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Skip search results from other journals and go to results- 3 JMIR Research Protocols
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Newborns with extrapulmonary conditions, tachypnea due to causes other than prematurity, and diagnosis of infection were excluded.
The skin assessment occurred with an optical device previously detailed [15] (Figure 1). Briefly, to obtain the skin reflectance, an LED sensor of wavelengths 400 to 1200 nm was touched to the newborn's sole for a few seconds to trigger 10 automated measurements. We performed 3 measurements, resulting in 30 automatic values to obtain the average reflection.
JMIR Biomed Eng 2023;8:e52468
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Gestational age at birth was converted from a continuous variable into categorical data consistent with stages of prematurity. As outlined below, validated scales were incorporated into the survey. The survey design was pragmatic, limiting the number of additional questions to minimize the survey burden.
JMIR Pediatr Parent 2023;6:e47552
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Among survivors, the frequency of prematurity-related morbidity and health problems is substantial, both in the short term and long term after birth [2,7,8]. Neonatal complications may be transient or become chronic. The effect of preterm birth may thus continue throughout life, exerting a potentially heavy burden on families, health systems, and societies [4].
In high-income countries, the first children who benefited from improved care are now adults entering middle age [9].
J Med Internet Res 2023;25:e39854
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Newborn Skin Maturity Medical Device Validation for Gestational Age Prediction: Clinical Trial
However, lack of access to high-cost equipment, poor training, lack of skills of health professionals, and delayed antenatal care limit pregnancy dating and, consequently, detection of prematurity [5,9]. In addition, GA calculation based on the last menstrual period (LMP) is affected by memory bias, hormone-based contraception, and breastfeeding [10]. After-birth approaches for pregnancy dating, which are also extensively used, rely on professional skills for physical and neurological maturity assessment.
J Med Internet Res 2022;24(9):e38727
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Considering the gaps in definitional, operational, and mechanistic understanding, Maitre et al created the Prematurity and Respiratory Outcomes Program (PROP), a prospective multicenter study of respiratory outcomes among preterm infants in the United States, with the goal to determine the characteristics of persistent pulmonary diseases associated with prematurity and develop the means of predicting the risk factors of the disease [3,4].
JMIR Res Protoc 2021;10(3):e22948
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Distinguishing between prematurity and SGA or both conditions in low-birth-weight newborns is critical to ensuring appropriate provision of care and has the potential to save lives [3,4]. Treatment of prematurity usually involves respiratory support and the administration of exogenous surfactant, to increase alveolar surface tension. Besides, most SGA newborns may have suffered from chronic intrauterine hypoxia due to placental oxygen delivery failure, and thus require specific support [5].
JMIR Res Protoc 2020;9(7):e16477
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Prematurity rates are increasing globally and of concern because prematurity is a well-recognized risk factor for increased neonatal mortality and morbidity [2-4]. In settings where the incidence and adverse consequences of prematurity are the highest (ie, resource-limited settings), pregnant women may not know the date of their last menstrual period (LMP) and ultrasound is often not available—particularly first-trimester ultrasound, when estimates of gestational age (GA) are more accurate [5].
JMIR Res Protoc 2019;8(3):e11913
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