Extremt förtidig födelse – svåra utmaningar trots stora framsteg - Överlevnaden till 1 års ålder är hög, men allvarlig neonatal sjuklighet är en utmaning
(2019) In Lakartidningen 116(41).- Abstract
The recently documented high survival of extremely preterm infants in Sweden is related to a high degree of centralization of pre- and postnatal care and to recently issued national consensus guidelines providing recommendations for perinatal care at 22-24 gestational weeks. The prevalence of major neonatal morbidity remains high and exceeded 60 % in a recent study of extremely preterm infants born at < 27 gestational weeks delivered in Sweden in 2014-2016 and surviving to 1 year of age. Damage to immature organ systems inflicted during the neonatal period causes varying degrees of functional impairment with lasting effects in the growing child. There is an urgent need for evidence-based novel interventions aiming to prevent neonatal... (More)
The recently documented high survival of extremely preterm infants in Sweden is related to a high degree of centralization of pre- and postnatal care and to recently issued national consensus guidelines providing recommendations for perinatal care at 22-24 gestational weeks. The prevalence of major neonatal morbidity remains high and exceeded 60 % in a recent study of extremely preterm infants born at < 27 gestational weeks delivered in Sweden in 2014-2016 and surviving to 1 year of age. Damage to immature organ systems inflicted during the neonatal period causes varying degrees of functional impairment with lasting effects in the growing child. There is an urgent need for evidence-based novel interventions aiming to prevent neonatal morbidity with a subsequent improvement of long-term outcome.
(Less)
- author
- Ley, David LU ; Abrahamsson, Thomas ; Domellöf, Magnus ; Jonsson, Baldvin ; Hagberg, Henrik and Hellström, Ann LU
- organization
- alternative title
- Extremely preterm birth in Sweden - clear progress but remaining challenges
- publishing date
- 2019-10-08
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Bronchopulmonary Dysplasia/epidemiology, Centralized Hospital Services, Cerebral Hemorrhage/diagnostic imaging, Cerebral Ventricles/blood supply, Enterocolitis, Necrotizing/epidemiology, Female, Humans, Infant Nutritional Physiological Phenomena, Infant, Extremely Premature, Infant, Newborn, Infant, Premature, Diseases/epidemiology, Perinatal Care/organization & administration, Pregnancy, Premature Birth/mortality, Retinopathy of Prematurity/blood, Survival Rate, Sweden/epidemiology
- in
- Lakartidningen
- volume
- 116
- issue
- 41
- publisher
- Swedish Medical Association
- external identifiers
-
- pmid:31593285
- ISSN
- 0023-7205
- language
- Swedish
- LU publication?
- yes
- id
- c799307e-5ce9-4f1d-a068-ed23fdef2982
- date added to LUP
- 2021-02-15 18:43:20
- date last changed
- 2021-08-18 04:30:23
@article{c799307e-5ce9-4f1d-a068-ed23fdef2982, abstract = {{<p>The recently documented high survival of extremely preterm infants in Sweden is related to a high degree of centralization of pre- and postnatal care and to recently issued national consensus guidelines providing recommendations for perinatal care at 22-24 gestational weeks. The prevalence of major neonatal morbidity remains high and exceeded 60 % in a recent study of extremely preterm infants born at < 27 gestational weeks delivered in Sweden in 2014-2016 and surviving to 1 year of age. Damage to immature organ systems inflicted during the neonatal period causes varying degrees of functional impairment with lasting effects in the growing child. There is an urgent need for evidence-based novel interventions aiming to prevent neonatal morbidity with a subsequent improvement of long-term outcome.</p>}}, author = {{Ley, David and Abrahamsson, Thomas and Domellöf, Magnus and Jonsson, Baldvin and Hagberg, Henrik and Hellström, Ann}}, issn = {{0023-7205}}, keywords = {{Bronchopulmonary Dysplasia/epidemiology; Centralized Hospital Services; Cerebral Hemorrhage/diagnostic imaging; Cerebral Ventricles/blood supply; Enterocolitis, Necrotizing/epidemiology; Female; Humans; Infant Nutritional Physiological Phenomena; Infant, Extremely Premature; Infant, Newborn; Infant, Premature, Diseases/epidemiology; Perinatal Care/organization & administration; Pregnancy; Premature Birth/mortality; Retinopathy of Prematurity/blood; Survival Rate; Sweden/epidemiology}}, language = {{swe}}, month = {{10}}, number = {{41}}, publisher = {{Swedish Medical Association}}, series = {{Lakartidningen}}, title = {{Extremt förtidig födelse – svåra utmaningar trots stora framsteg - Överlevnaden till 1 års ålder är hög, men allvarlig neonatal sjuklighet är en utmaning}}, volume = {{116}}, year = {{2019}}, }