A recommendation for the definition of "late preterm" (near-term) and the birth weight-gestational age classification system.

Determination of gestational age is important to assess risks for morbidity and mortality in neonates. Definitions for preterm, term and postterm have been precisely defined although definitions for subgroups of infants within these categories have not been well defined. More precise definitions for the subgroup of infants born "near-term" is especially important because of the rapid increase in percentage of births attributed to this subgroup. It is recommended that "late preterm" replace "near-term" because it better reflects the higher risk for complications of preterm birth experienced by this subgroup of preterm infants. Furthermore, it is proposed that "late preterm" be defined as beginning on the 239th day (34 0/7 weeks' gestation) and ending on the 259th day (36 6/7 weeks' gestation) since the first day of the mother's last normal menstrual period.

[1]  J. Gardosi,et al.  Estimating the date of confinement: ultrasonographic biometry versus certain menstrual dates. , 2011, American journal of obstetrics and gynecology.

[2]  L. Wright,et al.  A randomized trial of early versus standard inhaled nitric oxide therapy in term and near-term newborn infants with hypoxic respiratory failure. , 2004, Pediatrics.

[3]  J. Ballard,et al.  A simplified score for assessment of fetal maturation of newly born infants. , 1979, The Journal of pediatrics.

[4]  E. Ferrazzi,et al.  Umbilical vein blood flow in growth‐restricted fetuses , 2000, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[5]  J. Rienzo,et al.  The Small Term Baby , 1962, Obstetrics and gynecology.

[6]  E. Eichenwald,et al.  Inter-neonatal intensive care unit variation in discharge timing: influence of apnea and feeding management. , 2001, Pediatrics.

[7]  K. McConnochie,et al.  Avoidable morbidity in infants. A classification based on diagnoses in administrative databases. , 1997, Medical care.

[8]  C. Lau,et al.  Characterization of the developmental stages of sucking in preterm infants during bottle feeding , 2000, Acta paediatrica.

[9]  L. Lubchenco,et al.  INTRAUTERINE GROWTH AS ESTIMATED FROM LIVEBORN BIRTH-WEIGHT DATA AT 24 TO 42 WEEKS OF GESTATION. , 1963, Pediatrics.

[10]  Hal B. Jenson,et al.  Nelson Textbook of Pediatrics , 1965 .

[11]  S. Coleman,et al.  Is 34 weeks an acceptable goal for a complicated singleton pregnancy? , 2002, Managed care.

[12]  S. Oddie,et al.  Early discharge and readmission to hospital in the first month of life in the Northern Region of the UK during 1998: a case cohort study , 2005, Archives of Disease in Childhood.

[13]  H. Rigatto,et al.  A Developmental Study on Types and Frequency Distribution of Short Apneas (3 to 15 Seconds) in Term and Preterm Infants , 1987, Pediatric Research.

[14]  H. Macdonald Perinatal care at the threshold of viability. , 2002, Pediatrics.

[15]  M. Serdar,et al.  Incidence, course, and prediction of hyperbilirubinemia in near-term and term newborns. , 2004, Pediatrics.

[16]  J. Gardosi,et al.  Customized fetal weight limits for antenatal detection of fetal growth restriction , 2000, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[17]  Bruce F. Folck,et al.  Rehospitalization in the First Two Weeks After Discharge From the Neonatal Intensive Care Unit , 1999, Pediatrics.

[18]  M. J. Maisels,et al.  Jaundice in full-term and near-term babies who leave the hospital within 36 hours. The pediatrician's nemesis. , 1998, Clinics in perinatology.

[19]  N. Svenningsen,et al.  Low risk vaginally born preterm infants: A four year psychological and neurodevelopmental follow-up study , 1987, Journal of perinatal medicine.

[20]  Marvin L. Wang,et al.  Clinical outcomes of near-term infants. , 2004, Pediatrics.

[21]  M. Kramer,et al.  The contribution of mild and moderate preterm birth to infant mortality. Fetal and Infant Health Study Group of the Canadian Perinatal Surveillance System. , 2000, JAMA.

[22]  M S Kramer,et al.  The validity of gestational age estimation by menstrual dating in term, preterm, and postterm gestations. , 1988, JAMA.

[23]  T. Gage Classification of births by birth weight and gestational age: an application of multivariate mixture models , 2003, Annals of human biology.

[24]  K. Leveno,et al.  Birth weight in relation to morbidity and mortality among newborn infants. , 1999, The New England journal of medicine.

[25]  H. Wolfe,et al.  Delivery of the marginally preterm infant: what are the minor morbidities? , 1999, American journal of obstetrics and gynecology.

[26]  S. Derksen,et al.  Predictors of Hospital Readmission of Manitoba Newborns Within Six Weeks Postbirth Discharge: A Population-Based Study , 2004, Pediatrics.

[27]  J. Warkany,et al.  Intrauterine growth retardation. , 1961, American journal of diseases of children.

[28]  Greg J. Huang,et al.  Outcomes of planned home birth in Washington State , 2002 .

[29]  G. Escobar,et al.  Rehospitalisation after birth hospitalisation: patterns among infants of all gestations , 2005, Archives of Disease in Childhood.

[30]  K. Joseph,et al.  Why are babies getting bigger? Temporal trends in fetal growth and its determinants. , 2002, The Journal of pediatrics.

