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Semin Perinatol. 2006 Feb;30(1):44-7.

Place of birth and variations in management of late preterm ("near-term") infants.

Author information

1
Department of Society, Human Development and Health, Harvard School of Public Health, Boston, MA 02115, USA. mmccormi@hsph.harvard.edu

Abstract

BACKGROUND:

The purpose of this study is to characterize variations in management late preterm infants because such variations in such a large group of neonates would have economic and health implications.

METHODS:

Comparison of the use of illustrative management approaches and gestational age at discharge among infants born at 33 to 34 6/7 weeks and discharged alive from 10 Massachusetts and California NICUs.

RESULTS:

Generally similar in birth weight and admission severity, significant differences were seen in illustrative interventions, such as the use of mechanical ventilation (range in use across hospitals from 9% to 43%) and nutritional practices (use of hyperalimentation ranged from 5% to 66%). Variations in average daily weight gain were seen with some infants averaging net losses. Postmenstrual age at discharge varied by a week between the hospital with the earliest discharge and that with the latest.

CONCLUSIONS:

Care for these infants would be improved by further examination of their needs and the establishment of practice guidelines to reduce unneeded variation.

PMID:
16549213
DOI:
10.1053/j.semperi.2006.01.012
[Indexed for MEDLINE]

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