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Late preterm infant - Nature's unfinished master piece
1University of Oklahoma Health Sciences Center, Oklahoma, USA.
Summary
Late preterm infants, born between 34-36 weeks, face significant health risks due to immaturity. This review details their complications and management, emphasizing proper care for these vulnerable newborns.
Area of Science:
- Neonatal Medicine
- Perinatology
- Pediatric Health
Background:
- Late preterm infants (LPI), born between 34 0/7 and 36 6/7 weeks gestation, are physiologically and metabolically immature.
- Despite appearing similar to term infants, LPI face increased risks of morbidities and mortality.
- Their size often leads to them being misclassified as term infants, potentially resulting in inadequate care.
Purpose of the Study:
- To review the incidence and risk factors associated with late preterm deliveries.
- To describe the early morbidities and late complications specific to LPI.
- To outline evidence-based management guidelines for the care of late preterm infants.
Main Methods:
- A comprehensive literature search was conducted using databases including PubMed, OVID, and Embase.
- Search terms included 'Late Preterm Infants' and 'Near Term Infants'.
- The review period spanned from January 2005 to March 2012, focusing on evidence-based findings.
Main Results:
- Late preterm infants exhibit increased risks for various health issues compared to full-term infants.
- Common morbidities include respiratory distress, feeding difficulties, and temperature instability.
- Delayed recognition of their unique needs can lead to adverse outcomes.
Conclusions:
- Late preterm infants require specialized attention and management distinct from term infants.
- Understanding the risks and implementing evidence-based guidelines are crucial for improving outcomes.
- Continued vigilance and appropriate care are essential for this vulnerable population.
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