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Tag: Premature Birth

For extremely preterm infants

Single-Family Rooms May Benefit Very Preterm Infants

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Reduced sepsis, increased breastfeeding rates observed; no difference in neurodevelopment vs. open bay units
Treatment with myo-inositol for up to 10 weeks does not reduce the risk for type 1 retinopathy of prematurity or death versus placebo for premature infants younger than 28 weeks of gestational age

Myo-Inositol Does Not Reduce Retinopathy of Prematurity

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No reduction in risk for type 1 ROP or death with myo-inositol versus placebo in preemies <28 weeks
Both overweight and normal-weight children who were born as extreme preterm infants are at risk for high blood pressure and hypertension

High BP Seen at School Age for Extreme Preterm Infants

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Increased risk of high BP, hypertension seen among both overweight and normal-weight 6- to 7-year-olds
Compared to full-term children

Risk of Sensory Deficits Drops With Rising Gestational Age

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Convulsions, intracranial hemorrhage during the neonatal period up risk of hearing, visual impairment
Early preterm birth is associated with a higher level of attention deficit/hyperactivity disorder symptoms in preschool children after accounting for unmeasured genetic and environmental factors

Early Preterm Birth Linked to Increased ADHD Symptoms

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Association holds after adjustment for unmeasured genetic, environmental factors
Conservative measures to control reflux have limited effect on signs of gastroesophageal reflux in preterm infants

Pharmacologic Tx Should Be Used Sparingly for Reflux in Preemies

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Poor evidence of efficacy and evidence of harm with pharmacologic agents for gastroesophageal reflux
Preterm birth and/or low-birth-weight infants have decreased educational qualifications and rates of employment in adulthood

Preterm Birth Tied to Lower Job Rate, Education in Adulthood

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Preterm/low-birth-weight infants less likely to complete higher education, be employed as adults
During 2014 to 2016

CDC: Preterm Births Increased in United States During 2014-2016

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Numbers reflected increase among late preterm births, especially births occurring at 36 weeks
Noninvasive blood tests can predict gestational age and can identify women at risk for preterm delivery using cell-free RNA

Noninvasive Blood Test Can Predict Gestational Age

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Seven cell-free RNA transcripts accurately classified women who delivered preterm before labor
Different target ranges for oxygen saturation as measured by pulse oximetry do not affect the composite primary outcome of death or major disability for extremely preterm infants

Similar Primary Outcome for Lower O2 Sat in Extreme Preterm

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No significant difference in composite outcome of death, major disability for extremely preterm infants