Perinatal care for the extremely preterm infant

Usuda, Haruo; Carter, Sean; Takahashi, Tsukasa; Newnham, John P.; Fee, Erin L.; Jobe, Alan H.; Kemp, Matthew W.

doi:10.1016/j.siny.2022.101334

Cited by 5 publications

(5 citation statements)

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“…In particular, an extremely premature infant is more susceptible to serious complications, which can even lead to death (16,19). Premature infants tend to develop pathological jaundice, which can result in complications, such as cerebral palsy, affecting cognition and the sensorineural auditory system (5,16,19). These complications contribute to possible long-term special health needs, which require specialized attention for these children (19).…”

Section: Discussionmentioning

confidence: 99%

“…Premature infants tend to develop pathological jaundice, which can result in complications, such as cerebral palsy, affecting cognition and the sensorineural auditory system (5,16,19). These complications contribute to possible long-term special health needs, which require specialized attention for these children (19). Complications of infectious origin, whether early (occurring within 48 hours) or late (after 48 hours), are prevalent in the NICU due to several factors, such as baby's weight, length of hospital stay, inadequate antibiotic therapy, among others, and may lead to death, since early diagnosis is difficult, and the evolution of sepsis can be rapid (7,20).…”

Section: Discussionmentioning

confidence: 99%

“…Regarding the maternal identification of the demands of care presented by the child, it is important to highlight that prematurity can have repercussions on long-term factors of motor development, behavior, and cognition, and for this reason, it becomes relevant to increase careful family orientation and assessment in all future consultations (19,24,25).…”

Section: Discussionmentioning

confidence: 99%

“…Health teams must provide adequate care support, through practices based on scientific evidence (22,26,27), because families of premature infants with special health needs need to make available an important amount of their time for the care of the child, and they require support to readjust their daily life (19,28). Actions are needed for the insertion of parental caregivers into guidance and intervention programs to encourage the neurodevelopment capabilities of premature children, in the short-and long-term (12,18,22,29,30).…”

Section: Discussionmentioning

confidence: 99%

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Premature Newborns with the Potential to Develop Special Health Needs: An Approach by Triangulation of Methods

Silva,

Casacio,

Zilly

et al. 2024

Aquichan

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Introduction: Maternal recognition of special health needs of premature babies is essential, given the importance of early stimuli after discharge to strengthen child development. Objective: To identify premature newborns with potential factors for the development of special health needs and describe maternal recognition of these factors. Materials and methods: Qualitative and quantitative study, performed using a triangulation method, with concomitant incorporation of data, included to analysis Chi-square test (p<0.05) for quantitative data and interpretation of meanings for qualitative. Variables: Birth weight, gestational age, Apgar score, complications, and length of hospital stay from 951 records of hospitalized premature infants; 18 mothers were interviewed during hospitalization, 15 days after discharge at home, 30 days after this at-home visit and at the age of 6 months of the child, by telephone, in Southern Brazil. Results: Identified as potential factors: Extreme prematurity and/or very premature, low birth weight, complications, and prolonged hospitalization. With the incorporation of the data, the relevance of these factors for children at risk of changes in development and behavior was verified. Mothers described their children as having healthy development but recognized prematurity is a factor that predisposes to new hospitalizations, and perinatal factors and those related to hospitalization contribute to the development of special health needs. Conclusion: The importance of early identification of factors that enhance the development of special health needs is understood to initiate the necessary stimuli to strengthen child development.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Premature Newborns with the Potential to Develop Special Health Needs: An Approach by Triangulation of Methods

Silva,

Casacio,

Zilly

et al. 2024

Aquichan

View full text Add to dashboard Cite

show abstract

“…Based on gestational age, preterm birth can be divided into extremely preterm birth (<28 weeks), very preterm birth (28–32 weeks), and moderate/late preterm birth (32–37 weeks) ( Quinn et al, 2016 ). Over the past several years, extremely preterm infants have gradually become the focus of research because of their high mortality and complex morbidity ( Usuda et al, 2022 ). Indeed, they have a very high risk of various insults.…”

Section: Preterm Birth Is Associated With the Development Of Metaboli...mentioning

confidence: 99%