans that cross the border to mexico to get affordable health care.

      May 2, 2012 at 15:59 | Report abuse |
    • sybaris

      Bill, health care is bottom up and includes education but it's not profitable to teach people how to make healthy choices. So yes all of it can be blamed on the system.

      May 2, 2012 at 22:51 | Report abuse |
    • kyle

      It is hard to compare to other countries because reporting is not the same. Using this article as an example, what is classified as a very premature birth in the US might be considered a miscarriage in many other countries if the baby didn't survive.

      May 3, 2012 at 08:47 | Report abuse |
    • ArchieDeBunker

      It's a HELL OF A LOT better now (U.S. Healthcare) – and a HELL OF A LOT CHEAPER – than it will be when Obamacare goes into effect!

      May 3, 2012 at 10:57 | Report abuse |
    • Jorge

      Actually, the United States ranks high in longevity. Longevity has little to do with the health care system and much to do with things like lifestyle choices (we have higher rates of obesity, can you blame the healthcare system for that?) and genetics. You also can't compare figures from different countries because they calculate different things. They don't count things like murders and accidents.

      May 3, 2012 at 13:51 | Report abuse |
    • Countergod

      Jerry: Are you SERIOUSLY implying that the health care system is better in mexico than in the US? Just cause its cheaper doesnt mean its better. I can find you a hundred horror stories of people who went to mexico for procedures that were botched due to incompetance or that people were swindled for more money after the surgery was done.

      May 3, 2012 at 15:00 | Report abuse |
    • Jen

      @Jerry, do you know how many Mexicans come across the border for ADEQUATE health care? I work in a pediatric ED in Arizona and I'd approximately 5% of our patients are brought by their parents illegally across the border in the dead of night because this child has a chronic condition and would die without the American healthcare system, they are often admitted to the Peds ICU, then upon discharge they disappear back to Mexico, leaving my hospital to compensate for the bill. (That's a big part of where your rising healthcare costs come from, by the way, people who just don't pay their bills-after Az Medicaid cuts in 2011, my hospital system lost over $300 million in unpaid medical bills-where's the outrage over that???) Mexican healthcare is good, if you have the cash up front to bribe the doctors and nurses into seeing you, which most native Mexicans don't have, but most "rich Americans" do.

      May 3, 2012 at 18:08 | Report abuse |
    • Pepo

      I loved this joke the last time I read it!! I know I'm giving you a hard time today. I've been telnilg everyone this joke. It's great. A friend of mine is even going to a halloween party as premature ejaculation now thanks to this joke.

      July 3, 2012 at 05:16 | Report abuse |
  3. JayJ7

    The US has subcultures that can skew overall findings. Any chance of splitting the statistics into unwed teens and the rest of the USA?

    May 2, 2012 at 13:39 | Report abuse | Reply
    • Barney

      What does that have to do with anything Jay? You're telling me that because someone is young and single they shouldn't count?

      May 2, 2012 at 14:00 | Report abuse |
    • CodyRG

      Are you serious. what does unwed teens have to do with a statistic like this. its not about unwed teens with premature babies. its about ladies who have premature babies.

      May 3, 2012 at 02:48 | Report abuse |
    • JUGGERNAUT

      WELL...since the article said that women whom have babies later in their life are more prom to have premature babies.

      so........If we do as you ask, the number for teens will be very low.

      May 3, 2012 at 04:31 | Report abuse |
  4. Average American

    Jay, Did you miss the section in this article where women having babies later in life and the use of fertility drugs in the US are partly the cause of our higher rate of pre-term births???

    May 2, 2012 at 14:24 | Report abuse | Reply
  5. Spirit

    I was born prematurely. So was my husband.🙂

    May 2, 2012 at 14:32 | Report abuse | Reply
  6. Tron

    Howson postulates that the U.S. premature birth rate is higher then Afghanistan and Iraq by saying that miniorties in the U.S. don't get adequate care. That doesnt make any sense. Even if minorities in america do not get the best health care, I'm sure minorities get much better care in the U.S. then people in afghan and iraq. If anything comparing these parts of the country seems to suggest that an increase in health care services yields an increase in premature birth rates.

