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The Late Preterm: A Population at Risk

Julie E Williams1, Yvette Pugh2

  • 1Department of Neonatology, The Johns Hopkins Hospital, The Charlotte R. Bloomberg Children Center Building, 1800 Orleans Street, Baltimore, MD 21287, USA.

Critical Care Nursing Clinics of North America
|November 19, 2018
PubMed

Insights

Late preterm infants (LPIs), born between 34-36 weeks, face significant health risks due to missed third-trimester development. These infants are prone to respiratory issues, feeding difficulties, and metabolic and neurodevelopmental problems.

Area of Science:

  • Neonatalogy
  • Perinatology
  • Developmental Pediatrics

Background:

  • Late preterm infants (LPIs) represent a substantial portion of preterm births in the US.
  • LPIs are born between 34 0/7 and 36 6/7 weeks' gestation, missing crucial third-trimester development.
  • This developmental gap results in physiological and metabolic immaturity in LPIs.

Purpose of the Study:

  • To highlight the unique vulnerabilities and morbidities associated with late preterm birth.
  • To underscore the importance of the third trimester for infant development.
  • To inform healthcare providers about the specific challenges faced by LPIs.

Main Methods:

  • This abstract is based on a review of existing literature and clinical observations regarding late preterm infants.
  • Data synthesis on common morbidities and developmental outcomes was performed.
  • No specific experimental methods were detailed in the provided abstract.

Main Results:

  • LPIs experience a higher incidence of morbidities compared to full-term infants.
  • Common complications include respiratory distress, feeding challenges, hypoglycemia, temperature dysregulation, hyperbilirubinemia, and neurodevelopmental delays.
  • The physiological immaturity directly correlates with the risks observed.

Conclusions:

  • Late preterm infants require careful monitoring and management due to their inherent vulnerabilities.
  • Recognizing the impact of missed third-trimester development is crucial for optimizing LPI outcomes.
  • Further research and targeted interventions may be beneficial for this population.

Keywords:
HyperbilirubinemiaHypoglycemiaLate preterm infantNeonatal morbidityNeonatal nutritionNeurodevelopmental outcomesRespiratory complications

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