Follow-up care of the extremely preterm infant after discharge from the neonatal intensive care unit

被引:10
作者
Hendson, Leonora [1 ]
Church, Paige T. [1 ]
Banihani, Rudaina [1 ]
机构
[1] Canadian Paediat Soc, Fetus & Newborn Comm, Ottawa, ON, Canada
关键词
Autism spectrum disorder; Cerebral palsy; Extremely preterm; Neurodevelopmental outcomes; Neurosensory development; CEREBRAL-PALSY; PREMATURITY; AUTISM; OUTCOMES; RECOMMENDATIONS; REQUIREMENTS; RETINOPATHY; GUIDELINES; NUTRITION; CHILDREN;
D O I
10.1093/pch/pxac058
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The survival of babies born extremely preterm (EP, <28 weeks gestation) has improved over time, and many have good outcomes and quality of life. They remain at risk for health issues, including neurosensory and neurodevelopmental difficulties requiring monitoring by primary physicians, paediatricians, and specialty clinics. This statement reviews potential medical and neurodevelopmental consequences for EP infants in the first 2 years after discharge and provides strategies for counselling, early detection, and intervention. EP-related conditions to assess for early include bronchopulmonary dysplasia or respiratory morbidity, feeding and growth concerns, neurosensory development (vision and hearing), cerebral palsy, and autism spectrum disorder. Correction for gestational age should be used for growth and development until 36 months of age. Integral to quality care of the child born EP is attention to the emotional well-being of parents and caregivers.
引用
收藏
页码:359 / 364
页数:6
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