    May 2, 2012 at 14:45 | Report abuse | Reply
    • CodyRG

      tron you hit the nail on the head with what i was going to say. i believe that its not that we have more premature babies, but that we have a better system in place to collect data on these type of situations. statistics are important but i believe today we rely to heavily on them to dictate what the real problem is. in this its rather simple: increase in health care services yields an increase in premature birth rates. that that im any authority on this next statement but i would like to believe that third world countries dont have the time nor the capability to compile this type of data.

      May 3, 2012 at 02:54 | Report abuse |
  7. Rob

    I have worked in the NICU... flip through the history of the babies. Mom and dad in and out of jail. Drug/alcohol/tobaccos use. I would like to see the rate for middle America. Job holding and healthy American who actually gives a darn about their baby and see what the numbers look like. Not to say premies are only to unhealthy people, but I would suppose the numbers would tell a tale. If you guys hate the healthcare so much, travel to another country for the healthcare and see what you think.

    May 2, 2012 at 14:47 | Report abuse | Reply
    • Ivan

      I've witnessed first hand the systems in the US, Denmark and Germany. No contest. Normal americans lose out in almost every way.

      May 2, 2012 at 15:46 | Report abuse |
    • Maya

      I was born six weeks early and screw you too. My mother was 39 when I was born because she actually had a CAREER and an EDUCATION, and the combination of pre-eclamsia and carry twins necessitated premature delivery. So how about you quit stereotyping people based on when they were born?

      May 2, 2012 at 16:36 | Report abuse |
    • Mazzata

      The old "Move to another country" garbage is a coward's way out of a reasoned response to a factual argument. Try something requiring a bit more thought next time.

      May 2, 2012 at 17:43 | Report abuse |
  8. Jojo

    Another issue cited for the US is diabetes, which in adults is strongly correlated with overweight.

    May 2, 2012 at 15:03 | Report abuse | Reply
  9. nathanbrazil

    This is real simple people. And it in NO way says that the health care in the US is worse than Iraq. The fact that Howson is claiming poor access to care is NOT backed up by the study. What is true is what the study DID point at. That Americans BETTER access to health care is leading them to risk pregnancies much later in life, or try fertility treatments not available in some of these other countries, which are huge risks for premature births. Lots of heath care, lots of Americans with access to cash to pay for fertility treatments, and people putting off kids for careers. THERE IS YOUR REASON. Pretty simple really.

    May 2, 2012 at 15:18 | Report abuse | Reply
  10. Joseph

    Preemies and pediatric surgery is the next housing crisis, so to speak. There's way to many liabilities in paying big dollars to bring in babies to this world who might cost as much each year of their life. We need a national debate on this issue. It's too easy to be called insensitive when doing the numbers and saying "You can' have that baby. You need to try again."

    May 2, 2012 at 15:19 | Report abuse | Reply
  11. Grondahl

    On the plus side, we're only a little bit behind Somalia and the Democratic Republic of Congo. In your face, Timor-Leste!

    May 2, 2012 at 16:05 | Report abuse | Reply
  12. andrew.peter

    All my children will be considered premature by this study because they were delievered by C-section. Our first child was breech (feet first), so we had to cut her out. In Iraq or Afghanistan she would have been delivered normally and could have died are be paralyzed. I choose C-Section and call her a premie!
    Our healthcare is the best in the world, don't be deceived!! More babies are born premature in the US because we detect issues and get them out premature to save them. Few other societies can do that! Others place they lose children.

    May 2, 2012 at 16:28 | Report abuse | Reply
    • c s

      Like Germany, France, Canada, etc ???

      May 3, 2012 at 00:13 | Report abuse |
  13. Maya

    The explanations don't make a whole lot of sense. American women may be more likely to have their first pregnancy later in life, but that doesn't not mean that they are more likely to have children later in life. Women in Afghanistan and Iraq (particularly the former) have limited if any access to birth control, so they are likely to keep getting pregnant until menopause if they are married. Do you think Middle Eastern women just get to close their legs once they hit 40? A lot of them don't have much of a meaningful choice in the matter. A lot of them (at least the poorer, less educated ones) haven't even considered the idea that they could use birth control without the consent of their husbands or, Allah forbid, actually say NO when their husbands want sex. So many of their men (again, largely the poorer and less educated ones) see them as having no legitimate purpose in their lives other than to satisfy their husbands and raise their children. If we don't do something about the fundie Christians in this country, we won't be far behind.

