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Updated: Aug 22, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[Late preterm newborn: follow-up recommendations]
Lucrecia Bossi1, Lidia Giúdici2, Gabriela Bertani2
1Grupo de Seguimiento de Recién Nacidos de Alto Riesgo. Comité de Estudios Fetoneonatales, Sociedad Argentina de Pediatría. lucreciamariabossi@gmail.com.
Insights
Late preterm births are rising, often overlooking risks like neurodevelopmental delays and organ immaturity in these infants. This review emphasizes a holistic approach to their follow-up care to improve outcomes.
Area of Science:
- Neonatal Health
- Public Health Trends
- Pediatric Morbidity
Context:
- Increasing rates of prematurity globally, primarily driven by late preterm births.
- Late preterm infants (34-36 weeks gestation) are often presumed healthy due to appropriate weight, masking significant risks.
- Existing healthcare models may overlook specific morbidities associated with late preterm infants.
Purpose:
- To highlight the overlooked health risks and morbidities in late preterm newborns.
- To discuss the short- and long-term consequences of these health issues.
- To advocate for a holistic and interdisciplinary follow-up care strategy for late preterm infants.
Summary:
- Late preterm births are a major contributor to rising prematurity rates.
- These infants face risks including neurodevelopmental delays, behavioral issues, and organ immaturity, which are frequently underestimated.
- Effective management requires recognizing these risks and implementing comprehensive, multidisciplinary care plans.
Impact:
- Improved identification and management of late preterm infant morbidities.
- Potential reduction in long-term health complications and associated healthcare costs.
- Enhanced clinical guidelines and healthcare provider awareness regarding late preterm infant care.
Abstract:
The WHO states that prematurity rates have increased mainly due to late preterm births. Since these babies are usually born with appropriate weight for their gestational age, their risk for morbidities such as neurodevelopmental delays, behavioral problems and organ systems immaturity are overlooked. Further, these clinical findings have an impact on short and long term outcomes (i.e., morbidities, mortality, and higher healthcare costs). The aim of this publication is to discuss topics related to late-preterm newborns' health, including a holistic and interdisciplinary approach to follow up care.
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