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Extremt förtidig födelse – svåra utmaningar trots stora framsteg - Överlevnaden till 1 års ålder är hög, men allvarlig neonatal sjuklighet är en utmaning

Ley, David LU ; Abrahamsson, Thomas ; Domellöf, Magnus ; Jonsson, Baldvin ; Hagberg, Henrik and Hellström, Ann LU (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.

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author
; ; ; ; and
organization
alternative title
Extremely preterm birth in Sweden - clear progress but remaining challenges
publishing date
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 &lt; 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}},
}