Outcomes from extremely preterm births

Extremely preterm birth is associated with significant mortality and morbidity. Survival has improved in recent years with 29% of babies admitted for neonatal care at 23 weeks' gestation now surviving to 3 years, increasing to 78% at 26 weeks' gestation. Neurodevelopmental impairment and p...

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Bibliographic Details
Published in:Obstetrics, gynaecology and reproductive medicine gynaecology and reproductive medicine, 2019-12, Vol.29 (12), p.364-365
Main Authors: Lawson, Jane, Williams, Tamanna
Format: Article
Language:English
Subjects:
developmental disabilities
extremely premature
infant
infant premature diseases
neurodevelopmental disorders
preterm births
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Summary:Extremely preterm birth is associated with significant mortality and morbidity. Survival has improved in recent years with 29% of babies admitted for neonatal care at 23 weeks' gestation now surviving to 3 years, increasing to 78% at 26 weeks' gestation. Neurodevelopmental impairment and physical problems do however cause short and long term morbidity in survivors. Risk-lowering strategies which substantially improve outcomes include in utero transfer to a level three centre, antenatal provision of magnesium sulphate and antenatal provision of steroids. A multidisciplinary approach to managing delivery and clear communication between the obstetric and neonatal teams are essential to optimise delivery conditions.
ISSN:1751-7214
1879-3622
DOI:10.1016/j.ogrm.2019.09.005