Article

Optimizing Care and Outcome for Late-Preterm (Near-Term) Infants: A Summary of the Workshop Sponsored by the National Institute of Child Health and Human Development

Department of Pediatrics, Baylor College of Medicine, Houston, Texas, United States
PEDIATRICS (Impact Factor: 5.3). 09/2006; 118(3):1207-14. DOI: 10.1542/peds.2006-0018
Source: PubMed

ABSTRACT In 2003, 12.3% of births in the United States were preterm (< 37 completed weeks of gestation). This represents a 31% increase in the preterm birth rate since 1981. The largest contribution to this increase was from births between 34 and 36 completed weeks of gestation (often called the "near term" but referred to as "late preterm" in this article). Compared with term infants, late-preterm infants have higher frequencies of respiratory distress, temperature instability, hypoglycemia, kernicterus, apnea, seizures, and feeding problems, as well as higher rates of rehospitalization. However, the magnitude of these morbidities at the national level and their public health impact have not been well studied. To address these issues, the National Institute of Child Health and Human Development of the National Institutes of Health invited a multidisciplinary team of experts to a workshop in July 2005 entitled "Optimizing Care and Outcome of the Near-Term Pregnancy and the Near-Term Newborn Infant." The participants discussed the definition and terminology, epidemiology, etiology, biology of maturation, clinical care, surveillance, and public health aspects of late-preterm infants. Knowledge gaps were identified, and research priorities were listed. This article provides a summary of the meeting.

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    • "childhood , has been established in previous liter - ature ( Bird et al . , 2010 ; Engle et al . , 2007 ; Martin et al . , 2009 ; Medoff - Cooper et al . , 2012 ; Raju et al . , 2006 ) . However , a gap remains in the evidence to support models of postdischarge care that may improve outcomes for this population ( Premji et al . , 2012 ) . The majority of LPIs are not enrolled in high - risk infant follow - up programs that generally focus on very preterm infants ( Walker et al . , 2012 ) . Additionally , recent evid"
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    Journal of Obstetric Gynecologic & Neonatal Nursing 01/2015; 44(1). DOI:10.1111/1552-6909.12538 · 1.20 Impact Factor
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    • "From the total infants that survive after being delivered prematurely, about 10–15% are significantly disabled. Preterm infants are born with multiple short-and long-term health complications including bronchopulmonary dysplasia, necrotizing enterocolitis , retinopathy of prematurity, cognitive impairment, and an increased risk for adult onset diseases such as hypertension and diabetes [8] [9] [10]. Another less well known complication is that when infants are born preterm, there is an interruption of normal renal organogenesis involving the vascular tree and kidney branching increasing the susceptibility of the surviving infants to develop hypertension and renal disease as adults [11]. "
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    Fetal and pediatric pathology 05/2014; 33(4). DOI:10.3109/15513815.2014.913749 · 0.40 Impact Factor
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    • "In a recent study that assessed sensory modulation and participation on the same group of infants, we have found an increased risk for sensory modulation dysfunction and decreased participation in LPI compared to TI at the age of 12 month (Bart, Shayevits, Gabis, & Morag, 2011). Most of these studies are retrospective, include healthy singleton LPI and lack perinatal data, hence the need for a prospective developmental follow up of LPI during early infancy has been noted (Raju et al., 2006; van Baar et al., 2009). "
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