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Evaluation and Management of the Late Preterm Infant

  • Stephen A. Pearlman
  • Kaitlin Kenaley
Chapter

Abstract

Late preterm infants, commonly defined as 34 0/7 to 36 6/7 weeks of gestation, have an underappreciated risk of increased morbidity and mortality when compared to their full-term counterparts. This population accounts for almost three quarters of all preterm births and has increased over the past 25 years. Although generally not as sick as earlier preterm infants, late preterm infants may present with significant respiratory morbidity, jaundice, feeding difficulties, temperature instability, hypoglycemia, infection, and apnea. These complications may lead to an increased initial length of hospital stay and a higher rate of readmission. In addition to an increased mortality rate, survivors are at increased risk for long-term adverse neurodevelopmental outcomes.

Keywords

Late preterm Respiratory distress Jaundice Hypoglycemia Readmission Length of stay Neurodevelopment Neonatal mortality 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Division of NeonatologyChristiana Care Health SystemNewarkUSA
  2. 2.Sidney Kimmel College of Medicine of Thomas Jefferson UniversityPhiladelphiaUSA

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