Developmental Delay in Healthy Premature Infants at Age Two Years

Censullo, Meredith

doi:10.1097/00004703-199404000-00006

Cited by 38 publications

(31 citation statements)

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“…Our results do not, however, support the conclusions of Menyuk et al (1995) that children between 3 and 13 weeks premature are as advanced as, or even ahead of, full-term children in their language development, despite the fact that, like Rocissano & Yatchmink (1983), whose cohort was born at 35 weeks' gestation or younger, we show that a few very preterm children have language that is ahead of their full-term peers. As Censullo (1994) suggests, while preterm children (<31 weeks' gestation) can be within normal limits in terms of range of scores, they are more likely to be overrepresented at the lower end of language outcome scales in comparison to full-term children. This observation reinforces the need to use large cohorts in research on the preterm population, so that the considerable variability within the groups does not lead to false conclusions.…”

Section: Discussionmentioning

confidence: 99%

Early delayed language development in very preterm infants: Evidence from the MacArthur-Bates CDI

et al. 2007

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A B S T R A C TThis study examined the effects of being born very preterm on children's early language development using prospective longitudinal data from a representative regional cohort of 90 children born very preterm (gestational age <33 weeks and/or birth weight <1,500 grams) and a comparison sample of 102 children born full term (gestational age 38-41 weeks). The MacArthur-Bates Communicative Development Inventory : Words and Sentences (CDI-WS) was used to assess children's language development at age 2;0 (corrected for gestational age at birth). Clear linear relationships were found between gestational age at birth and later language outcomes, with decreasing

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Section: Discussionmentioning

confidence: 99%

Early delayed language development in very preterm infants: Evidence from the MacArthur-Bates CDI

et al. 2007

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“…1,2 ELBW infants have high rates of adverse cognitive and language outcomes that persist through school age. [3][4][5][6][7] Infants of adolescent mothers also have adverse developmental outcomes on a variety of measures. [8][9][10] There is limited research on the combined risk of extreme prematurity and having an adolescent mother.…”

Section: What This Study Addsmentioning

confidence: 99%

Developmental Outcomes of Extremely Preterm Infants Born to Adolescent Mothers

et al. 2015

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BACKGROUND AND OBJECTIVES: Extremely preterm infants and infants born to adolescent mothers are at risk for adverse developmental. The objectives were to evaluate development and behavior outcomes of extremely low birth weight (ELBW) infants born to adolescent mothers ,20 compared with adult mothers $20 years and to identify socioeconomic risk factors that affect outcomes.METHODS: Retrospective cohort analysis of 211 infants .27 weeks of adolescent mothers and 1723 infants of adult mothers at Neonatal Research Network centers from 2008 to 2011. Groups were compared and regression models were run to predict 18-to 22-month adverse outcomes. Primary outcomes were Bayley-III scores, neurodevelopmental impairment, and Brief Infant Toddler Social Emotional Assessment problem scores (BITSEA/P) $75th percentile.RESULTS: Adolescent mothers were more often single, Hispanic, less educated, and had public insurance. By 18 to 22 months, their children had significantly increased rates of having lived $3 places (21% vs 9%), state supervision (7% vs 3%), rehospitalization (56% vs 46%), and BITSEA/ P $75th percentile (50% vs 32%) and nonsignificant Bayley-III language scores ,85 (56% vs 49%, P = .07). In regression analysis, children of adolescent mothers were more likely to have BITSEA/P $75th percentile (relative risk 1.50, 95% confidence interval 1.08-2.07). Living $3 places and nonwhite race were predictors of adverse behavior. State supervision was an independent predictor of each Bayley-III composite ,70 and neurodevelopmental impairment.CONCLUSIONS: ELBW infants of adolescent mothers experience high social and environmental risks that are associated with adverse behavior outcomes. These findings inform the need for comprehensive follow-up, coordinated care services, and behavior interventions for ELBW infants of adolescent mothers.WHAT'S KNOWN ON THIS SUBJECT: Infants born extremely premature and infants born to adolescent mothers are at risk for adverse developmental and behavior outcomes. There is limited research on the dual risk imparted to infants born extremely premature to adolescent mothers. WHAT THIS STUDY ADDS:Extremely premature infants of adolescent mothers have significantly increased rates of behavior problems. Nonwhite race and living in $3 places by 18 to 22 months of age are risk factors for adverse behavior outcomes among infants of adolescent mothers. Dr Hoffman conceptualized and designed the study, drafted the initial manuscript, and approved the final manuscript as submitted; Dr Bann performed all the statistical analysis; Dr Higgins reviewed and approved the research protocol and final manuscript; and Dr Vohr mentored and assisted Dr Hoffman in conceptualizing and designing the study, revising the manuscript, and approving of the final manuscript as submitted. There are multiple coexisting socioeconomic and biologic factors that place extremely preterm infants of adolescent mothers at increased risk for adverse developmental and behavioral outcomes. Previous studies of extremely preterm in...

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“…Sameroff and Chandler 1975, Escalona 1982, Werner 1993, Bendersky and Lewis 1994. Similarly, recent research on ex-special care babies (term or preterm) indicates that sociodemographic factors have a far greater effect on long-term cognitive outcomes than biological risk factors as the children grow older (Wolke 1993;Censullo 1994;Forfar et al 1994;Levy-Shiff et al 1994;Cohen 1995;Hack et al 1995;Wolke 1997aWolke , 1998b. Our results show that SES was related to all cognitive and language scores.…”

Section: Social Factorsmentioning

confidence: 99%

Cognitive status, language attainment, and prereading skills of 6‐year‐old very preterm children and their peers: the Bavarian Longitudinal Study

Wolke¹,

Dipl-Psych²

1999

Develop Med Child Neuro

130

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The prevalence of intellectual-, language-, and prereadingskill deficits was investigated in a geographically defined whole-population sample of very preterm children at 6 years of age in southern Germany. The sample consisted of the following: 264 very preterm children (75.6% of Germanspeaking survivors); 264 term controls (matched for sex, socioeconomic status [SES], marital status and age of mother); and a representative normative sample for Bavaria (N=311). Compared with term peers, very preterm children scored significantly lower (approximately -1 SD) on the measures of cognitive and language skills and had major cognitive deficits (<-2 SD) 10 to 35 times more often than the controls. Deficits in speech articulation and prereading skills (<10th centile) were three to five times more frequent in very preterm children. More than 18% of very preterm children had cognitive deficits in more than five areas of functioning, compared with no control children. The differences between very preterm children and controls remained highly significant when only very preterm children (N= 229) and controls (N= 261) without major neurosensory impairment were considered. Little evidence for specific cognitive deficits was found once mental processing measured in the Kaufman Assessment Battery for Children (K-ABC) was controlled for. The effect of preterm birth on cognitive abilities was found to be larger than the influence of SES. In conclusion, there was a high prevalence of long-term multiple cognitive problems in very preterm children. These persistent cognitive problems appear to be of pre-or neonatal (treatment) rather than postnatal social origin.

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Developmental Delay in Healthy Premature Infants at Age Two Years

Cited by 38 publications

References 0 publications

Early delayed language development in very preterm infants: Evidence from the MacArthur-Bates CDI

Early delayed language development in very preterm infants: Evidence from the MacArthur-Bates CDI

Developmental Outcomes of Extremely Preterm Infants Born to Adolescent Mothers

Cognitive status, language attainment, and prereading skills of 6‐year‐old very preterm children and their peers: the Bavarian Longitudinal Study

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