    May 2, 2012 at 16:42 | Report abuse | Reply
  14. andrew lambdin

    Nothing of note here. We have more preemies because our health system allows American mothers to carry risky pregnancies further, which would ordinarily end in miscarriages in other less-developed countries.

    May 2, 2012 at 17:17 | Report abuse | Reply
    • Steve

      Exactly. What would have been an infant mortality statistic in one country is a saved premature infant in the U.S., thanks to better health care. That isn't a bad thing. It does, however, mean that we do have to be more concerned about health issues of premature infants. Are other western countries like Canada showing similar statistics would be the real question.

      May 2, 2012 at 19:10 | Report abuse |
  15. Fed Up

    The U.S. encourages teen pregnancy through welfare programs, so why are we surprised by the infant birth data? My taxes are paying for them to reproduce.

    May 2, 2012 at 17:34 | Report abuse | Reply
    • c s

      Free abortions instead?

      May 3, 2012 at 00:14 | Report abuse |
    • REally??

      The U.S. doesn't encourage teen pregnancies with welfare per se. Although i agree it enables young women to get pregnant without doing what they should to take care of their child(ren). But if you look at younger women with children the welfare system has little to do with it.
      I, for example, had my child young. He was 12 weeks premature and I was 18 at his birth. Yes, food stamps and WIC assisted me in living but I had little choice but to apply for them. With no applicable work experience (very difficult to get a job that pays enough), living far away from the city, one vehicle for me and my husband, 2-8 appointments a week for my son (which i had to drive over half an hour to get to), unable to live with family, renting a trailer, bills, gas and food, it just wasn't possible for me to manage without a little assistance. And as far as having a child while knowingly unable to afford it, that wasn't the case in my situation. I was on birth control and unable to use protection due to an awful allergy. Think before you type, or at least include something that makes it apparent that you are not generalizing.

      June 4, 2012 at 20:05 | Report abuse |
  16. jj

    The health system is not completely to blame. All mothers to be have the responsibility to get educated on how they should take care of themselves, as well as seek medical care.

    May 2, 2012 at 17:38 | Report abuse | Reply
  17. counting

    There is also one more aspect to this: many of the premature babies born in US, delivered by C-section and cared for in NICUs, would never make it into the "live birth" counting in other countries. The still births or "babies lost at birth" in other parts of the world actually have more of a chance of survival in US, but they "increase" the number of "premature babies" compared to those countries. If you would compare the number of premature babies per number of pregnancies and not just premature+full term babies, the rankings might look a little different.

    May 2, 2012 at 17:47 | Report abuse | Reply
    • Ethics Board

      Fine, except that the infant mortality rate and prematurity rate in the US is higher than Sweden or Germany or the UK, but they live by our "standards".

      May 3, 2012 at 16:26 | Report abuse |
  18. ?

    It that's true, then it has to be the American lifestyle with DDT-contaminated produce, GMOs, BPA-contaminated products, rBST-contaminated milk, etc.

    May 2, 2012 at 17:53 | Report abuse | Reply
  19. PraiseTheLard

    I guess it's a good thing that Iraq took all those incubators when they invaded Kuwait back in the 90's...

    May 2, 2012 at 18:00 | Report abuse | Reply
  20. John

    When I read "lack of care of some women" I thought they meant mothers that just don't give a crap about Meallio Ticket Jr. Am I the only one?

    May 2, 2012 at 18:13 | Report abuse | Reply
  21. Chalupa

    You have to be careful how this data is compiled. Many counties don't count a fetus born before 30 weeks that dies as a death. At the same time many countries do not have as many mothers using crack and amphetamines as we do. To blame this on the health care system is comparing apples to oranges.

    May 2, 2012 at 19:10 | Report abuse | Reply
  22. BobbaFett

    Doesn't the fool of an author stop to think that if Iraq's premature babies could actually survive, there would be many, many more premature births?

    But I suppose Iraqi women are treated much better than in America.

    What a disgustingly foolish article.

    May 2, 2012 at 19:32 | Report abuse | Reply
  23. ruemorgue

    Ali Baba and his fleas infest your armpits !!!

