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Early developmental interventions for infants born very preterm - what works?
Seminars in Fetal and Neonatal Medicine ( IF 3 ) Pub Date : 2020-05-15 , DOI: 10.1016/j.siny.2020.101119
Peter J Anderson 1 , Karli Treyvaud 2 , Alicia J Spittle 3
Affiliation  

Interventions are needed to enhance early development and minimise long-term impairments for children born very preterm (VP, <32 weeks' gestation) and their families. Given the role of the environment on the developing brain, the potential for developmental interventions that modify the infant's hospital and home environments to improve outcomes is high. Although early developmental interventions vary widely in focus, timing, and mode of delivery, evidence generally supports the effectiveness of these programs to improve specific outcomes for children born VP and their families. However, little is known about mechanisms for effectiveness, cost- and long-term effectiveness, which programs might work better for whom, and how to provide early intervention services equitably. This information is critical to facilitate systematic integration of effective developmental interventions into clinical care for infants born very preterm and their families.



中文翻译:

针对早产儿的早期发育干预-什么有效?

需要采取干预措施,以促进早产儿(VP,<32周妊娠)及其家人的早期发育,并最大程度地减少长期损害。考虑到环境在发育中的大脑中的作用,对婴儿的医院和家庭环境进行改进以改善结局的发展干预措施的潜力很高。尽管早期发展干预的重点,时机和分娩方式差异很大,但证据通常支持这些计划为改善VP所生儿童及其家庭的特定结果的有效性。但是,对于有效性,成本和长期有效性的机制知之甚少,哪些方案可能更适合谁使用,以及如何公平地提供早期干预服务。

更新日期:2020-05-15
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