Journal article
Perinatal care for the extremely preterm infant
Seminars in Fetal and Neonatal Medicine, Vol.27(2), Art. 101334
2022
Abstract
Being born preterm (prior to 37 weeks of completed gestation) is a leading cause of childhood death up to five years of age, and is responsible for the demise of around one million preterm infants each year. Rates of prematurity, which range from approximately 5 to 18% of births, are increasing in most countries. Babies born extremely preterm (less than 28 weeks' gestation) and in particular, in the periviable (200/7–256/7 weeks) period, are at the highest risk of death, or the development of long-term disabilities. The perinatal care of extremely preterm infants and their mothers raises a number of clinical, technical, and ethical challenges. Focusing on ‘micropremmies’, or those born in the periviable period, this paper provides an update regarding the aetiology and impacts of periviable preterm birth, advances in the antenatal, intrapartum, and acute post-natal management of these infants, and a review of counselling/support approaches for engaging with the infant's family. It concludes with an overview of emerging technology that may assist in improving outcomes for this at-risk population.
Details
- Title
- Perinatal care for the extremely preterm infant
- Authors/Creators
- H. Usuda (Author/Creator) - The University of Western AustraliaS. Carter (Author/Creator) - The University of Western AustraliaT. Takahashi (Author/Creator) - Tohoku University HospitalJ.P. Newnham (Author/Creator) - The University of Western AustraliaE.L. Fee (Author/Creator) - The University of Western AustraliaA.H. Jobe (Author/Creator) - Cincinnati Children's Hospital Medical CenterM.W. Kemp (Author/Creator) - Tohoku University Hospital
- Publication Details
- Seminars in Fetal and Neonatal Medicine, Vol.27(2), Art. 101334
- Publisher
- Elsevier Ltd
- Identifiers
- 991005544204907891
- Copyright
- © 2022 Published by Elsevier Ltd.
- Murdoch Affiliation
- School of Veterinary and Life Sciences
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- International collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.72 Obstetrics & Gynecology
- 1.72.748 Neonatal Intensive Care
- Web Of Science research areas
- Pediatrics
- ESI research areas
- Clinical Medicine