Extremely preterm birth in Sweden - clear progress but remaining challenges : Extremt förtidig födelse – svåra utmaningar trots stora framsteg - Överlevnaden till 1 års ålder är hög, men allvarlig neonatal sjuklighet är en utmaning.

• 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.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Pediatrik (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Pediatrics (hsv//eng)

Nyckelord

Bronchopulmonary Dysplasia

epidemiology

physiopathology

prevention & control

Centralized Hospital Services

Cerebral Hemorrhage

diagnostic imaging

epidemiology

physiopathology

prevention & control

Cerebral Ventricles

blood supply

diagnostic imaging

Enterocolitis

Necrotizing

epidemiology

physiopathology

prevention & control

Female

Humans

Infant Nutritional Physiological Phenomena

Infant

Extremely Premature

Infant

Newborn

Infant

Premature

Diseases

epidemiology

physiopathology

prevention & control

Perinatal Care

organization & administration

Pregnancy

Premature Birth

mortality

Retinopathy of Prematurity

blood

epidemiology

physiopathology

prevention & control

Survival Rate

Sweden

epidemiology

Publikations- och innehållstyp

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