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  • Title: Preterm infants' early developmental status is associated with later developmental outcome.
    Author: Lundqvist-Persson C, Lau G, Nordin P, Bona E, Sabel KG.
    Journal: Acta Paediatr; 2012 Feb; 101(2):172-8. PubMed ID: 21848854.
    Abstract:
    AIM: To assess the development of preterm infants from 40 weeks gestational age to 18 months corrected age to identify early predictors of later development. METHODS: Fifty-one infants were involved. Infant development was assessed at 40 and 44 weeks gestational age with the Brazelton neonatal behavioral assessment scale and a self-regulation scale and at 3, 6, 10, 18 months corrected age with the Bayley Scales of Infant Development. The quality of general movements was assessed at 1 and 3 months corrected age and maternal attachment style at infant's age of 6 months corrected age with the Relation Scale Questionnaire. RESULTS: At term age and 1-month corrected age, preterm infants were less mature and had lower levels of self-regulation than full-term infants. At 3 months corrected age, a higher proportion of preterm infants (43%) had mildly abnormal motor quality compared to the general population (25%). At all follow-ups, preterm infants had delayed mental, motor and behavioural development, which was associated with the level of self-regulation, motor quality and maternal attachment style. Maternal education level was the most predominant background factor related to infant development. CONCLUSION: Preterm infants show early-in-life deviations in self-regulation, motor quality and development. These deviations are risk factors for later optimal functioning.
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