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Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats
Published on: November 20, 2015
Outcomes of preterm infants: morbidity replaces mortality
Marilee C Allen1, Elizabeth A Cristofalo, Christina Kim
1Division of Neonatology, Department of Pediatrics, Baltimore, MD 21287, USA. mallen2@jhmi.edu
Insights
Preterm birth rates are rising, impacting infant neurodevelopment. This review examines preterm infant outcomes and strategies to support their central nervous system (CNS) growth and development.
Area of Science:
- Neonatal neuroscience
- Developmental pediatrics
- Public health
Background:
- Rising preterm birth rates in the US present a significant public health challenge.
- Decreasing preterm mortality and lower limits of viability highlight the importance of neurodevelopmental outcomes.
- Neuromaturation, the functional development of the central nervous system (CNS), is critical for preterm infants.
Purpose of the Study:
- To review the outcomes of preterm infants.
- To explore factors influencing neuromaturation in preterm infants.
- To examine strategies for protecting and supporting preterm infant neurodevelopment.
Main Methods:
- Literature review of preterm birth outcomes and neuromaturation.
- Analysis of factors affecting central nervous system (CNS) development in preterm infants.
- Examination of protective measures and support systems for preterm infants.
Main Results:
- Preterm birth is associated with a spectrum of neurodevelopmental disabilities and altered CNS processing.
- Multiple factors significantly influence the neuromaturation process in preterm infants.
- Early and ongoing support is crucial for optimizing neurodevelopmental trajectories.
Conclusions:
- Understanding neuromaturation is key to addressing neurodevelopmental challenges in preterm infants.
- Interventions aimed at protecting preterm infants can mitigate long-term neurodevelopmental deficits.
- Comprehensive care strategies are essential for supporting the growth and development of preterm infants.
Abstract:
Over the last 50 years in the United States a rising preterm birth rate, a progressive decrease in preterm mortality, and a lowering of the limit of viability have made preterm birth a significant public health problem. Neuromaturation, the functional development of the central nervous system (CNS), is a dynamic process that promotes and shapes CNS structural development. This article reviews preterm outcomes, recognizing that multiple factors influence neuromaturation and lead to a range of neurodevelopmental disabilities, dysfunctions, and altered CNS processing. Ways to protect preterm infants and support their growth and development in and beyond intensive care are examined.
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