Short- and Long-Term Consequences of Late-Preterm and Early-Term Birth

Muhammad Arham1, Katarzyna Wróblewska-Seniuk2

  • 1Department of Pediatrics, Rawalpindi Medical University, Rawalpindi 46000, Pakistan.

PubMed

Insights

Late-preterm and early-term births pose higher risks for newborns, including respiratory issues and developmental delays. These risks extend into adulthood, impacting long-term health and mortality rates.

Area of Science:

  • Neonatal Medicine
  • Developmental Pediatrics
  • Public Health

Background:

  • Late-preterm (34-36 weeks) and early-term (37-38 weeks) infants were previously considered low-risk, similar to full-term infants.
  • Emerging evidence indicates these infants possess relative physiologic and developmental immaturity.
  • This immaturity contributes to increased risks for neonatal morbidities and long-term adverse outcomes.

Purpose of the Study:

  • To review current knowledge on the risks associated with late-preterm and early-term births.
  • To identify gaps in the existing literature regarding these risks.
  • To highlight future research directions for improving outcomes.

Main Methods:

  • Literature review of recent evidence on neonatal and long-term outcomes.
  • Synthesis of data on morbidities, neurodevelopmental issues, and mortality.
  • Identification of knowledge gaps and areas for future research.

Main Results:

  • Late-preterm and early-term infants face significantly higher risks of neonatal morbidities (e.g., respiratory distress, jaundice, hypoglycemia).
  • These infants exhibit increased susceptibility to neurodevelopmental delays, behavioral problems, and chronic adult diseases.
  • Elevated risks for infant and adult mortality are observed in these populations.

Conclusions:

  • Late-preterm and early-term births are associated with substantial short- and long-term health risks.
  • Current understanding of these risks is evolving, necessitating further research.
  • Optimizing care and interventions for these infants is crucial for improving lifelong health trajectories.

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