Late Preterm Infants: Birth Outcomes and Health Care Utilization in the First Year

Bird, T.M.; Bronstein, Janet; Hall, Richard; Lowery, Curtis L.; Nugent, Rachael; Mays, Glen P.

doi:10.1542/peds.2009-2869

Cited by 128 publications

(103 citation statements)

References 52 publications

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“…The implication that late-preterm children have a propensity for more-severe illness is consistent with the results of previous studies that demonstrated higher rehospitalization rates and higher hospital costs for late-preterm infants, compared with term infants, in the first year of life. 12,13 Our findings also suggest that lownormal gestational ages of 37 to 38 weeks might confer increased risk of early childhood asthma, compared with gestational ages of Ն39 weeks, as suggested in other studies. 25,26 This association is noteworthy, given recent epidemiological trends in gestational length for US births.…”

Section: Discussionsupporting

confidence: 84%

“…[2][3][4][5][6][7][8][9][10][11] Furthermore, there is evidence that, in the first year of life, late-preterm infants have a propensity for more severe illnesses and might require more medical services when hospitalized. [12][13][14] To date, however, the full magnitude of potential long-term morbidities for this population and their public health impact have not been well studied. The Eunice Kennedy Shriver National Institute of Child Health and Human Development has identified the economic impact and long-term health impact of late prematurity as priority areas of research.…”

mentioning

confidence: 99%

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Association of Late-Preterm Birth With Asthma in Young Children: Practice-Based Study

2011

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OBJECTIVE: To evaluate the association of late-preterm birth with asthma severity among young children. METHODS: A retrospective cohort study was performed with electronic health record data from 31 practices affiliated with an academic medical center. Participants included children born in 2007 at 34 to 42 weeks of gestation and monitored from birth to 18 months. We used multivariate logistic or Poisson models to assess the impact of late-preterm (34–36 weeks) and low-normal (37–38 weeks) compared with term (39–42 weeks) gestation on diagnoses of asthma and persistent asthma, inhaled corticosteroid use, and numbers of acute respiratory visits. RESULTS: Our population included 7925 infants (7% late-preterm and 21% low-normal gestation). Overall, 8.3% had been diagnosed with asthma by 18 months. Compared with term gestation, late-preterm gestation was associated with significant increases in persistent asthma diagnoses (adjusted odds ratio [aOR]: 1.68), inhaled corticosteroid use (aOR: 1.66), and numbers of acute respiratory visits (incidence rate ratio: 1.44). Low-normal gestation was associated with increases in asthma diagnoses (aOR: 1.34) and inhaled corticosteroid use (aOR: 1.39). CONCLUSION: Birth at late-preterm and low-normal gestational ages might be an important risk factor for the development of asthma and for increased health service use in early childhood.

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Section: Discussionsupporting

confidence: 84%

mentioning

confidence: 99%

Association of Late-Preterm Birth With Asthma in Young Children: Practice-Based Study

2011

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“…This is specifically true for preterm infants that spend weeks in separation. It has been shown that there is a poor quality of survival with respect to their immunity (Baron et al 2011;Bird et al 2010), IQ and scholastic achievement (Jain 2008;Morse et al 2009). SSC with Zero Separation is the biological normal (default) and is the one intervention above any other that can improve quality of survival.…”

Section: The Case For Zero Separationmentioning

confidence: 99%

The neuroscience of birth – and the case for Zero Separation

Bergman

2014

curationis

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Currently, Western maternal and neonatal care are to a large extent based on routine separation of mother and infant. It is argued that there is no scientific rationale for this practice and a body of new knowledge now exists that makes a case for Zero Separation of mother and newborn. For the infant, the promotion of Zero Separation is based on the need for maternal sensory inputs that regulate the physiology of the newborn. There are harmful effects of dysregulation and subsequent epigenetic changes caused by separation. Skin-to-skin contact is the antithesis to such separation; the mother’s body is the biologically ‘normal’ place of care, supporting better outcomes both for normal healthy babies and for the smallest preterm infants. In the mother, there are needed neural processes that ensure enhanced reproductive fitness, including behavioural changes (e.g. bonding and protection) and improved lactation, which are supported by the practice of Zero Separation. Zero Separation of mother and newborn should thus be maintained at all costs within health services.

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“…6 Preterm birth carries even greater short-term and long-term morbidity. [7][8][9] Worldwide, preterm birth is increasing and this increase, in some populations, has been attributed to planned preterm birth. 10 Whether increased planned early birth rates have led to any increases in neonatal morbidity or reductions in stillbirth rates, and the extent to which implementation of restrictions on planned birth before 39 weeks could affect stillbirth rates, is uncertain.…”

Section: Introductionmentioning

confidence: 99%

Trends in planned early birth: a population-based study

Morris

Algert

Falster

et al. 2012

American Journal of Obstetrics and Gynecology

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were inductions. As planned births increased, maternal risks shifted, including a decline in inductions with maternal hypertension from 31.9% to 23.9%. Earlier birth was contemporaneous with increases (trend P<0.001) in neonatal and maternal morbidity from 3.0% to 3.2% and 0.9 % to 1.3%, respectively. Conclusion:Planned birth before the due date is increasing but without reducing perinatal deaths.

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Late Preterm Infants: Birth Outcomes and Health Care Utilization in the First Year

Abstract: LPIs are at increased risk of poor health-related outcomes during their birth hospitalization and of increased health care utilization during their first year.

Cited by 128 publications

References 52 publications

Association of Late-Preterm Birth With Asthma in Young Children: Practice-Based Study

Association of Late-Preterm Birth With Asthma in Young Children: Practice-Based Study

The neuroscience of birth – and the case for Zero Separation

Trends in planned early birth: a population-based study

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