[Very preterm births in French Polynesia: update and proposal for follow-up]

Area of Science:

• Neonatology
• Perinatal Medicine
• Public Health

Context:

• Geographic isolation in French Polynesia presents unique challenges for premature infant care.
• Previous data on very preterm infant (VPI) outcomes in this region are limited.

Purpose:

• To determine the incidence, mortality, and short- and long-term outcomes of very preterm infants (VPIs) in French Polynesia.
• To identify local solutions for improving VPI care within the constraints of geographic isolation.

Summary:

• A retrospective review of 204 VPIs (24-31 weeks gestational age) from 2007-2011 revealed a 9.3% mortality rate, primarily due to sepsis.
• Major morbidities included respiratory issues (hyaline membrane disease, bronchopulmonary dysplasia), with outcomes comparable to French metropolitan centers.
• High rates of maternal age and substance use were noted, alongside frequent use of prenatal steroids.

Impact:

• Despite comparable mortality and morbidity rates to mainland France, a significant 52% loss to follow-up by age two impedes comprehensive long-term outcome assessment.
• The findings highlight the need for adapted, geographically sensitive long-term follow-up networks to monitor cognitive development and other sequelae in VPIs.