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Updated: May 5, 2026
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A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis
Published on: August 12, 2020
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[Neonatal morbidity in early-term newborns]
S Martínez-Nadal1, X Demestre1, F Raspall1
1SCIAS, Hospital de Barcelona, Barcelona, España.
Anales De Pediatria (Barcelona, Spain : 2003)
|November 30, 2013
Summary
Early term births (37-38 weeks) are increasing and show higher rates of neonatal unit admission and respiratory issues compared to full term births. Avoid early term delivery unless medically necessary to reduce infant morbidity.
Area of Science:
- Obstetrics and Gynecology
- Neonatology
- Perinatal Medicine
Context:
- The incidence of early term births (37-38 weeks gestation) has risen significantly over the past two decades.
- This increase coincides with a rise in induced labor and cesarean delivery rates.
- Early term newborns (RNTP) and full term newborns (RNTC) represent distinct populations with potentially different health outcomes.
Purpose:
- To compare the neonatal outcomes of early term newborns (37-38 weeks) with those of full term newborns (39-41 weeks).
- To analyze trends in cesarean section rates and their correlation with gestational age at birth.
- To identify specific morbidities associated with early term birth.
Summary:
- A retrospective cohort study analyzed 35,539 newborns from 1992-2011, comparing early term (n=11,318) and full term (n=24,221) infants.
- Early term infants exhibited significantly higher rates of neonatal unit admission, respiratory morbidity, phototherapy for hyperbilirubinemia, hypoglycemia, and need for parenteral nutrition.
- Cesarean section rates increased overall and were higher for early term births, though no significant differences were found in early sepsis or hypoxic-ischemic encephalopathy rates.
Impact:
- The findings highlight increased neonatal morbidity in early term infants, suggesting a need for careful consideration of delivery timing.
- Results support delaying non-medically indicated deliveries before 39 weeks gestation to improve infant outcomes.
- This research contributes to evidence-based guidelines for optimizing perinatal care and reducing preventable infant complications.
Keywords:
Cesárea electivaEarly term babiesElective cesarean sectionFetal lung maturityMadurez pulmonar fetalMorbilidad neonatalNeonatal morbidityNeurodesarrolloNeurodevelopmentRecién nacido a términoRecién nacido a término precozTerm babiesMore Related Videos
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