TY - JOUR
T1 - Optimizing care and outcome for late-preterm (near-term) infants
T2 - A summary of the workshop sponsored by the national institute of child health and human development
AU - Raju, Tonse N K
AU - Higgins, Rosemary D.
AU - Stark, Ann R.
AU - Leveno, Kenneth J.
PY - 2006/9
Y1 - 2006/9
N2 - 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.
AB - 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.
KW - Apnea
KW - Kernicterus
KW - Late-preterm infant
KW - Low birth weight
KW - Near-term infant
KW - Prematurity
KW - Preterm birth
KW - Respiratory distress syndrome
KW - Seizures
KW - Sudden infant death
UR - http://www.scopus.com/inward/record.url?scp=33749053226&partnerID=8YFLogxK
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U2 - 10.1542/peds.2006-0018
DO - 10.1542/peds.2006-0018
M3 - Article
C2 - 16951017
AN - SCOPUS:33749053226
SN - 0031-4005
VL - 118
SP - 1207
EP - 1214
JO - Pediatrics
JF - Pediatrics
IS - 3
ER -