[Growth and developmental outcomes of the extremely preterm infant].
نویسنده
چکیده
OBJECTIVE To provide information for pediatricians and neonatologists to create realistic outcome expectations and thus help plan their actions. SOURCES OF DATA Searches were made of the Cochrane Library, MEDLINE, and Lilacs databases. SUMMARY OF THE FINDINGS The assessment of growth and development over the first 2-3 years must adjust chronological age with respect of the degree of prematurity. There is special concern regarding the prognoses of small for gestational age preterm infants, and for those with bronchopulmonary dysplasia. Attention must be directed towards improving the nutrition of extremely low birth weight infants during their first years of life; these infants have high prevalence levels of failure to catch-up on growth, diseases and rehospitalizations during their first 2 years. They are frequently underweight and shorter than expected during early childhood, but delayed catch-up growth may occur between 8 and 14 years. Extremely low birth weight infants are at increased risk of neurological abnormalities and developmental delays during their first years of life. Educational, psychological, and behavioral problems are frequent during school years. Teenage and adult outcomes show that although some performance differences persist, social integration is not impaired. CONCLUSIONS The growth and neurodevelopment of all ELBW infants must be carefully monitored after discharge, to ensure that children and their families receive adequate support and intervention to optimize prognoses.
منابع مشابه
Effect of Developmental Care on Preterm Neonates’ Neurodevelopmental Outcomes at 12 Months of Age
Background: Premature birth and subsequent admission to the neonatal intensive care unit (NICU) may impair the neurodevelopment of neonates. The present study aimed to determine the effect of developmental care on neurodevelopmental outcomes of newborns.Methods: This quasi-experimental study was conducted on 105 premature neonates (in three groups of 35 newborns). The control group receiv...
متن کاملHigher oxygen saturation targets did not improve growth and neurodevelopment in extremely preterm infants.
*Information provided by author. MAIN RESULTS Analysis was by intention to treat. The groups did not differ for growth outcomes or major developmental abnormalities (table), or worst retinopathy (p = 0.34). However, the higher target group had higher rates of dependence on supplemental oxygen at 36 weeks PA (table) and spent more days on oxygen (median 40 v 17.5 d, p,0.001) than those in the st...
متن کاملپیامد تکاملی نوزادان نارس و کم‌وزن: مروری بر شواهد موجود
Low birth weight (LBW) and preterm birth are one the most important causes of death in the world and therefore are considered as one of the major health problems. Global statistics demonstrates an increase in the prevalence of low birth weight in the developing countries. Low birth weight infants are exposed to complications such as major neurosensory impairements, cerebral palsy, cognitive and...
متن کاملIntraventricular hemorrhage and neurodevelopmental outcomes in extreme preterm infants.
OBJECTIVE Not many large studies have reported the true impact of lower-grade intraventricular hemorrhages in preterm infants. We studied the neurodevelopmental outcomes of extremely preterm infants in relation to the severity of intraventricular hemorrhage. METHODS A regional cohort study of infants born at 23 to 28 weeks' gestation and admitted to a NICU between 1998 and 2004. Primary outco...
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ورودعنوان ژورنال:
- Jornal de pediatria
دوره 81 1 Suppl شماره
صفحات -
تاریخ انتشار 2005