Improved Outcome of Extremely Premature Infants in the 1990s

Paranka, Michael S.; Yoder, Bradley A.; Brehm, Walter T.

doi:10.1093/milmed/164.8.568

Cited by 10 publications

(4 citation statements)

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“…Around one in 10 children are born preterm, which results in approximately half a million preterm births annually (Martin, Hamilton, Osterman, Driscoll, & Matthews, 2017). Advances in the care of these children in neonatal intensive care units (NICUs) have resulted in improved survival rates since the late 1980s (Paranka, Yoder, & Brehm, 1999;Polin, Carlo, & Committee on Fetus and Newborn, 2014). Children who were born preterm are at an increased risk for adverse outcomes across a broad spectrum of neurodevelopmental domains (Bos, Van Braeckel, Hitzert, Tanis, & Roze, 2013;Mangrin, Horwood, & Woodward, 2017;Zimmerman, 2017).…”

Section: Resultsmentioning

confidence: 99%

Expressive Language in Preschoolers Born Preterm: Results of Language Sample Analysis and Standardized Assessment

Imgrund

Loeb

Barlow

2019

J Speech Lang Hear Res

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Purpose Preschoolers born preterm are at an increased risk for the development of language impairments. The primary objective of this study was to document the expressive language skills of preschoolers born preterm through 2 assessment procedures, language sample analysis, and standardized assessment. A secondary objective was to investigate the role of nonlinguistic factors in standardized assessment scores. Method The language skills of 29 children born preterm (mean gestational age of 31 weeks) were compared to a group of 29 preschoolers born full term. Language samples were collected during free play and objective measures of semantic and grammatical skills were calculated. Likewise, grammatical and semantic measures of language were obtained from a standardized assessment. Information on nonlinguistic factors, including attention, hyperactivity, and nonverbal intelligence quotient, was also collected. Results The results of analyses of variance indicated that the children in the PT group had significantly poorer performance than the children born full term on all of the measures of language skill obtained from the language sample analysis. Group differences were found for only 1 measure of language skill obtained from the standardized assessments. Nonverbal factors were not found to account for group differences in assessment scores. Conclusions Generally, the children born preterm performed more poorly when language skill was measured via language sample analysis than standardized assessment. These findings underscore the importance of using language sample analysis in conjunction with standardized assessment in the evaluation of children's developing language skills.

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Section: Resultsmentioning

confidence: 99%

Expressive Language in Preschoolers Born Preterm: Results of Language Sample Analysis and Standardized Assessment

Imgrund

Loeb

Barlow

2019

J Speech Lang Hear Res

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“…Prior to the use of TPN, many infants were in effect starved until full enteral feedings could be established [2] . Now that survival rates of very low birth weight infants have improved with use of surfactant [3] , neonatologists are faced with new challenges in nutrition for these infants. …”

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confidence: 99%

Early Aggressive Nutrition for the Premature Infant

Parish¹,

Bhatia²

2008

Neonatology

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Nutrition for sick newborn infants, both term and preterm, has been evolving since the first published report of use of total parenteral nutrition (TPN) in an infant. The more preterm infants have posed an even greater challenge, because optimal timing for use of enteral nutrition is an additional factor for completing their nutritional demands. Although benefiting the immune system among other physiological benefits, human milk has many nutritional gaps for the premature infant. The development of premature infant formulas and milk fortifiers has helped fill these gaps, but questions still exist about safety and efficacy of human milk versus formula. This article will focus on the use of TPN as well as early initiation of enteral feedings and the challenges this brings.

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“…Therefore, parenteral nutrition (PN) is required until full enteral nutrition can be established. 4 Now that the survival rates of VLBW infants have improved with use of mechanical ventilation and exogenous surfactant, 5 preterm infants are faced with another challenge in nutrition. Extrauterine growth retardation is associated with adverse outcomes including chronic lung disease, increased risk to infection, severe retinopathy, and abnormal neurodevelopment outcome.…”

Section: Introductionmentioning

confidence: 99%

The Influence of Aggressive Parenteral Nutrition to Preterm and Very Low Birth Weight Infants

Liu

Chen

et al. 2015

Global Pediatric Health

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Background. To achieve the weight gain of preterm infants who are appropriate for gestational age without adverse effect, there should be no interruption in delivery of nutrients from time of birth. Methods. Twenty-eight very low birth weight infants were eligible for the study. Those administered conventional nutrition (amino acids 2 g/kg/day started on third day of life) were classified as the conventional support (CVS) group, and those administered aggressive early nutrition (amino acid 2 g/kg/day started on first day of life) were classified as the aggressive support (AGS) group. Results. The days babies took to reach the weight of 2000 g in the AGS group was significantly shorter than for babies in the CVS group, and babies in the AGS group showed better tolerance to enteral nutrition and had shortened neonatal intensive care unit days. Conclusion. The results demonstrated that aggressive early nutrition showed better tolerance to enteral nutrition, higher total calories, and shortened the stay in the neonatal intensive care unit.

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Improved Outcome of Extremely Premature Infants in the 1990s

Abstract: Use of surfactant and antenatal steroids are associated with improved survival and decreased incidence of severe intraventricular hemorrhage among the most premature infants delivered in our institutions.

Cited by 10 publications

References 0 publications

Expressive Language in Preschoolers Born Preterm: Results of Language Sample Analysis and Standardized Assessment

Expressive Language in Preschoolers Born Preterm: Results of Language Sample Analysis and Standardized Assessment

Early Aggressive Nutrition for the Premature Infant

The Influence of Aggressive Parenteral Nutrition to Preterm and Very Low Birth Weight Infants

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