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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Very Preterm Birth is Associated with Disabilities in Multiple Developmental Domains
1 Department of Psychology and Health, Pediatric Psychology, Tilburg University, 2 Emma Childrens 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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