Early developmental outcomes predicted by gestational age from 35 to 41 weeks
| Autor: | Candace Cowling, Jing Chen, Brian Haskin, Gwenden Dueker |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Specific risk Gestational Age 010501 environmental sciences Logistic regression 01 natural sciences 03 medical and health sciences Child Development 0302 clinical medicine Due date 030225 pediatrics Cognitive problems medicine Humans 030212 general & internal medicine 0105 earth and related environmental sciences Obstetrics business.industry Infant Newborn Outcome measures Infant Obstetrics and Gynecology Gestational age General Medicine Late Preterm Birth Neurodevelopmental Disorders Pediatrics Perinatology and Child Health Gestation Female business Infant Premature 030217 neurology & neurosurgery |
| Zdroj: | Early Human Development. 103:85-90 |
| ISSN: | 0378-3782 |
| Popis: | Background Recent studies have indicated that children born only a few weeks earlier than their due date experience more health and cognitive problems than previously realized. Aims Our study investigated whether gestational age (GA) at birth (35-41weeks) predicted developmental outcomes at 8, 12, 20, or 24months of age. Study design Archival records of developmental screening scores collected between 2006 and 2012 were analyzed using negative binomial and logistic regressions models. Subjects Eight-month (N=3319), 12-month (N=2303), 20-month (N=1461) and 24-month (N=1222) old children were assessed in a county-wide developmental screening program. Outcome measures Ages and Stage Questionnaires (ASQs) scores. Results After controlling for demographic covariates, from 35weeks of gestation on, each additional week of gestation (through 41) significantly reduced the overall risk for developmental delay at 8,12, 20 and 24-months of age. Gestational age also uniquely predicted specific risk for delay in the domains of communication , personal-social , fine-motor , and problem solving at various time-points during the first two years of life. Conclusions With each additional week of gestation past 35weeks there was a graded decrease in the overall risk of developmental delay as well as in specific domains such as communication across the first two years of life. This evidence for the "dose-response" effect of GA on later development suggests that close monitoring of developmental outcomes for children born before 40weeks is warranted. |
| Databáze: | OpenAIRE |
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