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Intellectual outcome, speech and school performance in high risk preterm children with birth weight appropriate for gestational age

  • Growth and Development
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Abstract

Intellectual development, speech and school performance of preterm infants with birth weight appropriate for gestational age are reported in two separate investigations: a longitudinal study of 97 preterm children and 93 term children as a control group, and a cross-sectional study of 249 preterm children. Both preterm groups were regarded as high risk groups with respect to number of outborns, distribution of gestational age and perinatal risk factors. Intellectual outcome at 5 and 7 years of age in the majority of the preterm children was comparable to that of the term children. However, 8% of the preterm boys and 2% of the preterm girls achieved lower IQ scores than any of the term children. Between 15% and 17% of the preterm boys and 9%–12% of the preterm girls did not attend school at grade level, compared to 4% and 2% in the term group, respectively. Intellectual and neurological development and school performance were higher interrelated in the preterm than in the term children. Articulation defects, stuttering and dysgrammatism occurred more frequently in the preterm than in the term children and in boys more so than in girls.

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Abbreviations

AGA:

weight appropriate for gestational age

CS:

cross-sectional study

IQ:

intelligence quotient

LS:

longitudinal study

References

  1. Bax M (1983) Following up the small babies (Editorial). Dev Med Child Neurol 25:415–416

    Google Scholar 

  2. Calame A, Fawer CL, Clayes V, Arrazola L, Ducret S, Jannin L (1986) Neurodevelopmental outcome and school performance of very-low-birthweight infants at 8 years of age. Eur J Pediatr 145:461–466

    PubMed  Google Scholar 

  3. Cohen SE, Parmelee AH, Beckwith, L, Sigman M (1986) Cognitive development in preterm infants: birth to 8 years. Dev Behav Pediatr 7:102–110

    Google Scholar 

  4. DeHirsch K, Jansky J, Langford WS (1966) Comparisons between prematurely and maturely born children at three age levels. Am J Orthopsychiatry 36:616–627

    PubMed  Google Scholar 

  5. Drillien CM, Thomson AJM (1980) Low birthweight children at early school-age: a longitudinal study. Dev Med Child Neurol 22:26–47

    PubMed  Google Scholar 

  6. Dunn HG (1986) Sequelae of low-birthweight: the Vancouver study. Clin Dev Med 95/96

  7. Eilers BL, Desai N (1985) Classroom performance and social factors of children with birthweights of 1250 grams or less. Follow up at 5–8 years of age. Pediatrics 77:203–208

    Google Scholar 

  8. Eggert D, Schuch KD (1975) Hannover Wechsler Intelligenztest für das Vorschulalter. Hans Huber, Bern

    Google Scholar 

  9. Francis-Williams J, Davies PA (1974) Very low birthweight and later intelligence. Dev Med Child Neurol 16:709–728

    PubMed  Google Scholar 

  10. Kitchen WH, Ryan MM, Rickards A, Astbury J, Ford G, Lissenden JV, Keir EH, Keith CG (1982) Changing outcome over 13 years of very low birthweight infants. Semin Perinatol 6:373–389

    PubMed  Google Scholar 

  11. Largo RH, Wälli R, Duc G, Fanconi A, Prader A (1980) Evaluation of perinatal growth. Helv Paediatr Acta 35:419–436

    PubMed  Google Scholar 

  12. Largo RH, Molinari L, Comenale-Pinto L, Weber M, Duc G (1986) Language development of term and preterm children during the first five years of life. Dev Med Child Neurol 28:333–350

    PubMed  Google Scholar 

  13. Largo RH, Pfister D, Molinari L, Kundu S, Lipp A, Duc G (1989) Significance of prenatal, perinatal and postnatal factors in the development of AGA preterm infants at five to seven years. Dev Med Child Neurol 31:440–456

    PubMed  Google Scholar 

  14. Largo RH, Graf S, Kundu S, Hunziker U, Molinari L (1990) Predicting developmental outcome at schoolage from infant tests in normal, at-risk and retarded infants. Dev Med Child Neurol 32:30–45

    PubMed  Google Scholar 

  15. Largo RH, Molinari L, Kundu S, Hunziker U, Duc G (1990) Neurological outcome in high risk weight appropriate for gestational age preterm children at early schoolage. Eur J Pediatr 149:835–844

    PubMed  Google Scholar 

  16. Lloyd BW, Weldhall K, Perks D (1988) Controlled study of intelligence and school performance of VLBW children from a defined geographical area. Dev Med Child Neurol 30:36–42

    PubMed  Google Scholar 

  17. Michelsson K, Lindahl E, Parre M, Helenius M (1984) Nine year follow up of infants weighing 1500 gr or less at birth. Acta Pediatr Scand 73:835–841

    Google Scholar 

  18. Mitchell RG (1980) Perinatal follow-up (Editorial). Dev Med Child Neurol 22:1–2

    Google Scholar 

  19. Neligan GA, Kolvin I (1976) Born too soon or born to small, a follow-up study to seven years of age. Clin Dev Med 61

  20. Nickel RE, Bennett FG, Lawson FN (1982) School performance of children with birthweights of 1000 g or less. Am J Dis Child 136:105–110

    PubMed  Google Scholar 

  21. Touwen BCL (1986) Very low birth weight infants (Editorial). Eur J Pediatr 145:460

    PubMed  Google Scholar 

  22. Vohr BR, Garcia Coll CT (1985) Neurodevelopmental and school performance of very low-birthweight infants: a seven year longitudinal study. Pediatrics 76:345–350

    PubMed  Google Scholar 

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Largo, R.H., Molinari, L., Kundu, S. et al. Intellectual outcome, speech and school performance in high risk preterm children with birth weight appropriate for gestational age. Eur J Pediatr 149, 845–850 (1990). https://doi.org/10.1007/BF02072071

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  • DOI: https://doi.org/10.1007/BF02072071

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