FRIDAY, Oct. 5 (HealthDay News) -- The need for neonatal
intensive care may not make a difference in long-term prospects for
babies born late in the preterm period, according to new
At 3 years, children who were born between 34 and 36 weeks'
gestation who required neonatal intensive care showed no
differences in thinking, physical or language development skills
compared to children born late preterm who received regular newborn
nursery care, researchers found.
"This study is reassuring for families that there doesn't seem to be a developmental difference for those babies that require time in a neonatal intensive care unit," said Dr. Deborah Campbell, director of the division of neonatology at the Children's Hospital at Montefiore Medical Center in New York City. She was not involved in the study.
Results of the study were released online Oct. 1 in advance of
print publication in the November issue of
About 75 percent of babies born prematurely fall into the
late-preterm category, and their number increased 25 percent
between 1990 and 2006, according to background information in the
study. As with other preterm babies, late preemies have a higher
risk of complications.
Some of those complications may last long-term. Infants born
between 34 and 36 weeks' gestation have a higher risk of
developmental and academic problems up to age 7 years compared to
their peers who were born at full term, the study authors
Previous research generally hasn't considered whether or not
late-preterm babies needed intensive care when they were born, and
the authors wondered if this could affect longer-term
So, the current study looked at 225 children born late preterm
in Northern Ireland in 2006. The researchers compared 103 of these
babies who needed intensive care to babies who didn't receive
intensive care (the "control" group).
Those who required intensive care were more often born at 34
weeks, and they tended to weigh less and score lower on a test of
alertness than the control group. They also were delivered more
often by cesarean section and required resuscitation at birth more
often than the other babies, the researchers found.
Sixty babies were born at 34 weeks, 98 at 35 weeks and 67 at 36
weeks. Of the 34-week group, 41 percent needed intensive care,
while 30 percent of those born at 35 weeks needed extra care. At 36
weeks, 29 percent of the babies needed intensive care.
At 3 years old, the researchers found no significant differences
between the groups in brain development, language skills and the
development of motor skills (such as walking or holding
But Campbell said that doesn't mean that parents of babies born
late preterm have no long-term concerns. This study only compared
late-preterm babies to other late-preterm babies, not to babies
born at full term. Babies born late preterm still face an increased
risk of difficulties as they grow. Late-preterm babies have a
higher risk of school and behavior problems, noted Campbell.
Dr. Rick Stafford, director of neonatology at Northern
Westchester Hospital Center in Mount Kisco, N.Y., agreed. "My
biggest worry," he said, "is that this study would be interpreted
as, 'Look, these late-preterm infants are all OK. It doesn't matter
whether they were in the NICU or not; they're fine!'"
Stafford added, "They are
notfine and their numbers are growing. We know that these
babies are probably more at risk for developmental problems than
healthy, full-term babies."
Both Campbell and Stafford noted that the developmental testing
used in this study isn't as sensitive for picking up problems as
The bottom line for parents of children born at late preterm,
said Campbell, is that they still need to pay extra attention and
be vigilant for signs of difficulties that their children may
The researchers recommend following this group of late-preterm
children through their school years.
Learn more about preterm birth from the
March of Dimes.
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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