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Journal of Pediatric Psychology Advance Access published online on February 23, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsi035
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Journal of Pediatric Psychology © Society of Pediatric Psychology 2005; all rights reserved.

Article

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

* To whom correspondence should be addressed.
Anneloes L. van Baar, E-mail: a.vanbaar{at}uvt.nl


  Abstract

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.

Keywords: premature; disabilities; school outcome.
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