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Allt fler barn födda före vecka 24 överlever, men sjukligheten är hög

Morsing, Eva LU ; Lundgren, Pia ; Hård, Anna-Lena ; Rakow, Alexander ; Hellström-Westas, Lena LU ; Jacobson, Lena ; Johnson, Mats ; Nilsson, Staffan ; Ley, David LU and Sävman, Karin , et al. (2023) In Lakartidningen 120(10-11). p.1-4
Abstract

Children born before 24 gestational weeks had high neonatal morbidity and a majority had one or more neurodevelopmental disorders in addition to somatic diagnoses in childhood. Active Swedish perinatal care of infants with gestational age <24 weeks has resulted in a survival rate of more than 50 percent. Resuscitation of these immature infants is controversial, and some countries offer comfort care only. In a retrospective review of medical files and registries of 399 Swedish infants born before 24 gestational weeks, a majority had severe prematurity-related neonatal diagnoses. In childhood (2-13 years), 75 percent had at least one neurodevelopmental disorder and 88 percent had one or more prematurity-related somatic diagnosis... (More)

Children born before 24 gestational weeks had high neonatal morbidity and a majority had one or more neurodevelopmental disorders in addition to somatic diagnoses in childhood. Active Swedish perinatal care of infants with gestational age <24 weeks has resulted in a survival rate of more than 50 percent. Resuscitation of these immature infants is controversial, and some countries offer comfort care only. In a retrospective review of medical files and registries of 399 Swedish infants born before 24 gestational weeks, a majority had severe prematurity-related neonatal diagnoses. In childhood (2-13 years), 75 percent had at least one neurodevelopmental disorder and 88 percent had one or more prematurity-related somatic diagnosis (permanent or transient) that was likely to affect their quality of life. Long-term consequences for surviving infants should be considered in general recommendations as well as in parental information.

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alternative title
Survival and prematurity-related neonatal diagnoses among children born before 24 gestational weeks in Sweden 2007-2018
publishing date
type
Contribution to specialist publication or newspaper
publication status
published
keywords
Infant, Newborn, Infant, Pregnancy, Female, Humans, Child, Sweden/epidemiology, Quality of Life, Infant, Premature, Diseases/diagnosis, Infant, Premature, Gestational Age, Pregnancy Complications
in
Lakartidningen
volume
120
issue
10-11
pages
1 - 4
publisher
Swedish Medical Association
external identifiers
  • pmid:36892137
ISSN
0023-7205
language
Swedish
LU publication?
no
id
3947e77a-f743-4438-9e04-d506803a1d89
alternative location
https://lakartidningen.se/klinik-och-vetenskap-1/artiklar-1/rapport/2023/03/allt-fler-barn-fodda-fore-vecka-24-overlever-men-sjukligheten-ar-hog/
date added to LUP
2023-10-19 12:16:00
date last changed
2023-10-19 14:03:47
@misc{3947e77a-f743-4438-9e04-d506803a1d89,
  abstract     = {{<p>Children born before 24 gestational weeks had high neonatal morbidity and a majority had one or more neurodevelopmental disorders in addition to somatic diagnoses in childhood. Active Swedish perinatal care of infants with gestational age &lt;24 weeks has resulted in a survival rate of more than 50 percent. Resuscitation of these immature infants is controversial, and some countries offer comfort care only. In a retrospective review of medical files and registries of 399 Swedish infants born before 24 gestational weeks, a majority had severe prematurity-related neonatal diagnoses. In childhood (2-13 years), 75 percent had at least one neurodevelopmental disorder and 88 percent had one or more prematurity-related somatic diagnosis (permanent or transient) that was likely to affect their quality of life. Long-term consequences for surviving infants should be considered in general recommendations as well as in parental information.</p>}},
  author       = {{Morsing, Eva and Lundgren, Pia and Hård, Anna-Lena and Rakow, Alexander and Hellström-Westas, Lena and Jacobson, Lena and Johnson, Mats and Nilsson, Staffan and Ley, David and Sävman, Karin and Hellström, Ann}},
  issn         = {{0023-7205}},
  keywords     = {{Infant, Newborn; Infant; Pregnancy; Female; Humans; Child; Sweden/epidemiology; Quality of Life; Infant, Premature, Diseases/diagnosis; Infant, Premature; Gestational Age; Pregnancy Complications}},
  language     = {{swe}},
  month        = {{03}},
  number       = {{10-11}},
  pages        = {{1--4}},
  publisher    = {{Swedish Medical Association}},
  series       = {{Lakartidningen}},
  title        = {{Allt fler barn födda före vecka 24 överlever, men sjukligheten är hög}},
  url          = {{https://lakartidningen.se/klinik-och-vetenskap-1/artiklar-1/rapport/2023/03/allt-fler-barn-fodda-fore-vecka-24-overlever-men-sjukligheten-ar-hog/}},
  volume       = {{120}},
  year         = {{2023}},
}