Recomendaciones para el manejo perinatal y seguimiento del recién nacido prematuro tardío

Suazo, José; Reymundo, M. García; Aguilar, Marco; Galiana, Gemma Ginovart; Moya, A. Jiménez; Aguinagalde, M.J. Trincado; Guasch, X. Demestre

doi:10.1016/j.anpedi.2014.06.006

Cited by 18 publications

(19 citation statements)

References 26 publications

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“…Would it be possible to continue this management beyond this stage of the pregnancy if conditions are stable? Several paediatric societies have adopted specific protocols of care for late-preterm infants, considering the particular risks this neonates are at [26,27]. Obstetric protocols should also consider the management of pregnancy-related complications at this gestational age.…”

Section: Discussionmentioning

confidence: 99%

Perinatal outcomes of spontaneous and medically-indicated late preterm infants

Trilla¹,

Medina²,

Ginovart³

et al. 2019

Clin Obstet Gynecol Reprod Med

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Objective: The aim of the study was to compare the perinatal results of spontaneous and medically-indicated late-preterm infants. Methods:We conducted a retrospective cohort study including all singleton late-preterm infants born at our University Hospital between January 2009 and December 2010 (n=171). Neonates with congenital infections, major congenital malformations and chromosomal abnormalities were excluded. Late-preterm infants were classified into two groups, spontaneous and medically-indicated, according to delivery indication. Obstetric complications and short-term neonatal outcomes were investigated.Results: 145 late-preterm infants were eligible for analysis. Obstetric complications were more frequent in medically-indicated late-preterm infants. However, when neonatal results were compared no differences were found between groups. Both spontaneous and medically-indicated late-preterm infants were at risk to develop respiratory morbidity (14.5% vs 24.2%, p=0.195), hyperbilirubinemia (15.7% vs 11.3%, p=0.478), excessive weight loss (2.4% vs 4.8%, p =0.651), infectious complications (1.2% vs 8.1%, p =0.084) and central nervous system morbidity (2.4% vs 0%, p=0.507). Only length of hospital stay was significantly higher among medically-indicated late-preterm infants.Conclusions: Both spontaneous and medically-indicated late-preterm infants are at risk for perinatal morbidity. Obstetric management of pregnancies at risk for late-preterm prematurity should be clarified, and specific strategies of care for these infants need to be improved.

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Section: Discussionmentioning

confidence: 99%

Perinatal outcomes of spontaneous and medically-indicated late preterm infants

Trilla¹,

Medina²,

Ginovart³

et al. 2019

Clin Obstet Gynecol Reprod Med

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“…Considering that late preterm have been reported to be at risk for neurodevelopment outcomes, it is nevertheless surprising that they do not receive a specific developmental assessment in their early years, despite the recommendations of different scientific societies [ 27 , 28 , 29 , 30 ]. Critically, many of the studies found in the literature show methodological heterogeneity, a factor that constrains reaching solid or more nuanced conclusions about the real impact of late prematurity on neurodevelopment and (long-term) academic outcomes.…”

Section: Introductionmentioning

confidence: 99%

Cognitive and Learning Outcomes in Late Preterm Infants at School Age: A Systematic Review

Martínez-Nadal

Bosch

2020

IJERPH

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Late preterm children born between 340/7 and 366/7 weeks’ gestation account for ≈70% of prematurely born infants. There is growing concern about this population at risk of mild neurodevelopmental problems, learning disabilities and lower academic performance. Following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement, this paper analyzes recent published evidence from 16selected studies involving late preterm children and control group assessments at preschool and/or school age, mainly focusing on cognitive functioning, language learning and academic achievement. The review identifies the assessment tools used in these studies (standardized tests, parental questionnaires and laboratory tasks) and the areas being evaluated from preschool (age 3 years) to primary school levels. Results reveal the presence of mild difficulties, pointing to suboptimal outcomes in areas such as executive function, short term verbal memory, literacy skills, attention and processing speed. Some difficulties are transient, but others persist, possibly compromising academic achievement, as suggested by the few studies reporting on higher risk for poor school performance. Given the increasing number of late preterm children in our society the review highlights the need to implement screening strategies to facilitate early risk detection and minimize the negative effects of this morbidity in childhood.

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“…-De la realidad. La prematuridad es la primera causa de morbimortalidad neonatal e infantil, y constituye uno de los problemas de salud más importantes de la sociedad, especialmente en las más industrializadas (32) .…”

Section: Discussionunclassified

“…Comprenden intervenciones dirigidas a optimizar el macroambiente de luces y ruidos, como el microambiente en que se desarrolla el niño (postura, manipulaciones, dolor). Además, se interactúa con la familia para facilitar al máximo su papel de cuidador principal del niño (32) .…”

Section: Discussionunclassified

La filosofía de los cuidados centrados en el desarrollo del recién nacido prematuro (NIDCAP): una revisión de la literatura

Acevedo

Becerra

Martínez

2017

eglobal

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Objetivo. Conocer las intervenciones de la filosofía de los cuidados centrados en el desarrollo del recién nacido prematuro (NIDCAP) dirigidas a optimizar el macroambiente y el microambiente, junto a las actuaciones orientadas a la familia a fin de favorecer la estabilidad y la organización del desarrollo y la conducta del recién nacido prematuro; y a partir de aquí, evaluar la eficacia de su aplicación. Metodología. Se lleva a cabo una búsqueda bibliográfica (a partir de una serie de criterios de inclusión y exclusión específicos) en castellano y en inglés, durante el periodo 2010 a 2015, en las siguientes bases de datos: PUBMED, THE COCHRANE LIBRARY, SCOPUS, CUIDEN, DIALNET, LILACS, TDR y GOOGLE ACADÉMICO (se recurrió también a determinadas páginas web oficiales). Resultados. Se han centrado en la revisión del Macroambiente (luces, ruidos), el Microambiente (postura, manipulaciones, dolor), la Familia (padres principales cuidadores, método canguro, lactancia materna), y de la Evaluación de la eficacia de la aplicación del NIDCAP. Discusión. Se orienta, fundamentalmente, en la consideración del NIDCAP desde la perspectiva de la realidad (la prematuridad como primera causa de morbimortalidad neonatal e infantil), de la evidencia de la literatura, de la calidad/calidez de los cuidados, del coste económico, y del papel de los profesionales. Conclusiones. No hay evidencia de que el programa NIDCAP mejore el desarrollo neurológico a largo plazo o los resultados médicos a corto plazo, por lo que no se puede recomendar la aplicación del NIDCAP en su forma actual como atención estándar en recién nacidos prematuros. Si bien, al analizar las intervenciones que forman parte de los CCD o del NIDCAP de forma aislada, la mayoría de ellas se justifican desde el sentido común, la sensibilidad en los cuidados y el respeto a la familia y al niño.

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Recomendaciones para el manejo perinatal y seguimiento del recién nacido prematuro tardío

Cited by 18 publications

References 26 publications

Perinatal outcomes of spontaneous and medically-indicated late preterm infants

Perinatal outcomes of spontaneous and medically-indicated late preterm infants

Cognitive and Learning Outcomes in Late Preterm Infants at School Age: A Systematic Review

La filosofía de los cuidados centrados en el desarrollo del recién nacido prematuro (NIDCAP): una revisión de la literatura

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