Republicans need to figure out where they stand on children’s welfare. They can’t be “pro-life” when the “child” is in the womb but indifferent when it’s in the world. Allow me to illustrate just how schizophrenic their position has become through the prism of premature babies.

Of the 33 countries that the International Monetary Fund describes as “advanced economies,” the United States now has the highest infant mortality rate according to data from the World Bank. It took us decades to arrive at this dubious distinction. In 1960, we were 15th. In 1980, we were 13th. And, in 2000, we were 2nd.

Part of the reason for our poor ranking is that declines in our rates stalled after premature births — a leading cause of infant mortality as well as long-term developmental disabilities — began to rise in the 1990s.

The good news is that last year the National Center for Health Statistics reported that the rate of premature births fell in 2008, representing the first two-year decline in the last 30 years.