Mental Development of Preterm Infants during the First Year

Hunt, Jane V.; Rhodes, Leanne

doi:10.2307/1128899

Cited by 52 publications

(15 citation statements)

References 3 publications

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“…Not only have the studies 1 2 , 1 9 -2 1 d i ff e red as to when o v e restimation has occurred, but they have also reached conflicting conclusions re g a rding the choice of whether or not to use both ages. Whereas some studies 12,20 suggested using only corrected age, as it can be a more sensitive index of developmental delay, o t h e r s 1 9 , 2 1 s u p p o rted using both ages during the first y e a r. The decrease in the sensitivity in the assessment tool when using corrected age, and the advantages of increasing sensitivity to correctly identify the neurological abnormal pre t e rm infants were the most often cited arguments.…”

Section: Discussionmentioning

confidence: 99%

Comparison of chronological and corrected ages in the gross motor assessment of low-risk preterm infants during the first year of life

Restiffe

Gherpelli

2006

Arq. Neuro-Psiquiatr.

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-Objective: To evaluate the need of chronological age correction according to the degree of p re m a t u r i t y, when assessing gross motor development in pre t e rm infants, during the first year of life. Method: C o h o rt, observational and prospective study. Alberta Infant Motor Scale (AIMS) was used to evaluate 43 pre t e rm infants with low risk for motor neurological sequelae, during the first year of corre c t e d age. Mean scores were analyzed according to chronological and corrected ages. Children with motor neurological sequelae were excluded during follow-up. Results: G ross motor mean scores in pre t e rm infants tended to be higher when corrected age was used compared with those obtained when using chro n o l o gical age, during the first twelve months. At thirteen months of corrected age, an overlapping of confidence intervals between corrected and chronological ages was observed, suggesting that from that period onwards correction for the degree of prematurity is no longer necessary. Conclusion: Corrected age should be used for gross motor assessment in preterm infants during the first year of life.KEY WORDS: premature infant, low birth-weight infant, gestational age, motor activity.Comparação das idades cronológica e corrigida na avaliação motora grosseira de lactentes pré-termo com baixo risco no primeiro ano de vida RESUMO -Objetivo: Verificar a necessidade de corrigir a idade cronológica de acordo com o grau de prematuridade, na avaliação do desenvolvimento motor gro s s e i ro em recém-nascidos pré-termo, durante o p r i m e i ro ano de vida. Método: Estudo coorte, observacional e prospectivo. A Escala Motora Infantil de A l b e rta (AIMS) foi usada para avaliar 43 recém-nascidos pré-termos com baixo risco para lesão neuro l ó-gica motora durante o primeiro ano de vida. A média dos escores foi analisada segundo as idades corr i g idas e cronológicas. As crianças com seqüela motora neurológica foram excluídas durante o seguimento. Resultados: A média dos escores do desenvolvimento motor gro s s e i ro quando foi utilizada a idade corr i g ida tendeu a ser maior do que aqueles obtidos quando se utilizou a idade cronológica, durante os primeiro s 12 meses. Aos 13 meses de idade corrigida, foi observada sobreposição dos intervalos de confiança das médias dos escores entre as idades corrigidas e cronológicas, sugerindo que a partir deste período, a correção pelo índice de prematuridade não é mais necessária ao avaliar o desenvolvimento motor grosseiro de lactentes pré-term o . C o n c l u sã o: A idade corrigida deve ser usada na avaliação do desenvolvimento motor de recém-nascidos pré-termos durante o primeiro ano de vida. PALAVRAS-CHAVE: lactente pré-termo, lactente de baixo-peso, idade gestacional, atividade motora.Several pre and perinatal complications seen in p re t e rm infants are well known risk factors for the development of future neurological disabilities. The incidence of major disabilities is inversely related to b i rth weight and gestational age ranging from 20% to 40%, ...

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Section: Discussionmentioning

confidence: 99%

Comparison of chronological and corrected ages in the gross motor assessment of low-risk preterm infants during the first year of life

Restiffe

Gherpelli

2006

Arq. Neuro-Psiquiatr.

