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Neurodevelopmental outcome of late-preterm infants: A pragmatic review

Ravisha Srinivas Jois1

  • 1MBBS, FRACP, MSc (Epidemiology), Head of Neonatology, Department of Paediatrics, Joondalup Health Campus, Joondalup, WA; Adjunct Associate Professor, Edith Cowan University, Perth, WA; Clinical senior lecturer, University of Western Australia, Perth, WA; School of Public Health, Curtin University of Technology, Perth, WA. srinivasjoisr@ramsayhealth.com.au

Australian Journal of General Practice
|June 18, 2019
PubMed

Insights

Late-preterm infants face higher risks for developmental issues like speech delay and attention problems. Early monitoring is crucial for identifying and managing these neurodevelopmental risks in newborns.

Area of Science:

  • Neonatal Medicine
  • Developmental Pediatrics
  • Neuroscience

Background:

  • Late-preterm births (34-36 weeks gestation) are increasing.
  • These infants may have higher risks of neurodevelopmental abnormalities compared to full-term infants.

Purpose of the Study:

  • To review evidence on neurodevelopmental risks in late-preterm infants.
  • Focus on speech delay, cerebral palsy, cognitive delay, autism spectrum disorder (ASD), and attention deficit hyperactivity disorder (ADHD).

Main Methods:

  • Pragmatic review of current evidence.
  • Analysis of cohort studies and existing literature.

Main Results:

  • Late-preterm infants show increased risk for speech delay, cognitive delay, and attention problems.
  • Evidence is inconsistent, with some studies suggesting developmental catch-up.
  • Neurodevelopmental risks require ongoing surveillance.

Conclusions:

  • Late-preterm infants warrant close developmental monitoring.
  • Early identification of neurodevelopmental risks is essential.
  • Further research may clarify long-term outcomes.
Abstract

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