The late preterm infant

Ramachandrappa, Ashwin; Jain, Lucky

doi:10.1016/b978-0-323-06545-0.00043-1

Cited by 3 publications

(4 citation statements)

References 67 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Respiratory problems occur more frequently and more severely as the gestational week decreases (21). As a common result of many clinical studies, when late preterms were evaluated according to their gestational weeks, the frequency of RDS at the 34th gestational week was 7.4-13.7%, 4.5-6.4% at 35th gestational week, and 2.3-3.6% at 36th gestational week (22). Kitsommart et al conducted a study in Canada and reported that TTN had a frequency of 47% and RDS with a frequency of 37.3% among respiratory problems in late preterms (23).…”

Section: Discussionmentioning

confidence: 99%

Usage of Surfactant and Evaluation of Lung Problems in Late Preterm Infants

Yilman,

Alkan Ozdemir,

Calkavur

et al. 2023

Gynecol Obstet Reprod Med

View full text Add to dashboard Cite

OBJECTIVE: We aimed to evaluate surfactant frequency and surfactant indications, as well as lung problems in late preterm infants. STUDY DESIGN: This retrospective and cross-sectional study was carried out by HSU Izmir Dr. Behcet Uz Pediatric Diseases and Surgery Research and Training Hospital. Infants who were born late preterm between January 2016 and January 2022 were hospitalized in the NICU due to respiratory distress in the first 24 hours. Lung problems and surfactant administration of these infants were evaluated. The frequency of surfactant dosages, their indications, and their effects were examined. As the control group, patients who were admitted to the NICU in the same period due to respiratory distress with similar indications but did not receive surfactant were considered. RESULTS: It was observed that surfactant was not administered to 105 infants and surfactant was administered to 106 infants. The median gestational week of the infants included in the study was 35 (34/36) weeks and the birth weight was 2185 (1780/2590) grams. A significant difference was observed in birth weight between the groups (p<0.001). Invasive ventilation was required in 52.1% of all cases and noninvasive ventilation was required in 33.6%. In the delivery room, the need for resuscitation and intubation was higher in the group requiring surfactant (p=0.001). The most common lung pathology in the surfactant group was RDS. CONCLUSION: It must not be forgotten that infants who are born late preterm infants are preterm infants and the evaluation of antenatal steroid administration must not be ignored.

show abstract

Section: Discussionmentioning

confidence: 99%

Usage of Surfactant and Evaluation of Lung Problems in Late Preterm Infants

Yilman,

Alkan Ozdemir,

Calkavur

et al. 2023

Gynecol Obstet Reprod Med

View full text Add to dashboard Cite

show abstract

“…Reports of premature births in the world are close to 12%, of which 71% correspond to late premature babies, 12.6% moderate premature babies, 10.1% early premature babies, and 5.9% extreme premature ( 13 , 14 ). In Colombia, the prematurity rate represents a 20%, much higher than reported in other high-income countries ( 15 ).…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With Late Prematurity in the University Hospital of Valle Cali, Colombia During 2013–2014

