Shaw Rebecca Riesser
INOVA Alexandria Hospital, Alexandria, VA, USA.
MCN Am J Matern Child Nurs. 2008 Sep-Oct;33(5):287-93. doi: 10.1097/01.NMC.0000334895.91720.5d.
Late preterm infants are those born between 34 and 36 6/7 completed weeks' gestation. In the last decade, late preterm infants have become the fastest growing subset of preterm infants and now account for 74% of all preterm births. They are at greater risk for feeding problems, dehydration, hypothermia, jaundice, and hypoglycemia and are more likely to be readmitted to the hospital in the first weeks after birth and accrue greater healthcare costs as a result. Despite the alarming growth of this population and the acknowledgment of increased risk in the literature, there is limited information available to the clinical nurse and few evidence-based guidelines to direct the care of these infants specifically. This article describes what is known to date about this issue and what nurses need to do to appropriately care for late preterm infants.
晚期早产儿是指在妊娠满34周至36 6/7周之间出生的婴儿。在过去十年中,晚期早产儿已成为早产儿中增长最快的群体,目前占所有早产的74%。他们出现喂养问题、脱水、体温过低、黄疸和低血糖的风险更高,在出生后的头几周更有可能再次入院,因此产生更高的医疗费用。尽管这一群体数量增长惊人,且文献中也承认其风险增加,但临床护士可获得的信息有限,专门指导护理这些婴儿的循证指南也很少。本文介绍了目前关于这一问题的已知情况以及护士为妥善护理晚期早产儿所需采取的措施。