Late preterm Flashcards
What is the definition of late preterm infants?
Infants born between 34 weeks and 36 weeks and 6 days of gestation.
A clear definition is necessary to predict morbidity and mortality.
What percentage of all infant deaths do late preterm infants account for?
9.8%
Late preterm infants represent a significant portion of infant mortality.
What is the rate of preterm births in the US as of 2013?
11.4%
This represents a decrease from 12.8% in 2006.
What percentage of all preterm births do late preterm infants account for?
70%
This indicates the prevalence of late preterm births within the preterm category.
What are the increased risks for late preterm infants compared to full term infants?
Morbidity risks increase significantly as gestational age decreases.
Late preterm infants are less mature physiologically and metabolically.
What are some strategies to minimize morbidities in late preterm infants?
Skin to skin contact, early initiation of breastfeeding, and monitoring for complications.
These practices aim to improve outcomes for late preterm infants.
What is the goal axillary temperature for late preterm infants?
36.5-37.5°C
Maintaining this temperature is crucial for the stability of late preterm infants.
True or False: Late preterm infants have a higher risk of respiratory distress compared to term infants.
True
Up to 4-7% of late preterm infants experience apnea.
What factors contribute to hypoglycemia in late preterm infants?
*Maternal conditions
*Neonatal conditions
*Inadequate feeding
Conditions such as diabetes and IUGR increase hypoglycemia risk.
What measures can be taken to support breastfeeding in late preterm infants?
*Early, continuous, and prolonged skin to skin
*Breastfeeding support and education
*Infant guided approach to feeding
These measures help facilitate successful breastfeeding in late preterm infants.
What are the risks associated with jaundice in late preterm infants?
50% of late preterm infants have significant jaundice and are at high risk for kernicterus.
Delayed peaks in bilirubin levels can complicate management.
What is the association between late preterm birth and neurodevelopmental outcomes?
Late preterm infants have increased developmental delays compared to term infants (6-11% vs 4%).
They are also more likely to require special education and face social challenges.
What significant financial impact does preterm birth have on US healthcare?
$26.2 billion annually
This highlights the economic burden of preterm births on the healthcare system.
What is the practice consideration for managing respiratory distress in late preterm infants?
Skin to skin contact and monitoring for respiratory failure.
These practices can improve respiratory outcomes.
Fill in the blank: Late preterm infants are at a _______ times greater risk of hypoglycemia compared to term infants.
3
This statistic emphasizes the increased vulnerability of late preterm infants to hypoglycemia.
What is the significance of the growth in macroscopic and cellular levels during the last weeks of gestation?
It highlights the importance of gestational age for neurodevelopment.
Late preterm infants miss critical growth opportunities.
What are common reasons for late preterm infant readmissions?
Feeding difficulties account for 41% of readmissions.
This underlines the challenges in feeding late preterm infants effectively.
What is a key element in discharge readiness for late preterm infants?
Successful feeding at least eight times per day.
This is crucial for ensuring the infant’s health before discharge.
What is the time frame for a follow-up visit after the discharge of a late preterm infant?
Within 48 hours of discharge.
Early follow-up is essential for monitoring the infant’s health.
