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Neurodevelopment at seven years and parents' feelings of prematurely born children

BACKGROUND: The evolution of knowledge and technical advances in neonatal resuscitation have improved the survival of very premature babies. However, the long-term neurodevelopmental prognosis and cognitive and learning abilities are still uncertain. OBJECTIVE: This study aimed to evaluate the neuro...

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Autores principales: Mercier, Clémentine, Deforge, Hélène, Hascoët, Jean-Michel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9760962/
https://www.ncbi.nlm.nih.gov/pubmed/36545662
http://dx.doi.org/10.3389/fped.2022.1004785
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author Mercier, Clémentine
Deforge, Hélène
Hascoët, Jean-Michel
author_facet Mercier, Clémentine
Deforge, Hélène
Hascoët, Jean-Michel
author_sort Mercier, Clémentine
collection PubMed
description BACKGROUND: The evolution of knowledge and technical advances in neonatal resuscitation have improved the survival of very premature babies. However, the long-term neurodevelopmental prognosis and cognitive and learning abilities are still uncertain. OBJECTIVE: This study aimed to evaluate the neurodevelopment and learning abilities of 7-year-old children born prematurely, and their parents' feelings at 8 years of age. PATIENTS AND METHODS: Data from children born before 33 weeks gestation in a level III maternity hospital and involved in a regional follow-up network were analyzed at 7 years of age. Neurodevelopmental abnormalities were defined as cerebral palsy, hearing or visual impairment, and/or behavioral abnormalities. School performance was evaluated by the EDA test. A parents' questionnaire assessed their feelings about the child's and family's quality of life at 8 years of age. RESULTS: At 7 years of age, 51% of the 238 children presented neurodevelopmental abnormalities: 3.3% with cerebral palsy, 6.2% with hearing impairments, 50.7% with visual impairments, and 11.3% with behavioral disorders. The children with neurodevelopmental abnormalities had lower gestational age (29.0 ± 2.0 vs. 30.0 ± 2.1 weeks, p = 0.003) and more EEG abnormalities during the neonatal period (31.1% vs. 19.8%, p = 0.048) than the children without abnormalities. Ninety-four percent of the children with abnormalities were enrolled in normal schools, 33% with special support. In the overall cohort, 31% of the children had all academic performance scores in the normal range of the reference population. At 8 years old, 39% of the parents of children with neurodevelopmental abnormalities felt that their child's situation significantly impacted their quality of life compared to 14% of parents of children without neurodevelopmental abnormality (p = 0.022). CONCLUSION: Half of children born very prematurely present with long-term neurodevelopmental abnormalities, which their parents feel significantly impacts their quality of life.
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spelling pubmed-97609622022-12-20 Neurodevelopment at seven years and parents' feelings of prematurely born children Mercier, Clémentine Deforge, Hélène Hascoët, Jean-Michel Front Pediatr Pediatrics BACKGROUND: The evolution of knowledge and technical advances in neonatal resuscitation have improved the survival of very premature babies. However, the long-term neurodevelopmental prognosis and cognitive and learning abilities are still uncertain. OBJECTIVE: This study aimed to evaluate the neurodevelopment and learning abilities of 7-year-old children born prematurely, and their parents' feelings at 8 years of age. PATIENTS AND METHODS: Data from children born before 33 weeks gestation in a level III maternity hospital and involved in a regional follow-up network were analyzed at 7 years of age. Neurodevelopmental abnormalities were defined as cerebral palsy, hearing or visual impairment, and/or behavioral abnormalities. School performance was evaluated by the EDA test. A parents' questionnaire assessed their feelings about the child's and family's quality of life at 8 years of age. RESULTS: At 7 years of age, 51% of the 238 children presented neurodevelopmental abnormalities: 3.3% with cerebral palsy, 6.2% with hearing impairments, 50.7% with visual impairments, and 11.3% with behavioral disorders. The children with neurodevelopmental abnormalities had lower gestational age (29.0 ± 2.0 vs. 30.0 ± 2.1 weeks, p = 0.003) and more EEG abnormalities during the neonatal period (31.1% vs. 19.8%, p = 0.048) than the children without abnormalities. Ninety-four percent of the children with abnormalities were enrolled in normal schools, 33% with special support. In the overall cohort, 31% of the children had all academic performance scores in the normal range of the reference population. At 8 years old, 39% of the parents of children with neurodevelopmental abnormalities felt that their child's situation significantly impacted their quality of life compared to 14% of parents of children without neurodevelopmental abnormality (p = 0.022). CONCLUSION: Half of children born very prematurely present with long-term neurodevelopmental abnormalities, which their parents feel significantly impacts their quality of life. Frontiers Media S.A. 2022-12-05 /pmc/articles/PMC9760962/ /pubmed/36545662 http://dx.doi.org/10.3389/fped.2022.1004785 Text en © 2022 Mercier, Deforge and Hascoët. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Mercier, Clémentine
Deforge, Hélène
Hascoët, Jean-Michel
Neurodevelopment at seven years and parents' feelings of prematurely born children
title Neurodevelopment at seven years and parents' feelings of prematurely born children
title_full Neurodevelopment at seven years and parents' feelings of prematurely born children
title_fullStr Neurodevelopment at seven years and parents' feelings of prematurely born children
title_full_unstemmed Neurodevelopment at seven years and parents' feelings of prematurely born children
title_short Neurodevelopment at seven years and parents' feelings of prematurely born children
title_sort neurodevelopment at seven years and parents' feelings of prematurely born children
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9760962/
https://www.ncbi.nlm.nih.gov/pubmed/36545662
http://dx.doi.org/10.3389/fped.2022.1004785
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