Moderate Preterm

Neonatal Resources, the Podcast

Perhaps the cutest of the ages, the “almost grown enough to skip the NICU” moderate preterm babies are the topic this week. These babies are 32 and 0/7-weeks to 33 and 6/7-weeks but the discussion extends to the late pretermers who find themselves in a NICU. There has been so much research in the last few years about these babies and the things that impact them both short and long term! Join us as we discuss:

• Cue based feeding in the moderate/late preterm
• Betamethasone and Magnesium sulfate in this group and how it impacts infants at delivery
• What it means to support an infant’s natural ability vs impose medical standards
• Early neonatal research (the name wouldn’t come during our recording but, if you want to know, it was Dr. Edgar Rey Sanabria in 1978)

As if all of that wasn’t fun enough…we also talk about jaundice, the plague…and zombies?!?! Honestly, we haven’t laughed that hard in a long time! We hope you will laugh along with us. If our suspicions are correct, this won’t be the last time this comes up!

Bibliography:

Bulut, A., Cundubey, C., Ceyhan, V., & Aydin, E. (2022). Comparison of neonatal outcomes with and without the administration of betamethasone in late preterm births. International Journal of Gynecology and Obstetrics, 349-354. doi:10.1002/ijgo.14028

Chollat, C., Sentilhes, L., & Marret, S. (2018). Fetal neuroprotection by magnesium sulfate: from translational research to clinical application. Frontiers in Neurology, 247.

Conde-Agudelo, A., & Diaz-Rossello, J. (2016). Kangaroo mother care to reduce morbidity and mortality in low birth weight infants. Cochrane Database of Systematic Reviews(8), Art. No.: CD002771. doi:10.1002/14651858.CD002771.pub4

Kamran, F., Khatoonabadi, A. R., Aghajanzadeh, M., Ebadi, A., Faryadras, Y., & Sagheb, S. (2020). Effectiveness of cue-based feeding versus scheduled feeding in preterm infants using comprehensive feeding assessment scales: a randomized clinical trial. Iran Journal of Pediatrics, :e107475. doi:10.5812/ijp.107475.

Woythaler MS, DO, M. (2019). Neurodevelopmental outcomes of the late preterm infant. Seminars in Fetal and Neonatal Medicine, 54-59. doi:10.1016/j.siny.2018.10.002

Notes:

EDC – Estimated date of confinement, also call the estimated date of delivery (EDD) or the due date. This uses the date of the last menstrual period to estimate the date of a 40-week, full term delivery. The calculation is based on Naegele's rule. If you want a cheat try this calculator.

Gestational Age – The number of completed weeks of a pregnancy at the time of delivery. Clinically, the gestational age assessment is based on the EDC, fetal ultrasound measurements, and gestational age scoring done at delivery. Check out this Get Your Pens for an in-depth look

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