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晚期早产:一个新的护理问题。

Late preterm birth: a new nursing issue.

作者信息

Shaw Rebecca Riesser

机构信息

INOVA Alexandria Hospital, Alexandria, VA, USA.

出版信息

MCN Am J Matern Child Nurs. 2008 Sep-Oct;33(5):287-93. doi: 10.1097/01.NMC.0000334895.91720.5d.

DOI:10.1097/01.NMC.0000334895.91720.5d
PMID:18758331
Abstract

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.

摘要

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。

相似文献

1
Late preterm birth: a new nursing issue.晚期早产:一个新的护理问题。
MCN Am J Matern Child Nurs. 2008 Sep-Oct;33(5):287-93. doi: 10.1097/01.NMC.0000334895.91720.5d.
2
Preterm birth-associated cost of early intervention services: an analysis by gestational age.早产相关的早期干预服务成本:按孕周分析
Pediatrics. 2007 Apr;119(4):e866-74. doi: 10.1542/peds.2006-1729. Epub 2007 Mar 5.
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So, he's a little premature...what's the big deal?所以,他有点早产……这有什么大不了的?
Crit Care Nurs Clin North Am. 2009 Jun;21(2):149-61. doi: 10.1016/j.ccell.2009.03.001.
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Health issues of the late preterm infant.晚期早产儿的健康问题。
Pediatr Clin North Am. 2009 Jun;56(3):565-77, Table of Contents. doi: 10.1016/j.pcl.2009.03.009.
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A common problem for neonatal intensive care units: late preterm infants, a prospective study with term controls in a large perinatal center.新生儿重症监护病房的一个常见问题:晚期早产儿,一项在大型围产期中心进行的有足月对照的前瞻性研究。
J Matern Fetal Neonatal Med. 2013 Mar;26(5):459-62. doi: 10.3109/14767058.2012.735994. Epub 2012 Oct 31.
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Effect of late-preterm birth and maternal medical conditions on newborn morbidity risk.晚期早产及母亲疾病状况对新生儿发病风险的影响。
Pediatrics. 2008 Feb;121(2):e223-32. doi: 10.1542/peds.2006-3629.
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Early discharge among late preterm and term newborns and risk of neonatal morbidity.晚期早产儿和足月儿的早期出院与新生儿发病风险
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Risk factors for neonatal morbidity and mortality among "healthy," late preterm newborns.“健康”晚期早产儿的新生儿发病和死亡风险因素。
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Hyperbilirubinemia.高胆红素血症
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Hyperbilirubinemia and bilirubin toxicity in the late preterm infant.晚期早产儿的高胆红素血症及胆红素毒性
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引用本文的文献

1
An overview of morbidity, mortality and long-term outcome of late preterm birth.晚早产儿发病、死亡和长期结局概述。
World J Pediatr. 2011 Aug;7(3):199-204. doi: 10.1007/s12519-011-0290-8. Epub 2011 Aug 7.