Neurodevelopmental Outcomes of Moderate to Late Preterm Infants: A Population at Risk

Rachel H Goode1, Kendell R German2, Dennis Z Kuo3

  • 1Department of Pediatrics, Vanderbilt University Medicine Center, Nashville, Tennessee.

Neoreviews
|October 31, 2025
PubMed

Insights

Moderate to late preterm (MLPT) infants, born between 32-36 weeks, face developmental and behavioral risks. This review examines their outcomes, neonatal care, and neurodevelopmental impacts.

Area of Science:

  • Neonatal Medicine
  • Developmental Pediatrics
  • Public Health

Background:

  • Preterm birth affects an estimated 10% of the population.
  • Moderate to late preterm (MLPT) infants (32–36 weeks gestation) comprise 75% of preterm births.
  • MLPT infants often receive less follow-up care compared to extremely preterm infants, despite emerging evidence of developmental risks.

Purpose of the Study:

  • To review the epidemiology of outcomes for MLPT infants.
  • To analyze factors influencing neonatal care for MLPT infants compared to term and extremely preterm peers.
  • To examine neurodevelopmental and behavioral outcomes associated with MLPT birth.

Main Methods:

  • Literature review of epidemiological data.
  • Comparative analysis of neonatal care practices.
  • Synthesis of studies on neurodevelopmental and behavioral outcomes.

Main Results:

  • MLPT infants are at increased risk for developmental differences and disorders.
  • Behavioral and emotional differences are noted in MLPT populations.
  • There is a recognized need for enhanced parenting support for families of MLPT infants.

Conclusions:

  • MLPT birth is associated with significant neurodevelopmental and behavioral challenges.
  • Tailored medical and developmental follow-up is crucial for MLPT infants.
  • Further research and targeted interventions are needed to support this vulnerable population.

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