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J Pediatr. 2007 Nov;151(5):450-6, 456.e1. Epub 2007 Jul 24.

Differences in mortality between late-preterm and term singleton infants in the United States, 1995-2002.

Author information

1
Maternal and Infant Health Branch, Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. kct9@cdc.gov

Abstract

OBJECTIVE:

To assess differences in mortality between late-preterm (34-36 weeks) and term (37-41 weeks) infants.

STUDY DESIGN:

We used US period-linked birth/infant death files for 1995 to 2002 to compare overall and cause-specific early-neonatal, late-neonatal, postneonatal, and infant mortality rates between singleton late-preterm infants and term infants.

RESULTS:

Significant declines in mortality rates were observed for late-preterm and term infants at all age-at-death categories, except the late-neonatal period. Despite the decline in rates since 1995, infant mortality rates in 2002 were 3 times higher in late-preterm infants than term infants (7.9 versus 2.4 deaths per 1000 live births); early, late, and postneonatal rates were 6, 3, and 2 times higher, respectively. During infancy, late-preterm infants were approximately 4 times more likely than term infants to die of congenital malformations (leading cause), newborn bacterial sepsis, and complications of placenta, cord, and membranes. Early-neonatal cause-specific mortality rates were most disparate, especially deaths caused by atelectasis, maternal complications of pregnancy, and congenital malformations.

CONCLUSIONS:

Late-preterm infants have higher mortality rates than term infants throughout infancy. Our findings may be used to guide obstetrical and pediatric decision-making.

PMID:
17961684
DOI:
10.1016/j.jpeds.2007.05.002
[Indexed for MEDLINE]
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