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[Late preterm infants--complications during the early period of adaptation]. 2011

Małgorzata Baumert, and Lukomska Agnieszka, and Lukasz J Krzych, and Magnucki Jacek, and Pacula Małgorzata
Klinika Neonatologii Katedry Poloinictwa i Ginekologii SUM, Katowice, Polska. mbaumert@sum.edu.pl

A subgroup of more mature preterm infants, so-called "near term" ("late preterm") infants, 34 weeks 0/7 days to 36 weeks 6/7 days, have become the interest of countless research recently OBJECTIVE the aim of the study is the observation of more frequent occurrence of clinical problems in near-term infants in comparison with term infants. METHODS A retrospective review, conducted from January 1, 2008 to December 31, 2008, included 1271 neonatal records and subset analyses of 312 near-term infants and 812 full term infants. RESULTS Late preterm newborns were at higher risk of respiratory distress syndrome (p < 0.01), infections, (p = 0.00012) hyperbilirubinemia (p < 0.001), temperature instability (p < 0.001) and intraventricular hemorrhage (p < 0.001) than term infants. A prolonged infant stay at hospital (beyond 72 hours after vaginal delivery and 96 hours after a cesarean delivery) resulting from specific clinical problems was observed. CONCLUSIONS Even a little shortened period of pregnancy influences the adaptation period of the infants and increases the occurrence of clinical problems like respiratory distress syndrome, hyperbilirubinemia, infections, temperature instability and intraventricular hemorrhage, when comparing to term infants.

UI MeSH Term Description Entries
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D007234 Infant, Premature A human infant born before 37 weeks of GESTATION. Neonatal Prematurity,Premature Infants,Preterm Infants,Infant, Preterm,Infants, Premature,Infants, Preterm,Premature Infant,Prematurity, Neonatal,Preterm Infant
D007235 Infant, Premature, Diseases Diseases that occur in PREMATURE INFANTS.
D007239 Infections Invasion of the host organism by microorganisms or their toxins or by parasites that can cause pathological conditions or diseases. Infection,Infection and Infestation,Infections and Infestations,Infestation and Infection,Infestations and Infections
D008297 Male Males
D011014 Pneumonia Infection of the lung often accompanied by inflammation. Experimental Lung Inflammation,Lobar Pneumonia,Lung Inflammation,Pneumonia, Lobar,Pneumonitis,Pulmonary Inflammation,Experimental Lung Inflammations,Inflammation, Experimental Lung,Inflammation, Lung,Inflammation, Pulmonary,Inflammations, Lung,Inflammations, Pulmonary,Lobar Pneumonias,Lung Inflammation, Experimental,Lung Inflammations,Lung Inflammations, Experimental,Pneumonias,Pneumonias, Lobar,Pneumonitides,Pulmonary Inflammations
D011044 Poland A country in central Europe, east of Germany. The capital is Warsaw. Polish People's Republic,Republic of Poland
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D012127 Respiratory Distress Syndrome, Newborn A condition of the newborn marked by DYSPNEA with CYANOSIS, heralded by such prodromal signs as dilatation of the alae nasi, expiratory grunt, and retraction of the suprasternal notch or costal margins, mostly frequently occurring in premature infants, children of diabetic mothers, and infants delivered by cesarean section, and sometimes with no apparent predisposing cause. Infantile Respiratory Distress Syndrome,Neonatal Respiratory Distress Syndrome,Respiratory Distress Syndrome, Infant
D005260 Female Females

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