{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T01:34:44Z","timestamp":1764898484357,"version":"3.46.0"},"reference-count":69,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T00:00:00Z","timestamp":1756857600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Early\u2010term births constitute 15%\u201331% of global births; its impact on neonates is under\u2010recognised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To systematically synthesise current evidence comparing short\u2010term neonatal outcomes between early\u2010term and full\u2010\/late\u2010term births globally and in low\u2010 and middle\u2010income countries (LMICs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Search Strategy<\/jats:title>\n                    <jats:p>PubMed and Embase databases were searched from inception to 13 March 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Selection Criteria<\/jats:title>\n                    <jats:p>Studies comparing short\u2010term neonatal outcomes (e.g., morbidity, respiratory complications) among early\u2010term (37\u201338\u2009weeks' gestation), full\u2010term (39\u201340\u2009weeks) and late\u2010term (41\u2009weeks) births were included. Studies involving multiple pregnancies were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Collection and Analysis<\/jats:title>\n                    <jats:p>Using PRISMA guidelines, two investigators independently screened studies, extracted data and assessed risk of bias. Meta\u2010analyses employed a random\u2010effects model to estimate pooled odds ratios (ORs) with 95% confidence intervals (CIs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Results<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010five studies, medium to high quality, from 15 countries (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200913\u2009784\u2009259) were included. Eight studies (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200975\u2009081) were from LMICs. Early\u2010term neonates had higher risks of respiratory distress syndrome (OR 2.85, 95% CI: 2.09\u20133.90), transient tachypnoea of the newborn (OR 2.00, 95% CI: 1.65\u20132.42) and composite respiratory morbidities (OR 1.75, 95% CI: 1.48\u20132.08) compared to full\u2010term and late\u2010term neonates. In LMICs, early\u2010term neonates had an even higher risk of respiratory distress syndrome (OR 4.77, 95% CI: 1.83\u201312.44). However, limited data from LMICs reduced the generalisability of findings. The need for mechanical ventilation (OR 2.08, 95% CI: 1.83\u20132.38), continuous positive airway pressure (OR 2.41, 95% CI: 1.88\u20133.09) and oxygen therapy (OR 1.88, 95% CI: 1.48\u20132.39) was also higher in early\u2010term neonates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early\u2010term neonates face higher risks of short\u2010term adverse consequences, underscoring the need for heightened vigilance in perinatal management strategies to optimise outcomes for this vulnerable population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Prospero Registration<\/jats:title>\n                    <jats:p>\n                      CRD42024556551 (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/www.crd.york.ac.uk\/prospero\/display_record.php?RecordID=556551\">https:\/\/www.crd.york.ac.uk\/prospero\/display_record.php?RecordID=556551<\/jats:ext-link>\n                      )\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.18362","type":"journal-article","created":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T03:54:35Z","timestamp":1756958075000},"page":"228-242","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Short\u2010Term Outcomes of Early\u2010Term Versus Full\u2010Term and Late\u2010Term Neonates: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3666-5287","authenticated-orcid":false,"given":"Siddarth","family":"Venkateswaran","sequence":"first","affiliation":[{"name":"Yong Loo Lin School of Medicine National University of Singapore  Singapore 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