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
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
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DOI：
10.1542/peds.2006-0018
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发表时间：
2006-09-01
期刊：
影响因子：
8
通讯作者：
Leveno, Kenneth J.
中科院分区：
文献类型：
--
作者：
Raju, Tonse N. K.;Higgins, Rosemary D.;Leveno, Kenneth J.
2003年，美国12.3%的新生儿是早产儿（< 37完整妊娠周）。这意味着自1981年以来早产率增加了31%。对这一增长的最大贡献来自妊娠34至36周之间的分娩（通常称为“近期”，但在本文中称为“晚期早产”）。与足月儿相比，晚期早产儿呼吸窘迫、体温不稳定、低血糖、核黄疸、呼吸暂停、癫痫发作和喂养问题的发生率更高，再住院率也更高。然而，这些疾病在国家一级的严重程度及其对公共卫生的影响尚未得到很好的研究。为了解决这些问题，国家卫生研究院的国家儿童健康和人类发展研究所邀请了一个多学科专家小组参加2005年7月举办的题为“优化近期妊娠和近期新生儿的护理和结果”的讲习班。“与会者讨论了晚期早产儿的定义和术语、流行病学、病因学、成熟生物学、临床护理、监测和公共卫生方面。确定了知识差距，并列出了研究优先事项。这篇文章提供了会议的摘要。
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.