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Journal of Pediatric Psychology Advance Access originally published online on February 23, 2005
Journal of Pediatric Psychology 2005 30(3):247-255; doi:10.1093/jpepsy/jsi035
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Journal of Pediatric Psychology vol. 30 no. 3 © Society of Pediatric Psychology 2005; all rights reserved.

Very Preterm Birth is Associated with Disabilities in Multiple Developmental Domains

Anneloes L. van Baar, PhD1, Aleid G. van Wassenaer, MD, PhD2, Judy M. Briët, PhD2, Friedo W. Dekker, PhD3 and Joke H. Kok, MD, PhD2

1 Department of Psychology and Health, Pediatric Psychology, Tilburg University, 2 Emma Children’s Hospital, Department of Neonatology, Academic Medical Center, University of Amsterdam and 3 Department of Clinical Epidemiology, Leiden University Medical Center

All correspondence concerning this article should be addressed to Anneloes L. van Baar, Tilburg FSW, Room P 704, PO Box 90153, 5000 LE Tilburg, The Netherlands. E-mail: a.vanbaar{at}uvt.nl.

Objective Follow-up studies in very preterm children usually present outcome for separate developmental domains. Presence of disabilities in more than one developmental domain will show a more serious outcome picture for extreme preterm infants and may be related to a different degree of perinatal problems. Methods At 5.5 years corrected age, outcome in the neurological, motor, cognitive, and behavioral domain was studied in 157 children born <30 weeks gestation. The children were divided into a normal, a single, or a multiple disability group. Group differences in background, clinical characteristics, and neurodevelopmental outcome at 2 years were evaluated. Results Thirty-nine percent had a normal developmental outcome, 17% had a single disability, and 44% had multiple disabilities. Multiple disabilities were associated with lower birth weight, BPD, and difficulties according to neurodevelopmental assessments at 2 years. Conclusion Assessments of different developmental domains show that most very preterm children had multiple disabilities.

Key words: premature; disabilities; school outcome.


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