Department of Health Sciences, University of Leicester, 22-28 Princess Road West, Leicester LE1 6TP, UK.
Semin Fetal Neonatal Med. 2012 Jun;17(3):159-62. doi: 10.1016/j.siny.2012.02.002. Epub 2012 Mar 13.
There has been a long-held belief that outcomes for babies born at moderate and late preterm gestations do not differ substantially from those of infants born at full term. This has recently been challenged by studies highlighting an increased risk of adverse neonatal outcomes, and of poorer cognitive, behavioural and educational outcomes in this population. Data about the effects of birth at moderate and late preterm gestations on later health outcomes are limited, but emerging evidence suggests that ongoing physical health may also be worse in those born just a few weeks before full term. This review summarises the available evidence, considers the factors influencing health outcomes and discusses the implications for the planning and provision of children's health care services.
长期以来,人们一直认为中度和晚期早产婴儿的结局与足月出生的婴儿没有显著差异。最近的研究挑战了这一观点,这些研究强调了这一人群新生儿不良结局风险增加,以及认知、行为和教育结局较差的风险增加。关于中度和晚期早产对后期健康结果影响的数据有限,但新出现的证据表明,即使是在足月前几周出生的婴儿,其持续的身体健康状况可能也更差。这篇综述总结了现有证据,考虑了影响健康结果的因素,并讨论了对儿童保健服务规划和提供的影响。