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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Late preterm infants - Changing trends and continuing challenges
Sreenivas Karnati1, Swapna Kollikonda2, Jalal Abu-Shaweesh1
1Department of Pediatrics, Cleveland Clinic Children's, Cleveland, OH, USA.
Insights
Late preterm infants (born 34-36 weeks) face significant health risks and neurodevelopmental concerns despite appearing healthy. Rising birth rates highlight the need for focused care and research into their outcomes.
Area of Science:
- Neonatal Medicine
- Pediatric Health
- Perinatal Research
Background:
- Late preterm infants (34-36 weeks gestation) are a vulnerable population often overlooked.
- They represent a significant proportion of premature births and face increased risks compared to term neonates.
- Physiological and structural immaturity contribute to their vulnerability.
Purpose of the Study:
- To review current trends in late preterm birth rates.
- To examine common morbidities and long-term outcomes in this population.
- To specifically focus on neurodevelopmental outcomes in late preterm infants.
Main Methods:
- Literature review of recent trends and studies.
- Analysis of data on morbidities and mortality.
- Synthesis of findings on neurodevelopmental outcomes.
Main Results:
- Late preterm births are increasing globally.
- These infants experience higher rates of various morbidities and mortality.
- Neurodevelopmental impairment is a significant concern.
Conclusions:
- Late preterm infants require specialized attention due to their unique vulnerabilities.
- Understanding their long-term outcomes, especially neurodevelopmental, is crucial.
- Further research and targeted interventions are needed for this growing population.
Abstract:
Late preterm infants, defined as newborns born between 340/7-366/7 weeks of gestational age, constitute a unique group among all premature neonates. Often overlooked because of their size when compared to very premature infants, this population is still vulnerable because of physiological and structural immaturity. Comprising nearly 75% of babies born less than 37 weeks of gestation, late preterm infants are at increased risk for morbidities involving nearly every organ system as well as higher risk of mortality when compared to term neonates. Neurodevelopmental impairment has especially been a concern for these infants. Due to various reasons, the rate of late preterm births continue to rise worldwide. Caring for this high risk population contributes a significant financial burden to health systems. This article reviews recent trends in regarding rate of late preterm births, common morbidities and long term outcomes with special attention to neurodevelopmental outcomes.
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