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Management and outcomes of extreme preterm birth
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Morgan, Andrei S., Mendonça, Marina, Thiele, Nicole and David, Anna L. (2022) Management and outcomes of extreme preterm birth. BMJ, 376 . e055924. doi:10.1136/bmj-2021-055924 ISSN 0959-535X.
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Official URL: https://doi.org/10.1136/bmj-2021-055924
Abstract
Extreme preterm birth, defined as birth before 28 weeks’ gestational age (box 1),1 affects about two to five in every 1000 pregnancies, and varies slightly by country and by definitions used. Severe maternal morbidity, including sepsis and peripartum haemorrhage, affects around a quarter of mothers delivering at these gestations.2 For the babies, survival and morbidity rates vary, particularly by gestational age at delivery but also according to other risk factors (birth weight and sex, for example) and by country.34 In this update, we focus on high income countries and provide a broad overview of extreme preterm birth epidemiology, recent changes, and best practices in obstetric and neonatal management, including new treatments such as antenatal magnesium sulphate or changes in delivery management such as delayed cord clamping and placental transfusion. We cover short and long term medical, psychological, and experiential consequences for individuals born extremely preterm, their mothers and families, as well as preventive measures that may reduce the incidence of extreme preterm birth.
Item Type: | Journal Article | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Science > Psychology | ||||
SWORD Depositor: | Library Publications Router | ||||
Journal or Publication Title: | BMJ | ||||
Publisher: | BMJ Publishing Group Ltd. | ||||
ISSN: | 0959-535X | ||||
Official Date: | 10 January 2022 | ||||
Dates: |
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Volume: | 376 | ||||
Article Number: | e055924 | ||||
DOI: | 10.1136/bmj-2021-055924 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Open Access (Creative Commons) | ||||
Date of first compliant deposit: | 22 February 2022 | ||||
Date of first compliant Open Access: | 22 February 2022 |
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