Developmental outcomes of very preterm children with high parental education level

Houdt, Carolien A. van; Wassenaer-Leemhuis, Aleid G. van; Oosterlaan, Jaap; Kaam, Anton H. van; Aarnoudse-Moens, Cornelieke S.H.

doi:10.1016/j.earlhumdev.2019.04.010

Cited by 27 publications

(15 citation statements)

References 32 publications

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“…Additionally, we found negative associations between elevated behavioral problems and lower paternal education level within the PT group. This outcome is in keeping with previous findings of children with one highly educated parent performing poorer than children with two highly educated parents ( 31 ). Consequently, parental educational level may be an important factor to include in studies of cognitive performance and development in children born PT and in relation to behavioral and mental problems.…”

Section: Discussionsupporting

confidence: 92%

“…In PT pediatric populations, low parental socioeconomic status in children born moderately PT has been found to associate with greater emotional and behavioral problems (30). A recent study of children born very PT compared with FT at 8-12 years found that children with two highly educated parents performed better than did children with just one highly educated parent on most measures of cognitive and behavioral functioning (31). Therefore, independently and/or in interaction, pre-and perinatal risk factors, GA, and parental socioeconomic status are seemingly important determinants that may influence cognitive performance and mental health in both children born PT and FT.…”

Section: Introductionmentioning

confidence: 99%

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Risk for Behavioral Problems Independent of Cognitive Functioning in Children Born at Low Gestational Ages

et al. 2020

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This study aimed to investigate cognitive and behavioral outcomes in relation to gestational age (GA) in school-aged children born preterm (PT). Results from the Wechsler Intelligence Scale for Children, 4th edition (WISC-IV), and the Child Behavior Checklist (CBCL) were analyzed in 51 children (mean age: 7.8 years [range: 7.0-8.7]) born PT (mean GA: 31 weeks [range: 23-35]; birth weight, mean: 1,637 g [range: 404-2,962]) with the majority (96%) having no diagnosed cognitive, sensory, or motor impairments. The control group included 57 age-matched typically developing children (mean age: 7.9 years [range: 6.2-8.7]) born full-term (FT). Children born PT, extremely PT (GA < 28) in particular, showed significantly lower cognitive performance and higher behavioral problem scores compared with children born FT. GA was found to predict aspects of both cognitive functioning and behavioral problems within the PT group, with lower GA being related to both poorer cognitive outcomes and elevated affective and attention-deficit/hyperactivity problems. Global cognitive functioning did not independently predict aspects of behavioral outcomes. Findings demonstrate that, even in children born PT without severe perinatal and/or postnatal complications and receiving active perinatal care, a short gestation is an evident risk factor for long-term negative effects on mental health independent of cognitive functioning. Additional findings suggest that both reduced growth and lower parental educational level may contribute to increased risk for poorer cognitive and behavioral functioning in children born PT.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Risk for Behavioral Problems Independent of Cognitive Functioning in Children Born at Low Gestational Ages

et al. 2020

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“…Preterm birth complications are a leading cause of under-five mortality, causing more than one million deaths per year (3). In addition to the much higher mortality risk, children born preterm face higher rates of neurodevelopmental disability as well as delays in their physical and cognitive abilities more generally (4)(5)(6)(7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

Kangaroo mother care for preterm infants and child development – evidence from São Paulo, Brazil

Onyango

Brentani

Fink

2021

Early Child Development and Care

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Background An estimated 15 million children are born prematurely each year globally, resulting in a high burden of under-five mortality and neurodevelopmental disability. Kangaroo Mother Care (KMC) is recognized as key intervention to support the development of preterm infants. Even though the benefits of KMC have been well documented in randomized controlled trials, evidence on the impact of KMC in routine care settings remains limited. Methods This paper examines the associations between maternal Kangaroo Mother Care efforts and child development among preterm infants born at the University Hospital of São Paulo, Brazil. Primary study outcomes were physical development (HAZ) and cognitive development at age 3.Results Practicing Kangaroo Mother Care was positively associated with physical development (+0.91 SD, 95% confidence intervals [0.126, 1.695]), and cognition (+0.37 SD, [0.034, 0.806]) of preterm children at age 3.Conclusion The results presented suggest that KMC has a large potential to improve children's cognitive and physical development. New programs to increase KMC uptake in the setting studied may be beneficial for both mothers and their preterm children.

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Section: Introductionmentioning

confidence: 99%

“…Acknowledgement: 9 We would like to acknowledge and thank the staff at the University Hospital of São Paulo as well as all study subjects for their support of this study.…”

mentioning

confidence: 99%

Kangaroo Mother Care for Preterm Infants and Child Development – Evidence from São Paulo, Brazil

Onyango

Brentani

Fink

2019

Preprint

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Background An estimated 15 million children are born prematurely each year globally, resulting in a high burden of under-five mortality and neurodevelopmental disability. Kangaroo Mother Care (KMC) is recognized as key intervention to support the development of preterm infants. Even though the benefits of KMC have been well documented in randomized controlled trials, evidence on the impact of KMC in routine care settings remains limited.Methods This paper examines the associations between maternal Kangaroo Mother Care efforts and child development among preterm infants born at the University Hospital of São Paulo, Brazil. Primary study outcomes were physical development (HAZ) and cognitive development at age 3.Results Practicing Kangaroo Mother Care was positively associated with physical development (+0.91 SD, 95% confidence intervals [0.126, 1.695]), and cognition (+0.37 SD, [0.034, 0.806]) of preterm children at age 3.Conclusion The results presented suggest that KMC has a large potential to improve children’s cognitive and physical development. New programs to increase KMC uptake in the setting studied may be beneficial for both mothers and their preterm children.

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Developmental outcomes of very preterm children with high parental education level

Cited by 27 publications

References 32 publications

Risk for Behavioral Problems Independent of Cognitive Functioning in Children Born at Low Gestational Ages

Risk for Behavioral Problems Independent of Cognitive Functioning in Children Born at Low Gestational Ages

Kangaroo mother care for preterm infants and child development – evidence from São Paulo, Brazil

Kangaroo Mother Care for Preterm Infants and Child Development – Evidence from São Paulo, Brazil

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