Barfield Wanda D
Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway, MS F-74, Atlanta, GA 30341, USA.
Clin Perinatol. 2018 Sep;45(3):565-577. doi: 10.1016/j.clp.2018.05.007.
With advanced perinatal care and technology, survival among infants born very preterm (<32 weeks gestation) has improved dramatically over the last several decades. However, adverse medical and neurodevelopmental outcomes for those born very preterm remains high, particularly at the lowest gestational ages. Public health plays a critical role in providing data to assess population-based risks associated with very preterm birth, addressing disparities, and identifying opportunities for prevention, including improving the health of reproductive-age women, before, during, and after pregnancy.
随着围产期护理和技术的进步,过去几十年来,极早产儿(妊娠<32周)的存活率有了显著提高。然而,极早产儿的不良医学和神经发育结局仍然很高,尤其是在最低孕周时。公共卫生在提供数据以评估与极早产相关的人群风险、解决差异以及确定预防机会(包括在孕前、孕期和产后改善育龄妇女的健康状况)方面发挥着关键作用。