Outcome following extremely preterm birth

Neil Marlow
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引用次数: 27

Abstract

Survival and later morbidity after extremely preterm birth are key issues to factor into the care of women and their children at borderline viability. Whereas we have robustly collected information on survival that shows some increases at 24–25 weeks of gestation, few data suggest any change in morbidity. Of babies born before 26 weeks of gestation around one quarter grow up with serious disability. Mild disabilities are common amongst the remainder. Overwhelmingly the major adverse outcome following extremely preterm birth is cognitive impairment, something that may not be apparent until school age, when we make increasing demands on children to perform. Despite these problems studies of very preterm/very low birthweight children as adults seem to indicate good adaptation and integration into society.

极度早产后的结果
极度早产后的生存和后期发病率是对处于生存能力边缘的妇女及其子女进行护理的关键问题。尽管我们已经收集了大量关于妊娠24-25周生存率的信息,但很少有数据表明发病率有任何变化。在怀孕26周前出生的婴儿中,大约四分之一的人长大后会有严重的残疾。轻度残疾在其余人中很常见。绝大多数严重早产的主要不良后果是认知障碍,这可能要到上学年龄才会显现出来,那时我们对孩子的要求越来越高。尽管存在这些问题,但对极早产/极低出生体重儿童成年后的研究似乎表明他们具有良好的适应能力和融入社会的能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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