Outcomes in Young Adulthood for Very-Low-Birth-Weight Infants

Abstract

Educational disadvantage associated with very low birth weight persists into early adulthood.

Life Course Health Development Outcomes After Prematurity: Developing a Community, Clinical, and Translational Research Agenda to Optimize Health, Behavior, and Functioning

“…Premature survivors show high rates of need for special education supports, both in general special education services and with individual assistants, and have higher rates of grade repetition than their normal birth weight peers (Saigal et al 2003). Furthermore, preterm survivors are less likely to graduate high school and pursue secondary education (Hack et al 2002;Moster et al 2008). …”

The cost efficiency of HPV vaccines is significantly underestimated due to omission of conisation-associated prematurity with neonatal mortality and morbidity

“…47,48 The estimated number of conisation-related prematurity was then determined using Table 1 from the publication of Ortoft et al 8 We [33][34][35][36][37][38][39][40][41][42][43][44][45] We calculated that 18, 24, and 65 children per year will statistically suffer from severe, moderate and mild lifelong disability due to conisation-related prematurity. 12,[33][34][35][36][37][38][39][40][41][42][43][44][45] Additionally, 27 children will statistically die due to prematurity. 12 Furthermore, we found that for treatment of preterm newborns in the neonatal intensive care unit (NICU) and care for life-long disability, 687 J have to be allocated per conization procedure.…”

Physiotherapy intervention for 4-5 year old children born extremely preterm and/or extremely low birth weight

“…However, although it appears that major disabilities amongst this population have stayed fairly constant over the past decade, the incidence of milder problems appears to be rising (Saigal & Doyle, 2008). It has been reported that up to 50% of very low birth weight (VLBW) children can present with problems of motor co-ordination, postural stability, attention and fitness from the age of three and four years, through school age and adolescence, and even into adulthood (Bos & Roze, 2011;Bracewell & Marlow, 2002;Burns et al, 2004;Burns et al, 2009;Danks, 2010;Goyen & Lui, 2009;Grunewaldt et al, 2014;Hack et al, 2002;Keller et al, 1998;Powls et al, 1995;Shumway-Cook et al, 2003;Spittle et al, 2009). For the purpose of this thesis, the emphasis will be on the following neurodevelopmental domains: motor, postural stability, and behaviour, cognitive function and attention.…”

“…However, the high prevalence of neurodevelopmental impairments in non-disabled extremely preterm born children is reported extensively in the literature, particularly in the domains of motor, postural stability, and behaviour, cognitive function and attention (Bos & Roze, 2011;Bracewell & Marlow, 2002;Burns et al, 2009;Danks, 2010;Goyen & Lui, 2009;Hack et al, 2002;Hack et al, 1995;Hutchinson et al, 2013;Keller et al, 1998;Powls et al, 1995;Saigal & Doyle, 2008). In the context of the dynamic systems theory of development, these neurodevelopmental impairments have the potential to have an adverse impact on development and life in general for these individuals (Sweeney et al, 2010).…”

“…In addition, extremely preterm or ELBW children who escape major disabilities are at high risk of neurodevelopmental problems which tend to be persistent and have considerable consequences (Bracewell & Marlow, 2002;Burns et al, 2004;Burns et al, 2009;Danks, 2010;Goyen & Lui, 2009;Hack et al, 2002;Keller et al, 1998;Powls et al, 1995). In the school setting, these impairments are detrimental, especially in terms of impact on academic functioning and social success (Reijneveld et al, 2006); (Bhutta et al, 2002).…”