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Morbidity and mortality in late preterm and early term newborns: a continuum

William A Engle1

  • 1Section of Neonatal-Perinatal Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA. wengle@iupui.edu

Clinics in Perinatology
|September 6, 2011
PubMed

Insights

Late preterm and early term infants face increased health risks compared to full-term infants. Educating families on these risks aids in delivery management and infant care, improving outcomes.

Area of Science:

  • Neonatal Medicine
  • Perinatal Health
  • Maternal-Fetal Medicine

Background:

  • Late preterm (34-36 weeks) and early term (37-38 weeks) infants exhibit higher morbidity and mortality rates.
  • Gestational age is the primary determinant of adverse outcomes in these infants.
  • Existing literature highlights the vulnerability of infants born outside the optimal full-term window.

Purpose of the Study:

  • To underscore the elevated risks associated with late preterm and early term births.
  • To emphasize the critical role of gestational age in influencing infant outcomes.
  • To advocate for comprehensive counseling and education for expectant families regarding these delivery risks.

Main Methods:

  • This study is a review and synthesis of existing research on late preterm and early term infant outcomes.
  • Analysis focuses on identifying key risk factors and their impact.
  • Educational strategies for improving perinatal care are discussed.

Main Results:

  • Infants born late preterm and early term experience significantly higher rates of short-term and long-term health complications.
  • Gestational age is confirmed as the most potent predictor of these adverse outcomes.
  • Effective patient and family education is shown to be beneficial.

Conclusions:

  • Timely and accurate information empowers families to make informed decisions regarding delivery and infant care.
  • Improved understanding of risks associated with late preterm and early term births can lead to better management strategies.
  • Enhanced prenatal education is crucial for mitigating adverse outcomes in vulnerable infant populations.

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