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Outcomes of infants born near term: not quite ready for the "big wide world"?

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journal contribution
posted on 2020-04-24, 10:16 authored by Ranveer S. Sanghera, Elaine M. Boyle
Until recently, there has been a strongly held belief on the part of neonatal and pediatric clinicians that outcomes for infants born close to term are not different from those of babies born at full term. In the last decade, however, this assumption has been challenged by reports suggesting that this is not correct, and highlighting differences in morbidity and mortality both in the short and long term. This has led to development of new terminology to more accurately reflect the impact of immaturity associated with birth at 32-33 weeks (moderately preterm) and 34-36 weeks (late preterm) of gestation. These babies account for around 5-7% of all births and more than 75% of the preterm births in developed countries, so this new recognition of the associated increase in adverse outcomes may have a substantial impact on health care services. This review article will discuss the changing perceptions and concepts of gestational age in the preterm population, and explore the recent and emerging evidence around neonatal, early childhood, school-age, adolescent and adult outcomes for babies who are born moderately preterm and late preterm. It highlights important neonatal and childhood morbidities and will summarize associated health care, developmental and educational problems of affected children. The implications for the provision of ongoing primary and secondary health care, educational and social support to this large and heterogeneous group of individuals will be discussed.

History

Citation

Minerva Pediatr, 2019, 71 (1), pp. 47-58

Author affiliation

Department of Health Sciences

Version

  • AM (Accepted Manuscript)

Published in

Minerva Pediatr

Volume

71

Pagination

47-58

Publisher

Edizioni Minerva Medica

eissn

1827-1715

Acceptance date

2018-09-06

Copyright date

2018

Available date

2018-10-04

Publisher version

https://www.minervamedica.it/en/journals/minerva-pediatrica/article.php?cod=R15Y2019N01A0047

Language

eng

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