November 9, 2011
Surviving Premature Babies In Malawi Continue To Have Poor Growth Rates And Development Delay
A detailed study from Malawi, published in this week's PLoS Medicine, shows that during the first 2 years of life, infants who were born prematurely (before 37 weeks gestation) continue to have a higher risk of death than infants born at term and are also more likely to have poorer growth and developmental delay.
The authors, led by Nynke Van Den Broek from the Liverpool School of Tropical Medicine, and Melissa Gladstone, from the University of Liverpool say that their findings show that in addition to interventions in the immediate neonatal period, a focus on early childhood is needed to improve outcomes for infants born prematurely in low-income settings.
The authors say: "To date, interventions in low-income settings to reduce neonatal morbidity and mortality have targeted the perinatal period. Our data show that, for preterm babies who survive the immediate neonatal period, there is ongoing disadvantage with increased risk of death, growth retardation, and developmental delay. "
They continue: "Further detailed qualitative and longitudinal studies to assess the causal mechanisms for these problems would be extremely beneficial. Along with these studies, post-neonatal interventions need to be trialled that might improve outcomes in this group of preterm born children."
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