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Nutrition Support Practices for Infants Born <750 Grams or <25 Weeks Gestation: A Call for More Research

Melissa Thoene1, Ann Anderson-Berry1

  • 1Department of Pediatrics, University of Nebraska Medical Center, 981205 Nebraska Medical Center, Omaha, NE 68198, USA.

International Journal of Environmental Research and Public Health
|September 9, 2022
PubMed

Insights

Medical advancements allow care for extremely preterm infants, decreasing the gestational age of viability to 21-22 weeks. This impacts neonatal intensive care and long-term outcomes for premature babies.

Area of Science:

  • Neonatal Medicine
  • Perinatology
  • Developmental Pediatrics

Background:

  • Advances in neonatal intensive care have enabled survival for increasingly premature infants.
  • The definition of fetal viability is shifting due to improved medical interventions.

Discussion:

  • The care of extremely preterm infants (21-22 weeks gestation) presents significant clinical challenges.
  • Ethical considerations arise regarding the aggressive management of infants at the threshold of viability.

Key Insights:

  • Gestational age of viability has significantly decreased.
  • Neonatal care strategies are adapting to manage younger and smaller preterm infants.

Outlook:

  • Further research is needed to optimize outcomes for extremely preterm infants.
  • Long-term neurodevelopmental and health trajectories for this population require continued study.

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