Hurtado Suazo J A, García Reymundo M, Calvo Aguilar M J, Ginovart Galiana G, Jiménez Moya A, Trincado Aguinagalde M J, Demestre Guasch X
Grupo SEN34-36, Sociedad Española de Neonatología, España; Servicio Neonatología, Hospital Universitario Virgen de las Nieves, Granada, España.
Grupo SEN34-36, Sociedad Española de Neonatología, España; Servicio Pediatría, Hospital Mérida, Badajoz, España.
An Pediatr (Barc). 2014 Nov;81(5):327.e1-7. doi: 10.1016/j.anpedi.2014.06.006. Epub 2014 Aug 6.
Prematurity is the main reason for neonatal morbidity and mortality, and has become one of the greatest problems in public health, especially in developed countries. Prematurity rate has increased during the last 2 decades. This increase may be attributed to late preterm babies, that is, those with a gestational age between 34(+0) and 36(+6) weeks. Perinatal morbidities, as well as long term complications, are more frequent in this population than in term babies. The incidence is more similar to the one observed in earlier premature babies. The SEN34-36 group of the Spanish Society of Neonatology suggests these recommendations for the management of late preterm babies. Strategies are offered not only for the early detection of possible complications, but also for the correction of these morbidities, and from the point of view of a family and development centered care. Follow up is strongly recommended due to the high rate of late morbidities.
早产是新生儿发病和死亡的主要原因，已成为公共卫生领域最重大的问题之一，在发达国家尤为如此。在过去20年中，早产率有所上升。这种上升可能归因于晚期早产儿，即胎龄在34(+0)至36(+6)周之间的婴儿。与足月儿相比，这一人群的围产期发病率以及长期并发症更为常见。其发病率与早期早产儿更为相似。西班牙新生儿学会的SEN34-36小组针对晚期早产儿的管理提出了这些建议。不仅提供了早期发现可能并发症的策略，还提供了纠正这些疾病的策略，并且是从以家庭和发育为中心的护理角度出发。由于晚期发病率较高，强烈建议进行随访。
