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Health

Born Too Soon: Understanding Premature Birth and the Power of Modern NICU Care

**By Dr. Vineet Gupta

Consultant Neonatologist, NMC Royal Hospital, DIP**

Every year, millions of families around the world welcome their babies far earlier than expected. For some, the journey into parenthood begins not in the warmth of a nursery, but in the softly lit halls of a Neonatal Intensive Care Unit (NICU). Premature birth, though increasingly common, remains one of the most emotionally challenging and medically complex beginnings to life.

As a neonatologist at NMC Royal Hospital, DIP, I have witnessed the extraordinary strength of premature babies, the courage of their families, and the incredible impact of modern neonatal care. Their stories inspire us to keep improving, advancing, and advocating—for every tiny life that arrives too soon.


What Does It Mean When a Baby Is Born Premature?

A baby is considered premature when born before 37 weeks of pregnancy. These last few weeks are crucial for the baby’s growth and the final development of the lungs, brain, and digestive system. When birth occurs earlier, babies need additional medical support to help them transition safely into the world.


How Common Is Prematurity? A Global and Local Picture

Prematurity affects families everywhere. In 2020 alone, 13.4 million babies—around 1 in every 10 newborns—arrived earlier than expected. It is one of the leading causes of newborn health complications across the world.

The UAE mirrors this global trend, with premature birth rates similar to international figures. Factors such as rising maternal age, multiple pregnancies, and lifestyle-related conditions have all contributed to the increase worldwide.


Why Does Premature Birth Happen?

There is rarely a single reason behind a premature delivery. Instead, it often results from a combination of maternal, fetal, or pregnancy-related factors such as:

  • Maternal infections
  • High blood pressure or pre-eclampsia
  • Multiple pregnancies
  • Uncontrolled diabetes
  • Placental complications
  • A previous premature birth

In many cases, there is no identifiable cause, making awareness and regular prenatal check-ups even more important.


The Different Stages of Prematurity

Premature babies are not all the same; their needs differ significantly based on how early they are born:

  • Late Preterm: 34–36 weeks
  • Very Preterm: 28–32 weeks
  • Extremely Preterm: Below 28 weeks

The earlier the birth, the more critical the care required.


Inside the NICU: How We Support Premature Babies at NMC Royal Hospital, DIP

Caring for premature infants goes far beyond technology. It demands sensitivity, expertise, and a family-centred approach. Our NICU is designed to create a safe, controlled environment that mimics the womb as closely as possible while supporting each baby’s developing body.

Our care includes:

  • Gentle, advanced respiratory support
  • Temperature regulation through specialised incubators
  • Tailored feeding plans and Total Parenteral Nutrition for the tiniest babies
  • 24/7 monitoring of breathing, heart rate, and oxygen levels
  • Strict infection prevention protocols
  • Kangaroo Mother Care to strengthen bonding and promote stability
  • Early physiotherapy and occupational therapy involvement

This holistic model of care not only improves medical outcomes but also strengthens emotional connection between parents and their newborns.


Long-Term Considerations: What Parents Should Know

While many premature babies grow up healthy and strong, prematurity can be associated with long-term challenges. These may include:

  • Chronic lung problems
  • Feeding difficulties or slower growth
  • Vision or hearing issues
  • Higher vulnerability to infections
  • Developmental delays

Early intervention, regular follow-up, and supportive family involvement significantly improve outcomes.


A New Era in Neonatal Care

The last decade has transformed the landscape of neonatal medicine. Today, babies born at remarkably early stages of pregnancy have survival and development opportunities that were once unimaginable.

Modern advancements now include:

  • High-frequency and lung-protective ventilation strategies
  • Early surfactant therapy
  • Targeted oxygen monitoring
  • Tailor-made Total Parenteral Nutrition
  • Cutting-edge brain and heart monitoring
  • Robust infection-control systems
  • Neuroprotective care bundles for extremely premature infants

These innovations mean that even the smallest babies—those weighing just a few hundred grams—can survive and thrive.


Recognising the Early Signs of Preterm Labour

Early recognition can change everything. Expectant mothers should seek medical care immediately if they notice:

  • Regular contractions before 37 weeks
  • Persistent lower back pain or pelvic pressure
  • Vaginal bleeding or fluid leakage
  • A sudden increase in discharge
  • Decreased fetal movements

Timely care can help delay labour or prepare the baby for a safer delivery.


A Message of Hope

Premature birth can be overwhelming, but it is also a story of strength—of tiny hearts fighting big battles, of parents finding hope in uncertainty, and of medical teams working tirelessly to support each new life.

At NMC Royal Hospital, DIP, we are proud to walk this journey with families, offering not only advanced medical care but also compassion, reassurance, and unwavering support. Every premature baby teaches us something invaluable: that even the smallest beginnings can grow into powerful stories of resilience.

