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Early term infants are at increased risk of requiring neonatal intensive care

查看全文 作　　者：Pradeep Vittal [1]Mally;Nickolas Theophilos [1]Agathis;Sean Michael [1]Bailey 高影响力作者 机构地区：[1]New York University School of Medicine,New York University Langone Medical Center,New York,USA高影响力机构 出　　处：《World Journal of Pediatrics》索引2016年第12卷第1期,共6页高影响力期刊 基　　金：supported by the Division of Neonatology within the Department of Pediatrics at the New York University School of Medicine. 摘　　要：Background: Increasing evidence is demonstrating thatinfants born early on during the term period are at increasedrisk of morbidity compared with infants born closer to acomplete 40 week gestational pregnancy. The purpose of thisstudy was to compare early term [gestation age (GA): 37-376/7 weeks] neonatal outcomes with those of other full termneonatal intensive care unit (NICU) admissions.Methods: Retrospective chart review of all term infantsadmitted to the NICU at New York University LangoneMedical Center over a 17 month period. Subjects weregrouped and analyzed according to their GA at birth: 1)early term infants (GA between 37 0/7 to 37 6/7 weeks) and2) other term infants (38 0/7 weeks and older).Results: Early term infants were more likely to requireNICU care than other term infants [relative risk: 1.42,95% confidence interval (CI)=1.07-1.88), P=0.01]. In theNICU, they are more likely to manifest respiratory distresssyndrome [odds ratio (OR)=5.7, 95% CI=1.6-19.8, P<0.01]and hypoglycemia (OR=4.6, 95% CI=2.0-10.4, P<0.001).In addition, early term neonates were more likely to beborn via elective cesarean section than other term neonates(OR=4.1, 95% CI=2.0-8.5, P<0.001).Conclusions: Being born at early term is associatedwith increased risk of respiratory disease and hypoglycemiarequiring neonatal intensive care. Further efforts directedat decreasing early term deliveries may be warranted. 关 键 词：gestational age HYPOGLYCEMIA NEONATOLOGY respiratory distress syndrome
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