NDLI: Late Preterm Birth: A Review of Medical and Neuropsychological Childhood Outcomes

Content Provider	Springer Nature Link
Author	Baron, Ida Sue Litman, Fern R. Ahrovich, Margot D. Baker, Robin
Copyright Year	2012
Abstract	Late preterm (LP) birth (34 0/7 - 36 6/7 weeks’ gestation) accounts for nearly three-fourths of all preterm births, making this population a sizeable public health concern. The immature fetal development associated with LP delivery increases the risk of mortality and short-term medical complications. Which combination of maternal, fetal, or neonatal risk factors may be most critical has only recently begun to be addressed, and whether LP birth’s disruptive impact on brain development will exert adverse effects on neuropsychological functioning in childhood and adolescence has been understudied. Early data have shown a graded response, with LP children often functioning better than very preterm children but worse than term children, and with subtle intellectual and neuropsychological deficits in LP children compared with healthy children born at term gestational age. Further characterization of the neuropsychological profile is required and would be best accomplished through prospective longitudinal studies. Moreover, since moderate and LP births result in disparate medical and psychological outcomes, the common methodology of combining these participants into a single research cohort to assess risk and outcome should be reconsidered. The rapidly growing LP outcomes literature reinforces a critical principle: fetal development occurs along a dynamic maturational continuum from conception to birth, with each successive gestational day likely to improve overall outcome.
Starting Page	438
Ending Page	450
Page Count	13
File Format	PDF
ISSN	10407308
Journal	Neuropsychology Review
Volume Number	22
Issue Number	4
e-ISSN	15736660
Language	English
Publisher	Springer US
Publisher Date	2012-08-07
Publisher Place	Boston
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Near term Developmental outcomes Cognition Neurodevelopment Neuropsychological outcome Learning Medical risk factors Brain development Health Psychology Neuroradiology Neuropsychology Neurology Public Health
Content Type	Text
Resource Type	Article
Subject	Neuropsychology and Physiological Psychology

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