Prematurity and Language Developmental Outcomes in Preschool Age
Keywords:language development outcomes, early and late preterm, preschool age
Global progress in child survival and health cannot be achieved without addressing preterm birth, because every year an estimated 15 million babies are born preterm. Over 1 million children die each year due to complications of preterm birth. Complications highly associated with prematurity include acute respiratory, gastrointestinal, immunologic, central nervous system, as well as longer-term motor, cognitive, behavioral, social-emotional, health, growth and language problems. The aim of the study was assessment of language skills at school aged children born premature and identification of risk factors affecting language development outcomes. Case-control retrospective study was conducted in Child Developmental Center of M. Iashvili Children’s Central Hospital (Georgia, Tbilisi).We evaluate language skills in 72+3 months old children (n=134). Children were divided into study (n=80) and control (n=54) groups. Groups were homogenous based on child age, gender, maternal health, maternal education, household income, family structure. Statistical analysis was based on SPSS 20. The difference in language development assessment among the full-term and late preterm children shows low correlation and is not significant (Cramer’s V is 0,118; Pearson Chi-square data 0,098 (p>0,05). While the language assessment data in early and moderate preterm group compared to term infants show significant difference (Cramer’s V is 0,354, Pearson Chi-square data 0,004). Statistical analysis show medium correlation, value (p<0,05), which tell us, that language development is a significantly associated with gestational age. So, small gestational age is correlated with language development problems. Early detection of minimal delays and starting early intervention services can improve developmental outcomes of preterm children. High-quality and stable child care is important for all infants, but especially to those who may be at risk of prematurity.
WHO-Early Child Development www.who.int/maternal child.../topics/child/ development/ en/
Born Too Soon: The Global Action Report on Preterm Birth
Behrman RE, Butler AS. The Preterm Birth: Causes, Consequences, and Prevention. Institute of Medicine (US) Committee on Understanding Premature Birth and Assuring Healthy Outcomes. Washington (DC): National Academies Press (US); 2007. The National Academies Collection: Reports funded by National Institutes of Health.
Who - The worldwide incidence of preterm birth: a systematic review of maternal mortality and morbidityStacy Beck a, Daniel Wojdyla b, Lale Say c, Ana Pilar Betran c,
Mario Merialdi c, Jennifer Harris Requejo d Craig Rubens e, Ramkumar Menon f& Paul FA Van Look g.
Developmental potential in the first 5 years for children in developing countries Sally Grantham-McGregor,a Yin Bun Cheung,b Santiago Cueto,c Paul Glewwe,d Linda Richter, e Barbara Strupp,f and the International Child Development Steering Group‡ Lancet. 2007 Jan 6; 369(9555): 60–70.
Attention problems and language development in preterm low-birth-weight children: Cross-lagged relations from 18 to 36 months. Luisa A Ribeiro,1 Henrik D Zachrisson,1 Synnve Schjolberg,1 Heidi Aase,1 Nina Rohrer-Baumgartner,1 and Per Magnus2 BMC Pediatr. 2011; 11: 59. Published online 2011 Jun 29.
Early delayed language development in very preterm infants: Evidence from the MacArthur-Bates CDI*SUSAN FOSTER-COHENa1 c1, JAMIE O. EDGINa2, PATRICIA R. CHAMPIONa3 and LIANNE J. WOODWARDa4..
Holm, A., & Crosbie, S. (2010). Literacy skills of children born premature.
Australian Journal of Learning Difficulties.
Jansson-Verkasalo, E., Ruusuvirta, T., Huotilainen, M., Paavo, A., Kushnerenko, E., Suominen, K., ...Hallman, M. (2010). Atypical perceptual narrowing in prematurely born infants is associatedwith compromised language acquisition at 2 years of age. BMC Neuroscience.
Long-term neurodevelopmental outcomes of infants born late preterm: a systematic review Authors Tripathi T, Dusing SC Received 2 July 2015 Accepted for publication 7 August 2015 Published 9 November 2015 Volume 2015:5 Pages 91—111.
Early Childhood Development of Late-Preterm Infants: A Systematic Review
Jennifer E. McGowan, Fiona A. Alderdice, Valerie A. Holmes, Linda JohnstonPediatrics
June 2011, VOLUME 127 / ISSUE 6.
International Journal of Sciences: Basic and Applied Research (IJSBAR) ISSN 2307-
Evaluation of School Readiness Outcomes in Preterm and SGA Infant Ivanashvili T. a *, Tabatadze T. b , Kherkheulidze M. c , Karseladze R. d , Kandelaki E. e.