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J Pediatr (Rio J) ; 90(3): 221-31, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24508009

RESUMEN

OBJECTIVE: this study aimed to review the literature regarding late preterm births (34 weeks to 36 weeks and 6 days of gestation) in its several aspects. SOURCES: the MEDLINE, LILACS, and Cochrane Library databases were searched, and the references of the articles retrieved were also used, with no limit of time. DATA SYNTHESIS: numerous studies showed a recent increase in late preterm births. In all series, late preterm comprised the majority of preterm births. Studies including millions of births showed a strong association between late preterm birth and neonatal mortality. A higher mortality in childhood and among young adults was also observed. Many studies found an association with several neonatal complications, and also with long-term disorders and sequelae: breastfeeding problems, cerebral palsy, asthma in childhood, poor school performance, schizophrenia, and young adult diabetes. Some authors propose strategies to reduce late preterm birth, or to improve neonatal outcome: use of antenatal corticosteroids, changes in some of the guidelines for early delivery in high-risk pregnancies, and changes in neonatal care for this group. CONCLUSIONS: numerous studies show greater mortality and morbidity in late preterm infants compared with term infants, in addition to long-term disorders. More recent studies evaluated strategies to improve the outcomes of these neonates. Further studies on these strategies are needed.


Asunto(s)
Mortalidad Infantil/tendencias , Enfermedades del Prematuro/mortalidad , Recien Nacido Prematuro , Nacimiento Prematuro/epidemiología , Adulto , Niño , Preescolar , Femenino , Madurez de los Órganos Fetales , Edad Gestacional , Humanos , Incidencia , Lactante , Recién Nacido , Pulmón/embriología , Embarazo , Factores de Tiempo , Adulto Joven
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