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Addressing Preterm Birth History With Clinical Practice Recommendations Across the Life Course
Journal of Pediatric Health Care ( IF 2.5 ) Pub Date : 2021-02-23 , DOI: 10.1016/j.pedhc.2020.12.008
Michelle M. Kelly , Jane Tobias , Patricia B. Griffith

Preterm birthrates, coupled with excellent preterm birth survival rates, guarantee that every health care provider, regardless of specialty, is caring for patients who were born preterm. Patients and families may not share a preterm birth history however, eliciting this information is important for mitigating potential risk. Long-term health outcomes research supports health implications associated with preterm birth throughout the life course. Through an in-depth review of literature and validation from health care experts in pediatric and adult care, recommendations for primary care providers were developed. The aim was to enhance the identification of those born prematurely, empower health care providers to employ familiar screening strategies, and advocate for mitigations strategies with anticipatory guidance and health promotion. These recommendations advocate a paradigm shift toward proactive intervention, rather than the reactive practice of waiting for children to fail to meet specific milestones or begin to show comorbid tendencies.



中文翻译:

在整个生命过程中通过临床实践建议解决早产史

早产率,再加上出色的早产存活率,保证每个医疗保健提供者,无论专业如何,都在照顾早产患者。然而,患者和家属可能不会分享早产史,获取这些信息对于降低潜在风险很重要。长期健康结果研究支持在整个生命过程中与早产相关的健康影响。通过对文献的深入审查和儿科和成人护理保健专家的验证,为初级保健提供者制定了建议。目的是加强对早产儿的识别,使医疗保健提供者能够采用熟悉的筛查策略,并倡导具有预期指导和健康促进的缓解策略。

更新日期:2021-02-23
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