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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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[Late preterm : high risk newborns despite appearances].

D Snyers1, C Lefebvre1, R Viellevoye1

  • 1Service de Néonatologie, CHU et CHR Liège, Belgique.

Revue Medicale De Liege
|February 8, 2020
PubMed
Summary
This summary is machine-generated.

Late preterm infants, born between 34 and 36 weeks, face higher risks for health issues and mortality. These newborns require specialized care and monitoring due to increased complications and long-term morbidities.

Keywords:
ComplicationsFollowPreventionLate pretermup

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Area of Science:

  • Neonatology
  • Pediatrics
  • Public Health

Background:

  • Late preterm infants (born 34-36 weeks) constitute the majority of premature births (approx. 75%).
  • Increasing incidence of late prematurity observed in recent decades.
  • Previous research focused on very preterm infants, with late preterms receiving less attention until recently.

Purpose of the Study:

  • To review the heightened risks and morbidities associated with late preterm infants.
  • To emphasize the need for adapted follow-up protocols for this population.
  • To highlight late preterm infants as high-risk newborns.

Main Methods:

  • Literature review of studies focusing on late preterm infant outcomes.
  • Analysis of data on neonatal, infant, and adult mortality.
  • Examination of long-term morbidity risks in late preterm populations.

Main Results:

  • Late preterm infants exhibit increased risks of respiratory issues, infections, feeding difficulties, hypothermia, and hypoglycemia.
  • Significantly higher mortality rates (neonatal, infant, adult) compared to full-term infants.
  • Elevated risk for long-term morbidities including neurodevelopmental delay, cerebral palsy, and chronic respiratory or metabolic diseases.

Conclusions:

  • Late preterm infants are unequivocally high-risk newborns.
  • Adapted and specialized follow-up care is crucial for late preterm infants.
  • Increased awareness and research are needed to address the unique challenges faced by late preterms.