Neurodevelopmental outcome of late-preterm infants: Literature review

被引:20
作者
Favrais, G. [1 ,2 ]
Saliba, E. [2 ]
机构
[1] CHRU Tours, Serv Neonatol, F-37044 Tours, France
[2] Univ Tours, INSERM, iBrain, UMR 1253, F-37044 Tours, France
来源
ARCHIVES DE PEDIATRIE | 2019年 / 26卷 / 08期
关键词
Newborn; Late prematurity; Neurodevelopment; TERM-EQUIVALENT AGE; DEVELOPMENTAL DELAY; CHILDREN BORN; CEREBRAL-PALSY; BIRTH; BRAIN; MODERATE; RISK; DISABILITIES; MORBIDITY;
D O I
10.1016/j.arcped.2019.10.005
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Late-preterm infants are characterized by a birth term from 34(0/7) to 36(6/7) weeks of gestation. A foetal brain at 34(0/7) weeks of gestation weighs only 65% of the full-term newborn brain, which suggests a particular cerebral vulnerability to injury during this 6-week period. Epidemiological studies reporting the neurological outcomes of late-preterm infants exhibit large methodological heterogeneity that inhibits clarity on this issue. However, contradictory results and odds ratio values near neutral reveal probable moderate neurodevelopmental delay in late-preterm infants. This observation reflects the variable neurological outcomes of this population according to multiple perinatal factors. Therefore, the current challenge is to define efficient screening strategies to determine infants requiring specific follow-up. (C) 2019 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:492 / 496
页数:5
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