Society For Cardiovascular Angiography And Intervention
Part one provided a brief introduction (click here for part one). In this section some medical issues are discussed.
Medical Issues Associated with Preterm Births
When a baby is born before term most of its organs are immature; however, the brain and the lungs appear to be especially susceptible to the consequences of a birth before term. This inevitably results in high rates of long-term health and neurological issues for these children. Because there are increasing costs to provide for neonatal intensive care as well as increasing social and economic burdens of the disabilities associated with preterm births there is an ongoing debate concerning the notion if the use of intensive care is actually justifiable for preterm infants that have borderline viability. As survival rates increase clinicians will find themselves increasingly exposed to the survivors of preterm births. As a result physicians and other health care workers should be aware of the ever-changing outcomes of preterm births as well as the long-term effects of the disabilities associated with preterm births and the numerous health problems that are incurred on the survivors, their families, and on society Saigal & Doyle, 2008).
Neurological Problems
Neurological problems associated with preterm birth are numerous and include developmental disability, developmental delays, apnea of prematurity, retinopathy of prematurity, cerebral palsy, hypoxic-ischemic encephalopathy, and intraventricular hemorrhage. This last complication, bleeds within the ventricles of the brain, has been known to affect as many as 25 percent of preterm babies and is especially a problem if the baby is born before the 32nd week of pregnancy (Saigal & Doyle, 2008). Babies can be resilient and milder brain bleeds may not result in severe or lasting complications; however, more severe bleeds can result in severe irreparable brain damage or even death.
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