Abstract

Background The transition from the intrato the extra-uterine life is characterized by major physiological changes in respiratory and hemodynamic functions [1]; moreover, the intrauterine thermostability has to been replaced by the neonatal termoregulation [2]. Many of the antepartum and intrapartum risk factors associated with the need of resuscitation may be present in late-preterm neonates (34-36 weeks) [3]. It is also reported a double risk of Caesarean Section (CS) in case of late-preterm compared to term deliveries [4]. Our objective was to evaluate the transition period in late-preterm infants in particular considering the need for resuscitation and the incidence of hypothermia.

Highlights

  • The transition from the intra- to the extra-uterine life is characterized by major physiological changes in respiratory and hemodynamic functions [1]; the intrauterine thermostability has to been replaced by the neonatal termoregulation [2]

  • Type of pregnancy, use of antepartum steroid therapy, maternal medical disorders, obstetric and/or fetal complications, intrapartum fetal distress, birth weight (BW), gender, Apgar score, need for resuscitation were collected from medical records Rectal temperature was measured in all neonates at birth and at admission to nursery

  • The characteristics of the population according to Gestational Age (GA): weeks of gestation (Group I), weeks (Group II) and weeks (Group III)

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Summary

Introduction

The transition from the intra- to the extra-uterine life is characterized by major physiological changes in respiratory and hemodynamic functions [1]; the intrauterine thermostability has to been replaced by the neonatal termoregulation [2]. Many of the antepartum and intrapartum risk factors associated with the need of resuscitation may be present in late-preterm neonates (340/7-366/7 weeks) [3]. It is reported a double risk of Caesarean Section (CS) in case of late-preterm compared to term deliveries [4]. Our objective was to evaluate the transition period in late-preterm infants in particular considering the need for resuscitation and the incidence of hypothermia. Gestational age (weeks+days of gestation) 34+0-34+6 35+0-35+6 36+0-36+6 Number (%).

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