A systematic review of severe morbidity in infants born late preterm

被引：260

作者：

Teune, Margreet J. ^{[1
]}

Bakhuizen, Sabine ^{[1
]}

Bannerman, Cynthia Gyamfi ^{[4
]}

Opmeer, Brent C. ^{[2
]}

van Kaam, Anton H. ^{[3
]}

van Wassenaer, Aleid G. ^{[3
]}

Morris, Jonathan M. ^{[5
]}

Mol, Ben Willen J. ^{[1
]}

机构：

[1] Acad Med Ctr, Dept Obstet & Gynecol, NL-1105 DE Amsterdam, Netherlands

[2] Acad Med Ctr, Dept Epidemiol & Biostat, NL-1105 DE Amsterdam, Netherlands

[3] Acad Med Ctr, Emma Childrens Hosp, Dept Neonatol, NL-1105 DE Amsterdam, Netherlands

[4] Columbia Univ, Dept Obstet & Gynecol, Med Ctr, New York, NY USA

[5] Univ Sydney, Dept Obstet & Gynaecol, No Clin Sch, Sydney, NSW 2006, Australia

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2011年 / 205卷 / 04期

关键词：

late-preterm infants; morbidity; mortality; GESTATIONAL-AGE; CLINICAL-OUTCOMES; CHILDREN BORN; UNITED-STATES; SCHOOL-AGE; BIRTH; MORTALITY; SINGLETON; RISK; CONSEQUENCES;

D O I：

10.1016/j.ajog.2011.07.015

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVE: Late-preterm infants (34 weeks 0/7 days-36 weeks 6/7 days' gestation) represent the largest proportion of singleton preterm births. A systematic review was performed to access the short-and/or long-term morbidity of late-preterm infants. STUDY DESIGN: An electronic search was conducted for cohort studies published from January 2000 through July 2010. RESULTS: We identified 22 studies studying 29,375,675 infants. Compared with infants born at term, infants born late preterm were more likely to suffer poorer short-term outcomes such as respiratory distress syndrome (relative risk [RR], 17.3), intraventricular hemorrhage (RR, 4.9), and death <28 days (RR, 5.9). Beyond the neonatal period, late-preterm infants were more likely to die in the first year (RR, 3.7) and to suffer from cerebral palsy (RR, 3.1). CONCLUSION: Although the absolute incidence of neonatal mortality and morbidity in infants born late preterm is low, its incidence is significantly increased as compared with infants born at term.

引用

页码：374.e1 / 374.e9

页数：9

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