posted on 2022-01-24, 17:31authored byAndrei S Morgan, Marina Mendonça, Nicole Thiele, Anna L David
What you need to know
- Overall survival of babies born extremely preterm has improved in recent years, but evidence for improvements in longer term neurodevelopmental outcomes is limited.
- Recent changes in obstetric care include how, when, and to whom to administer. steroids, surfactant, and new treatments such as antenatal magnesium sulphate or delayed cord clamping and placental transfusion.
- Active participation of parents in treatment may positively influence bonding as well as longer term outcomes for child and family.
- Variability in provision of care for extreme preterm birth has an impact on morbidity and mortality outcomes.
- Extreme preterm birth has a social impact on mothers, fathers, children born preterm, and their families; the value of investing early in life to prevent later complications is now widely recognised.
Funding
Funding: ASM, MM, and NT are supported by funding from the European Union’s Horizon 2020 Research and Innovation Program RECAP Preterm Project (grant no. 733280). ALD is supported by the National Institute for Health Research University College London Hospitals Biomedical Research Centre.
History
Citation
BMJ 2022;376:e055924
Author affiliation
Department of Neuroscience, Psychology and Behaviour