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[Recommendations for the perinatal management and follow up of late preterm newborns]
J A Hurtado Suazo1, M García Reymundo2, M J Calvo Aguilar3
1Grupo SEN34-36, Sociedad Española de Neonatología, España; Servicio Neonatología, Hospital Universitario Virgen de las Nieves, Granada, España.
Insights
Late preterm babies (gestational age 34-36 weeks) face increased health risks similar to earlier premature infants. Guidelines are provided for their management, focusing on early detection, treatment, and family-centered care to reduce neonatal morbidity and mortality.
Area of Science:
- Neonatology
- Public Health
- Perinatal Medicine
Background:
- Prematurity is a leading cause of neonatal morbidity and mortality globally.
- An increasing prematurity rate is observed, particularly in developed nations.
- Late preterm infants (34-36 weeks gestation) exhibit higher morbidity than term infants.
Purpose of the Study:
- To provide updated recommendations for managing late preterm infants.
- To outline strategies for early complication detection and correction.
- To promote family and development-centered care for this population.
Main Methods:
- Development of clinical recommendations by the SEN34-36 group.
- Focus on early detection and management of perinatal morbidities.
- Emphasis on family-centered and development-centered care approaches.
Main Results:
- Late preterm infants experience significant perinatal and long-term complications.
- The incidence of complications in late preterm infants resembles that of earlier premature infants.
- Comprehensive management strategies are crucial for this vulnerable group.
Conclusions:
- Late preterm infants require specific management protocols due to elevated risks.
- Early detection, intervention, and follow-up are essential for improving outcomes.
- Family and development-centered care enhances the well-being of late preterm infants and their families.
Abstract:
Prematurity is the main reason for neonatal morbidity and mortality, and has become one of the greatest problems in public health, especially in developed countries. Prematurity rate has increased during the last 2 decades. This increase may be attributed to late preterm babies, that is, those with a gestational age between 34(+0) and 36(+6) weeks. Perinatal morbidities, as well as long term complications, are more frequent in this population than in term babies. The incidence is more similar to the one observed in earlier premature babies. The SEN34-36 group of the Spanish Society of Neonatology suggests these recommendations for the management of late preterm babies. Strategies are offered not only for the early detection of possible complications, but also for the correction of these morbidities, and from the point of view of a family and development centered care. Follow up is strongly recommended due to the high rate of late morbidities.
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