Recommendations for the perinatal management and follow-up of moderate and late preterm infants

Anales de pediatria Pub Date : 2025-02-01 DOI:10.1016/j.anpede.2025.503714

Sílvia Martínez-Nadal , Gemma Ginovart Galiana , Félix Morales Luengo , María Jesús Rodríguez Revuelta , Mercedes García Reymundo , Sara Ansó Oliván , José Antonio Hurtado Suazo

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Abstract

Problems related to prematurity are the main cause of morbidity in newborns and infants. Between 80% and 85% of preterm babies are born between 32⁰ and 36⁶ weeks of gestation. In Spain, there is no guide for the perinatal management and long-term follow-up of moderately and late preterm (MLPT) infants.

For this reason, the SEN32-36 group of the Spanish Society of Neonatology has developed a guideline with recommendations for both perinatal management (prenatal care, initial care in the delivery room and ward, neonatal respiratory pathology, breastfeeding and feeding difficulties, hyperbilirubinaemia and hospital discharge) and long-term follow-up (neurodevelopment, nutrition and follow-up, prevention of respiratory disease after discharge and immunizations), grading them according to the Agency for Health Care Research and Quality scales of research quality and levels of evidence. The main goal was improving and standardizing the care of MLPT infants.

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中度和晚期早产儿围产期管理和随访建议。

与早产有关的问题是新生儿和婴儿发病的主要原因。80%到85%的早产儿出生在妊娠期320到366周之间。在西班牙，没有指导围产期管理和长期随访中度和晚期早产（MLPT）婴儿。为此，西班牙新生儿学会SEN32-36小组制定了一项指导方针，其中包括围产期管理（产前护理、产房和病房的初步护理、新生儿呼吸道病理、母乳喂养和喂养困难、高胆红素血症和出院）和长期随访（神经发育、营养和随访、出院后呼吸道疾病的预防和免疫接种）的建议。根据卫生保健研究和质量机构的研究质量和证据水平对它们进行分级。主要目标是改善和规范MLPT婴儿的护理。

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Anales de pediatria

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20 weeks