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Current Treatment Options in Pediatrics

, Volume 3, Issue 1, pp 32–43 | Cite as

Optimizing Care and Outcomes for Late Preterm Neonates

  • Rebecca Rose
  • William A. Engle
Neonatology (T Thorkelsson, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Neonatology

Opinion statement

The goal of this review is to define gestational age categories and discuss the epidemiology, complications, strategies for prevention, and management of late preterm infants. Late preterm (i.e., 34 to 36 weeks of gestation) birth is prevalent (8.0% of all live births in the USA in 2013) and is associated with increased infant mortality and morbidity. Although most late preterm births are medically indicated, elective early delivery plays a role. Policies limiting elective births at gestations less than 39 weeks and guidance for timing of indicated late preterm birth have reduced late preterm births. Late preterm neonates frequently require neonatal intensive care and should be monitored throughout life for developmental, educational, psychosocial, and medical morbidities. Prevention of late preterm births is key to reduction in mortality and morbidity. Continued prevention efforts and implementation of best practices may decrease acute and long-term complications of late preterm birth.

Keywords

Late preterm Morbidity Mortality Prevention Readmission 

Notes

Compliance with Ethical Standards

Conflict of Interest

Rebecca Rose declares that she has no conflict of interest.

William A. Engle declares that he has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References and Recommended Reading

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Indiana University School of MedicineIndianapolisUSA

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