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Health

Cervical Cancer: Why Vaccination and Screening Can Save Lives

Cervical cancer is a malignant disease that develops in the cervix, the lower portion of the uterus that connects to the vagina. It occurs when abnormal cells in the lining of the cervix begin to grow uncontrollably. Unlike many other cancers, cervical cancer develops slowly, often over many years, progressing from precancerous cellular changes to invasive disease. This long development period makes cervical cancer one of the most preventable and treatable cancers when appropriate screening and preventive measures are in place.

Globally, cervical cancer remains a significant public health concern. It is the fourth most common cancer among women worldwide,after breast, colorectal, and lung cancers. Each year, hundreds of thousands of new cases are diagnosed, and the disease causes a substantial number of cancer-related deaths. The global burden is disproportionately higher in low- and middle-income countries, where limited access to healthcare services, screening programs, and vaccination contributes to late diagnosis and poor outcomes. 

The primary cause of cervical cancer is persistent infection with high-risk types of the Human Papillomavirus (HPV), a very common sexually transmitted infection. HPV is a DNA virus which is spread by skin to skin contact. There are over 100 subtypes, most of which do not cause significant disease in humans. Nearly all cases of cervical cancer are linked to HPV, with the majority of diagnoses being linked to HPV types 16 and 18 – to name a few .  While most HPV infections resolve on their own without causing harm, long term infection with high risk strains can lead to abnormal cellular changes in the cervix that may progress to cancer if left untreated.

Several factors increase the risk of developing cervical cancer. These include smoking, which weakens the immune system’s ability to clear HPV infections; a weakened immune system due to conditions such as HIV; long-term use of oral contraceptives; early onset of sexual activity; multiple pregnancies; and limited access to regular screening. Socioeconomic factors and lack of awareness also play a role in delayed diagnosis.

In its early stages, cervical cancer often causes no noticeable symptoms, which is why regular screening is crucial. As the disease progresses, symptoms may include abnormal vaginal bleeding (such as bleeding between periods, after sexual intercourse, or after menopause), unusual vaginal discharge, pelvic pain, or pain during intercourse. These symptoms are not exclusive to cervical cancer but should always prompt medical evaluation.

Cervical cancer is highly preventable through a combination of HPV vaccination and regular screening. The HPV vaccine is most effective when administered before exposure to the virus, typically between the ages of 9 and 14. Usually only 2 doses of the vaccine are required at this age, but if over the age of 15, 3 doses are needed. It provides strong protection against the HPV types most likely to cause cervical cancer. Many countries have incorporated the vaccine into their national immunisation programs as a key cancer prevention strategy. 

Screening methods such as the Pap smear and HPV testing can detect precancerous changes long before cancer develops. Regular screening allows healthcare providers to treat abnormal cells early, preventing progression to invasive cancer. When cervical cancer is detected at an early stage, treatment success rates are very high. Regular cervical screening decreases the risk of death from cervical cancer by 75%.

Compared to global figures, the incidence of cervical cancer in the United Arab Emirates is relatively low, reflecting the country’s strong healthcare infrastructure and growing emphasis on preventive medicine. However, cervical cancer remains a notable health issue. It is among the top five most common cancers affecting women in the UAE.

Despite the availability of advanced healthcare services, studies and health reports indicate that screening uptake among women in the UAE remains suboptimal. Cultural factors, lack of awareness, fear, and misconceptions about screening procedures can discourage women from undergoing routine Pap smears. As a result, some cases are diagnosed at later stages, when treatment becomes more complex.

The UAE has taken significant steps to reduce the burden of cervical cancer. HPV vaccination was introduced into the national immunisation program in 2018, initially targeting adolescent girls and later expanding to include boys. This reflects a long-term commitment to reducing HPV transmission and protecting future generations.

In addition, national and emirate level health authorities regularly conduct awareness campaigns, particularly during Cervical Cancer Awareness Month, to educate women about risk factors, symptoms, and the importance of screening. Public and private healthcare facilities across the country offer Pap smear and HPV testing services, often at subsidised rates or as part of routine health check-ups.

Conclusion

Cervical cancer is a largely preventable disease with well established methods for early detection and effective treatment. While the global burden remains high, especially in developing regions, countries like the UAE have made notable progress through vaccination, screening programs, and public health initiatives. Continued efforts to increase awareness, improve screening participation, and promote HPV vaccination are essential to further reduce incidence and mortality. With sustained commitment, cervical cancer has the potential to become a rare disease in the UAE, safeguarding the health and well being of women across the nation.

By Dr Dalia Aziz, Consultant Obstetrics & Gynaecologist at NMC Royal Hospital, DIP & NMC Royal Medical Centre, The Palm

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Health

Countries With the Most Years in Poor Health

Many people are living longer—but not necessarily healthier—lives.

This visualization ranks countries by the number of years their citizens can expect to live in poor health, calculated as the gap between average life expectancy and health-adjusted life expectancy.

Skip to the second-last section for a full explanation of what health-adjusted life expectancy (HALE) is, and why it matters.

HALE data (for the year 2021) is sourced from the World Bank, via Our World in Data. Average life expectancy is from 2025 estimates UN World Population Prospects.