    May 2, 2012 at 20:44 | Report abuse | Reply
  24. onestarman

    POORLY RESEARCHED ARTICLE – Any Maternity Ward Nurse or Obstetrician will tell you that many more women of all ages and socio-economic backgrounds are having trouble carrying children to full term. There has been a marked increase of use of drugs to help prevent premature babies in recent years. Like n increase in Autism, Asthma and other children illnesses that are increasing – No REAL reason is KNOWN.

    May 2, 2012 at 21:30 | Report abuse | Reply
  25. Michael

    This article is completely misleading. Any reason why the difference?
    Maybe in Iraq the babies die at home and are never counted?
    Maybe in the US, older women are having multiple births and C-sections due to more infertility treatments?

    May 3, 2012 at 01:54 | Report abuse | Reply
  26. Amy

    I'm sure the US also has infinitely more pregnant women addicted to narcotics and other illegal drugs. A single statistic cannot tell the whole story.

    May 3, 2012 at 02:24 | Report abuse | Reply
  27. ace

    My first pregnacy resulted in a healthy boy born at 35 weeks at 5 lb 3 oz. My second son was IUI and lasted 36 weeks 6 days 21 hrs and 6 lb 4 oz. Both were healthy and went home when I was released. I was a premie 5 lb 14 oz.. My brother was a premie 5 lb 11 oz (born in dr office) mom could not make it to the hospital. My sister was 5 lb 3 oz. premie. There is something genetic going on. We are white, middle class, not overweight, not drinkers, smokers, drug users. Sometimes it just happens.

    May 3, 2012 at 08:53 | Report abuse | Reply
  28. deathstalker187

    Yes sure I bet the main reason we are so low on the list is because 99.999% of all premature babies are recorded in the US most of the other countries has a much lower report rate.

    May 3, 2012 at 13:02 | Report abuse | Reply
  29. D.D

    premee baby's are high here in america because we are fatter and older than elsewhere in the world when we start having babies.

    May 3, 2012 at 13:32 | Report abuse | Reply
  30. jem4016

    Just wondering out loud. Could the reason the U.S. has more premature babies is because we have better health care? I know this flies in the face of what is said in the article but suppose a mother has a problem pregnancy. Proper health care might be able to get the pregnancy to the point of a premature baby, health care which is lacking might result in the death of the fetus, therefore fewer premature babies. Does anyone know if there are any statistics relating to this idea?

    May 3, 2012 at 13:43 | Report abuse | Reply
    • Jorge

      Yes there is. What is more crazy is people are trusting data that these countries report. Do they take into account things like aborting at the first sign of problems? What about the average age of the mothers? How about use of fertility drugs?

      May 3, 2012 at 13:54 | Report abuse |
  31. NUMBNUT

    Would guzzling 32 oz. of soda a day, or eating at McD's 3 times a week have any bearing on these preemies? I'm not stereotyping anyone, I'm just wondering if nutrition has a role.

    May 3, 2012 at 14:29 | Report abuse | Reply
  32. Ethics Board

    If you don't insure the poor, they won't get prenatal care and the number of premature babies will go up. If you inseminate and implant 6 embryos, the number of premature babies will go up. If you have a scheduled c-section at 36 weeks because you want the baby out, the number of premature births go up. The greater the number of premature births, the higher the infant mortality rate. But no one wants to fix those problems, they just want to blame everyone else and thus the infant mortality rates stay higher in this country versus most other industrialized nations. Simple really.

    May 3, 2012 at 16:22 | Report abuse | Reply
    • Eric Long

      You're completely incorrect. The poor have more access to medical assistance than I do. I work 40+ hours a week. I buy my own food, cell phone service, gasoline, and pay for my own car. I 'give' about one fifth of my money to the poor every paycheck. They've received enough from me.

      May 3, 2012 at 16:51 | Report abuse |
    • Ethics Board

      Actually, I'm not incorrect. Access and affordability are different things.

      May 4, 2012 at 16:07 | Report abuse |
  33. Eric Long

    That is because the USA likes to avoid their problems by spacing out on illegal narcotics. American men are pathetic, except for me because I am very good looking and in nice shape.

    May 3, 2012 at 16:45 | Report abuse | Reply
  34. bobdole

    Did they ever look at the diet of the USA compared to those developing countries? Most of those third world countries dont have hormone injected meats and veggies to eat. They typically grow their own naturally. Look at what a lot of americans eat now. Fast Food full of preservatives and little nutritional value. To me I am willing to bet 1000000 that the reason behind this is purely our food and water sources have become so diluted and polluted with toxins.