[31]  R. Schumacher,et al.  The effect of early discharge and other factors on readmission rates of newborns. , 1996, Archives of pediatrics & adolescent medicine.

[32]  F. Battaglia,et al.  OBSTETRIC AND PEDIATRIC COMPLICATIONS OF JUVENILE PREGNANCY. , 1963, Pediatrics.

[33]  G. Lindmark,et al.  Regional quality assessment in perinatal care. , 2004, Seminars in neonatology : SN.

[34]  R. Ballard,et al.  Avery's Diseases of the Newborn , 1998 .

[35]  J. Tyson,et al.  Inaccuracy of Ballard scores before 28 weeks' gestation. National Institute of Child Health and Human Development Neonatal Research Network. , 1999, The Journal of pediatrics.

[36]  F. McLean,et al.  Intrauterine growth of live-born Caucasian infants at sea level: standards obtained from measurements in 7 dimensions of infants born between 25 and 44 weeks of gestation. , 1969, The Journal of pediatrics.

[37]  Deren Bader,et al.  US birth weight/gestational age-specific neonatal mortality: 1995-1997 rates for whites, hispanics, and blacks. , 2003, Pediatrics.

[38]  Bruce F. Folck,et al.  Rehospitalization for neonatal dehydration: a nested case-control study. , 2002, Archives of pediatrics & adolescent medicine.

[39]  K. Southern,et al.  Nasal potential difference increases with gestation in moderately preterm neonates on the first postnatal day , 2005, Archives of Disease in Childhood - Fetal and Neonatal Edition.

[40]  C. Truman,et al.  Early Discharge of Alberta Mothers Post-delivery and the Relationship to Potentially Preventable Newborn Readmissions , 2002, Canadian journal of public health = Revue canadienne de sante publique.

[41]  P. Hope,et al.  Educational and behavioural problems in babies of 32–35 weeks gestation , 2001, Archives of disease in childhood. Fetal and neonatal edition.

[42]  F. Battaglia,et al.  Birth weight, gestational age, and pregnancy out- come, with special reference to high birth weight-low gestational age infant. , 1966, Pediatrics.

[43]  B. Vohr,et al.  Chapter 1 – Perinatal-Neonatal Epidemiology , 2005 .

[44]  T. Johnson,et al.  Antepartum fetal assessment. A nurse-midwifery perspective. , 1991, Journal of nurse-midwifery.

[45]  A. Fanaroff,et al.  Care of the High-Risk Neonate , 1986 .

[46]  M. Kramer,et al.  Clinical Epidemiology and Biostatistics , 1988, Springer Berlin Heidelberg.

[47]  R. Behrman,et al.  Neonatal mortality risk in relation to birth weight and gestational age: update. , 1982, The Journal of pediatrics.

[48]  F. Battaglia,et al.  A practical classification of newborn infants by weight and gestational age. , 1967, The Journal of pediatrics.

[49]  W. Hall,et al.  Posthospitalization Breastfeeding Patterns of Moderately Preterm Infants , 2003, The Journal of perinatal & neonatal nursing.

[50]  S. Simon,et al.  Readmission of Breastfed Infants in the First 2 Weeks of Life , 2000, Journal of Perinatology.

[51]  W. Engle Age Terminology During the Perinatal Period , 2004, Pediatrics.

[52]  Gabriel J Escobar,et al.  Infants with bilirubin levels of 30 mg/dL or more in a large managed care organization. , 2003, Pediatrics.

[53]  J. Tyson,et al.  Very low birth weight outcomes of the National Institute of Child Health and Human Development Neonatal Research Network, January 1993 through December 1994. , 1998, American journal of obstetrics and gynecology.

[54]  J. Gould,et al.  Newborn Discharge Timing and Readmissions: California, 1992–1995 , 2000, Pediatrics.

[55]  C. Dani,et al.  Epidemiology of Neonatal Acute Respiratory Disorders , 1998, Neonatology.

[56]  A. Ferrara,et al.  Postnatal overestimation of gestational age in preterm infants. , 1987, American journal of diseases of children.

[57]  L. Lubchenco,et al.  Intrauterine growth in length and head circumference as estimated from live births at gestational ages from 26 to 42 weeks. , 1966, Pediatrics.

[58]  P. Grøttum,et al.  A comparison between ultrasound and a reliable last menstrual period as predictors of the day of delivery in 15 000 examinations , 1996, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[59]  Barbara H. Kwasnik,et al.  The Role of Classification in Knowledge Representation and Discovery , 1999, Libr. Trends.

[60]  J. Gardosi,et al.  Application of a customised birthweight standard in the assessment of perinatal outcome in a high risk population , 1998, British journal of obstetrics and gynaecology.

[61]  D J Henderson-Smart,et al.  The effect of gestational age on the incidence and duration of recurrent apnoea in newborn babies , 1981, Australian paediatric journal.

[62]  Greg J. Huang,et al.  Outcomes of Planned Home Births in Washington State: 1989–1996 , 2002, Obstetrics and gynecology.

[63]  M. Fejgin,et al.  Preterm labour at 34--36 weeks of gestation: should it be arrested? , 2001, Paediatric and perinatal epidemiology.

[64]  W. Silverman,et al.  The influence of the thermal environment upon the survival of newly born premature infants. , 1958, Pediatrics.

[65]  W. Brehm,et al.  Should intravenous tocolysis be considered beyond 34 weeks' gestation? , 2000, American journal of obstetrics and gynecology.