Together they reveal how disease, disability, and chronic conditions shape the quality—not just the quantity—of our lives.

The Difference Between Living Longer and Living Healthier

Oil wealth appears genuinely toxic to health outcomes.

Nearly every Middle Eastern petrostate (Bahrain, Oman, Qatar, UAE, Kuwait) appears in this worst-performers list.

Bahrain (17.4 years), Oman (17.3), Qatar (16.5), and the UAE (15.9) all post sizable gaps despite having robust health-care budgets.

The lifestyle changes that come with sudden wealth, like sedentary living, processed foods, air conditioning replacing physical activity, seem to create a specific pattern of prolonged morbidity.

The U.S. makes the top 10 as well, the only G7 economy to do. Americans are projected to spend 15.7 of 79.6 expected years in poor health.

Also worth noting is the average life expectancy at birth for all of these aforementioned countries is fairly high. Which means these countries are good at keeping people alive with advanced medical technology.

But they may be failing at keeping them healthy, as if they’ve optimized for extending life rather than living well.

Life Expectancies in Low-Income Countries

s everal sub-Saharan African nations, including Eswatini, Botswana, and Namibia, also record gaps above 14 years.

Unlike the richer Gulf countries, they face this burden alongside much shorter life expectancies, meaning fewer total healthy years.

Latin American countries such as Peru and Brazil post similar gaps, reflecting both higher infant mortalities and higher disease burdens.

These patterns highlight a central challenge for global health: boosting not only how long people live, but how long they live well.

What is HALE (Health-Adjusted Life Expectancy)?

HALE measures how many years a person can expect to live in good health, defined as free from disabling illness or injury.

HALE matters because it fundamentally reframes what we mean by a “successful” life and healthcare system.

Traditional life expectancy tells us how long people live, but HALE tells us how long they live well.

Those “unhealthy years” are extraordinarily expensive. The U.S. healthcare system’s poor HALE performance means they’re essentially running a massive, costly life-support operation for millions of people.

Countries with better HALE ratios spend less on healthcare while achieving better outcomes because they’re preventing problems rather than managing chronic decline.

Source: Ranked

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Health

With Exceptional Leadership, Saudi German Health Opens 2026 by Shaping the Future of Healthcare in the UAE

Influential healthcare leadership unites to launch a new year of transformation, collaboration, and human-centred care

Dubai – 16 January 2026

Saudi German Health opened 2026 with a strong statement of leadership by hosting the Multidimensional Community Health Conference in Dubai, reaffirming its role in shaping the future of healthcare across the United Arab Emirates. Held at the Hilton Dubai Palm Jumeirah, the high-level gathering brought together senior decision-makers from regulatory bodies, healthcare operations, and the insurance sector to align on a shared vision for the year ahead.

More than a conventional conference, the event functioned as a strategic forum where leaders moved beyond institutional silos to explore how healthcare delivery can become more integrated, accessible, and personal for patients and families across the UAE.

A Philosophy in Action: Caring Like Family

Rooted in Saudi German Health’s long-standing philosophy, Caring Like Family, discussions throughout the day placed human experience at the centre of healthcare transformation, emphasizing trust, empathy, and continuity of care.

Opening the event, Dr. Ahmed Eissa, Group CEO of Saudi German Health in the UAE, underscored that innovation in healthcare must translate into meaningful outcomes for people.

“At Saudi German Health, we believe that clinical excellence is inseparable from human compassion. This gathering is not just about sharing data or expertise; it is about aligning our efforts to build a healthcare system that is stronger, more transparent, and easier to navigate for every family in the UAE. When we work as one ecosystem, we ensure that the future of medicine remains human at its core.”

Connecting Data, Insurance, and Patient Care

As the UAE advances toward value-based healthcare, the conference examined the evolution of digital health infrastructure, operational efficiency, and modern insurance models that support patient-centred outcomes.

Providing a clinical and operational perspective, Dr. Ahmed Barakat, Hospital Director of Saudi German Hospital Dubai, highlighted how integrated systems directly enhance the patient journey.

“Integrated care is about making complexity invisible to the patient,” said Dr. Barakat. “When data flows seamlessly and teams collaborate across disciplines, efficiency improves—but more importantly, patients experience smoother, safer, and more reassuring care at every stage of their journey.”

Discussions also addressed insurance modernization, emphasizing how data-driven decision-making is strengthening transparency and collaboration between providers and payers.

Setting the Healthcare Roadmap for 2026

With the UAE progressing toward a fully integrated, digitally enabled healthcare model, the conference served as a timely checkpoint for shaping priorities in 2026. Key themes included expanding national digital health platforms to give clinicians a comprehensive view of patient history, optimizing payment and operational systems to reduce fragmentation, and shifting focus toward prevention, wellness, and patient empowerment.

By convening leading healthcare voices at the start of the year, Saudi German Health set a clear direction for the months ahead—one defined by collaboration, innovation, and a deeply human approach to care.

For more information, please visit:

🔗 www.saudigermanhealth.com

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