Torres-Muñoz

Jimenez-Fernandez

Ortega

et al. 2020

Front. Public Health

View full text Add to dashboard Cite

Introduction: The birth rate of late premature babies has been increasing in recent years, composing now 75% of all premature births. This growing trend can be explained by different demographic transformations such as an increase in the demand for infertility treatments, older maternal age and the higher incidence of multiple pregnancies, cesarean sections, and labor induction. These premature babies contribute 30% to the global neonatal mortality rate. Objective: To identify the factors associated with late prematurity at the Hospital Universitario del Valle during the years 2013-2014. Methodology: Case and control design, 424 patients, 212 cases and 212 controls participated. Cases were defined as newborns with gestational age between 34 and 36 weeks and 6 days old. For the analysis, logistic regression models were developed and association forces (OR) were determined. Results: A univariate analysis shows that the proportion of teenage pregnant women corresponds to 22.64%. Bivariate analysis shows the maternal morbidity due to hypertensive disorders was 1.6 times higher (95% CI 1.06-2.63), the obstetric alterations in 2.9 times (CI of 95% 1.56-5.44), late preterm infants require more oxygen support 3.26 times (95% CI 1.76-6.03). After adjusting the model, it was found that late premature infants have a 3-fold probability of requiring some resuscitation maneuver (ORa 3.23 95% CI 2.09-4.99), birth is higher by cesarean section by 4.17 times (ORa 4.17 IC 95% 2.50-6.98), maternal morbidity was higher in 1.37 times (ORa 1.37 95% CI 1.14-1.65). The morbidity of the newborn was greater, close to the statistical significance for late premature infants in 1.26 times (ORa 1.26 95% CI 0.97-1.64). Conclusions: Late premature births in this study show a higher probability of developing morbidity, have a greater opportunity to be born by cesarean section, are products of mothers with morbidity (specifically hypertensive disorders), and require further resuscitation with a need of early obstetric intervention.

show abstract

“…Neonates are at high risk for hypothermia because of their surface area to body weight ratio, decreased sympathetic vascular tone, and minimal subcutaneous fat. The resulting cold stress increases the metabolic demands of the infant and can result in increased pulmonary and systemic vascular resistance, producing increased cardiac stress, oxygen consumption, and associated increase in mortality in the preterm neonate 1–6…”

mentioning

confidence: 99%

“…The resulting cold stress increases the metabolic demands of the infant and can result in increased pulmonary and systemic vascular resistance, producing increased cardiac stress, oxygen consumption, and associated increase in mortality in the preterm neonate. [1][2][3][4][5][6] An infant in a surgical environment is at a particular risk for hypothermia, and multiple efforts have been made to decrease hypothermia in the preterm infant born via cesarean delivery. 3,7,8 When neonates themselves are undergoing surgery, there are a different set of risks for perioperative hypothermia than those associated with the preterm infant at birth.…”

mentioning

confidence: 99%

Engaging Frontline Providers Prevents Hypothermia and Improves Communication in the Postoperative Neonate

Guidash

Berman

Panagos

et al. 2021

Advances in Neonatal Care

View full text Add to dashboard Cite

Background: Neonates undergoing surgery are at high risk for perioperative hypothermia. Hypothermia has been associated with increased adverse events. Transfer of care from the operating room (OR) to the neonatal intensive care unit (NICU) adds another layer of risk for this population introducing the potential for miscommunication leading to preventable adverse events. Purpose: The aim of this quality improvement initiative is to decrease mean postoperative hypothermia rate and achieve compliance with use of a standardized postoperative hand-off in neonates transferred to the NICU from the OR. Methods: An interdisciplinary team identified opportunities for heat loss during the perioperative period. The lack of standardized perioperative communication between the NICU and the OR and postoperative communication between neonatology, anesthesiology, surgery, and nursing were noted. Guidelines for maintaining euthermia in the perioperative period and a standardized interdisciplinary postoperative hand-off communication tool were created. Findings/Results: Mean rate for participation in the hand-off process increased from 78.8% to 98.4% during the study period. The mean hypothermia rate improved from 28.6% to 6.3% (P < .0001) and was sustained. Implications for Practice: Creating a hypothermia guideline and standardizing temperature monitoring can significantly decrease the rate of postoperative hypothermia in neonates. Standardization of transfer of care from OR to NICU increases consistent communication between the services. Implications for Research: Future research and improvement efforts are needed to optimize the management of surgical neonates through their transfers of care.

show abstract

The late preterm infant

Cited by 3 publications

References 67 publications

Usage of Surfactant and Evaluation of Lung Problems in Late Preterm Infants

Usage of Surfactant and Evaluation of Lung Problems in Late Preterm Infants

Factors Associated With Late Prematurity in the University Hospital of Valle Cali, Colombia During 2013–2014

Engaging Frontline Providers Prevents Hypothermia and Improves Communication in the Postoperative Neonate

Contact Info

Product

Resources

About