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“…Studies in the 70's focused on the premature infant's biological status and medical complications to predict developmental outcome (Pape, Buncic, Ashby, & Fitzhardinge, 1978;Hunt & Rhodes, 1977;Lubchenco, Delivoria-Papadopoulos, & Searls, 1972). More recent studies show that a biopsychosocial perspective incorporating both biologic and social risk should be used to evaluate the developmental outcome of the premature infant (Mccain, 1990;Lancaster, 1986).…”

Section: Premature Infant Developmentmentioning

confidence: 99%

Creating Paths: Living With a Very-Low-Birth-Weight Infant

Vasquez

1995

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Objective: To describe parents' method of adaptation to the problems of caring for a very‐low‐birth‐weight (VLBW) infant at home. Design: Exploratory, involving three interview sessions, 1 month, 3 months, and 5 months after hospital discharge of a VLBW infant. Setting: A newborn intensive‐care unit in a tertiary‐care center. Participants: Fourteen parents of VLBW (< 1,500 g) infants after hospital discharge. Results: A basic social process, Creating Paths, was identified. It is the continuous process experienced by parents living with a VLBW infant the first 5 months after hospital discharge. The process consists of three stages: gathering, emerging, and affirming. Conclusions: This grounded theory systematically tracks and describes the adaptation process of parents with VLBW infants during the first 5 months of living at home. The theory may be used to anticipate concerns and provide guidance and support to parents and their infants.

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“…In studies of cognitive, sensori-motor, and socio-emotional development during the first year of life, premature infants generally demonstrate delays and differences when compared to matched full-term infants, but the differences are subtle and inconsistent (27)(28)(29)(30)(31)(32). A general pattern seems to be that the premature infant's course of early development is difficult to predict.…”

Section: T F Anders and M Keenermentioning

confidence: 99%

Developmental Course of Nighttime Sleep-Wake Patterns in Full-Term and Premature Infants During the First Year of Life. I.

Anders

Keener

1985

Sleep

289

180

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Summary: Two groups of infants (40 normal full-term, 24 prematurely born infants) were matched on conceptional age and were studied at seven ages during the first year of life, All-night time-lapse video somnography was obtained in the home at 2, 4, 8, 20, 24, 36, and 52 weeks of age. The developmental course of sleep-wake state proportions, sleep onset indices, and special variables assessing temporal organization are compared. Age-appropriate developmental norms for sleep-wake state assessment during the first year of life are presented, using video somnography. In general, sleep-wake state ontogenesis is comparable in the two groups. The premature group is more variable from one age to the next, even though both groups demonstrate significant individual stability of some sleepwake variables over the first year of life. Key Words: Sleep-wake state-Gestational age-Active sleep-Quiet sleep.Sleep difficulties in infants from birth to 3 years have become one of the most common problems of pediatric practice. Usually the disturbances are short -lived and probably without long-term consequences, although sleep habits of young infants may reflect longer lasting temperamental characteristics or aspects of dyadic interaction that herald later childhood and adult sleep patterns. Given the prevalence of the problem in the pediatric age group, it is surprising how little longitudinal data exist describing the ontogenesis of sleep-wake patterns in normal infants.Cross-sectional studies during infancy and childhood have repeatedly confirmed that developmental changes of REM sleep, NREM sleep, and waking do occur (1)(2)(3)(4)(5)(6)(7)(8)(9). The studies confirm that, by and large, the REM state predominates in immature infants and declines during maturation, sleep onsets from wakefulness are to the REM state during the early months of life and to the NREM state later, diurnal influences on REM/NREM organization during the night emerge gradually, and poor epoch-by-epoch coordination of physiological systems results in immature sleep state organization (indeterminate states) in

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Mental Development of Preterm Infants during the First Year

Cited by 52 publications

References 3 publications

Comparison of chronological and corrected ages in the gross motor assessment of low-risk preterm infants during the first year of life

Comparison of chronological and corrected ages in the gross motor assessment of low-risk preterm infants during the first year of life

Creating Paths: Living With a Very-Low-Birth-Weight Infant

Developmental Course of Nighttime Sleep-Wake Patterns in Full-Term and Premature Infants During the First Year of Life. I.

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