    May 3, 2012 at 16:47 | Report abuse | Reply
    • alexi

      Absolutely NO. I think our environment is still a heck of a lot cleaner than most other countries – thanks to the EPA. I think this is mainly because of our broken healthcare system.

      May 3, 2012 at 18:02 | Report abuse |
  35. Jen

    Did anyone think to see the positive side of the story? Maybe we are having a higher number of premature babies because through our healthcare system, at risk moms are being identified earlier than in other countries, allowing for medical interventions that allow mothers to carry these babies to an age where they are viable enough to warrant the NICU stay. This would change the statistics from mothers who would have miscarried or had stillborn children to mothers that have living children who, while born premature, were at least born ALIVE!
    So, yes, our rates of premature births are probably higher than Afghanistan or Iraq, but maybe it doesn't mean that our healthcare system sucks. I'll bet our rates of cancer are higher than Iraq also, maybe because of increased testing because of a WORKING (though imperfect) healthcare system? You don't know you have cancer if you are never tested for it.

    May 3, 2012 at 18:20 | Report abuse | Reply
  36. Bill

    Thank you U.S. Republicans for cutting public healthcare for the poor to the bone. Thank you for demonizing Planned Parenthood, using religion to remove a woman's right to her body, and throwing the American public to the medical insurance industry sharks. What a bunch of soulless a holes.

    May 3, 2012 at 18:45 | Report abuse | Reply
  37. raster1944

    If this is all true why should Republicans calls for cutting all aid to Planned Parenthood be supported? Wouldn't it be more plausible to support education and health issues with future mothers. Republicans are the dregs of America.

    May 3, 2012 at 19:00 | Report abuse | Reply
  38. Dr. MD

    Don't exclude the hormones in our meat as a possible cause as well.

    May 3, 2012 at 20:01 | Report abuse | Reply
  39. Keith

    there is something going on in America and I don't think anyone really wants to know. Lots of health problems with our children on the increase. Best healthcare in the world, I dont' think so.

    May 3, 2012 at 21:52 | Report abuse | Reply
    • Maria

      First of all, you have what you have, and that's all there is to that. But as for the premature ejoualaticn, make it a ritual habit to get exercise each time before attempting to have sex. The more oxygenated your blood stream, the stronger (stiffer) your erections will be and the more stamina you will have. Wearing condoms will help somewhat as will masturbating before you attempt to have sex with your wife, but knowing your own body and its responses is the best remedy you can have. Get in the habit of squeezing and releasing your PCG muscles periodically throughout the day .(this is the muscle that restricts the flow of urine, and developing this muscle to its peak will allow your member to jump at will. This will also give you greater control over your own orgasmic responses and will increase its intensity when you are ready to come.). Lastly, become aware of which positions give you the opportunity to cruise for long periods of time, and which ones will quickly wipe you out. Once you know that, avoid the wipe outs until you're ready to let it go. You'll be fine. (Besides, there's a lot more to having good sex than just using your penis. Become as well-rounded as you can.) Good luck.

      June 30, 2012 at 20:48 | Report abuse |
  40. hamsta

    @keith its the prescription drugs.the doctors are the real drug dealers.enough high strength painkillers are prescribed to treat 80 percent of the population.most high strength painkillers are opiates(basicly heroine).2/3 of these premature babies are born withdrawing from opiate addiction.these pills that these doctors hand out like candy are worse than the worst street drugs.

    May 3, 2012 at 22:07 | Report abuse | Reply
  41. claude slagenhop

    The numbers are simply a result of better reporting in the US, where we actually have the statistics. In afganistan, there is no gov't bean counter standing in some tent when the premie is born/dies. That person never existed. Also in countries like Norway, they refuse to save premature infants as late as 33weeks of gestation!!! They would save %99 in the US. The numbers are cooked.

    May 4, 2012 at 09:53 | Report abuse | Reply
    • Luis

      No, a UTI should not cause prtaemure ejaculation. I had a UTI and it was painful to ejaculate and it seemed slower. However there are ways to treat prtaemure ejaculation, in the sources I have included a link to a page that helped me a lot regarding prtaemure ejaculation. I hope it helps you like it has me.

      July 3, 2012 at 03:59 | Report abuse |
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