• Psychomotor and social-emotional development of very preterm infants 
en To content

Psychomotor and social-emotional development of very preterm infants 

PERINATOLOGIYA I PEDIATRIYA.2014.2(58):25-29; doi 10.15574/PP.2014.58.25 

Psychomotor and social-emotional development of very preterm infants 
 

Vlasenkо D. Y.

Vinnitsya national medical university named after M.I. Pyrohov, Vinnitsya, Ukraine 
 

Purpose — follow-up monitoring of deep premature children until they reach 18 months of corrected age with the assessment of motor, cognitive and social-emotional development. 
 

Materials and methods. The combined use of scales of early development MSEL and adapted behavior questionnaires CBCL 1 1/2-5 and M-CHAT-R/F considering adjusted age and neurological disorders. 
 

Results. Frequency of deviations of motor and/or intellectual development in very preterm infants exceeds 70%, behavioral problems accompanied by 25% of them. The degree of lag in psychomotor development reaches 9–12 months in children with severe pathology of the central nervous system and 3–5 months in children without it. There is a strong correlation between the level of psychomotor development and frequency of behavioral abnormalities. 
 

Conclusion. Severe neurological pathology in the neonatal period increases the chances of motor delays in 15 times, and cognitive — in 6 times in 18 months adjusted age, not significantly affecting the socio-emotional status of preterm infants. 
 

Key words: premature infants, extremely low birth weight, follow-up, psychomotor retardation, autism, behavior problems. 
 

REFERENCES

1. Колмагорова АВ. 2007. Оценка психического здоровья в раннем возрасте. Бюлетень CO РАМН 3(125): 46—52.

2. Achenbach TM, Rescorla. LA. 2001. Manual for the ASEBA preschool forms and profiles. Burlington, VT: University of Vermont, Research Centre for Children: 178.

3. Laptook AR, O'Shea TM, Shankaran S et al. 2012. Adverse Neurodevelopmental Outcomes Among Extremely Low Birth Weight Infants With a Normal Head Ultrasound: Prevalence and Antecedents. Pediatrics 115: 673—680.

4. Akshoomoff N. 2006. Use of the Mullen Scales of Early Learning for the Assessment of Young Children with Autism Spectrum Disorders. Child Neuropsychol 12(4—5): 269—277.

5. Conrad AL, Richman L, Lindgren S. 2010. Biological and Environmental Predictors of Behavioral Sequelae in Children Born Preterm. Pediatrics 125: 83—89.

6. Limperopoulos C, Bassan H, Gauvreau K et al. 2007. Does Cerebellar Injury in Premature Infants Contribute to the High Prevalence of Long-term Cognitive, Learning, and Behavioral Disability in Survivors? Pediatrics 120(3): 584—593.

7. Goddeeris JH, Saigal S, Boyle MH et al. 2010. Economic Outcomes in Young Adulthood for Extremely Low Birth Weight Survivors. Pediatrics 126: 1102—1108.

8. Karmel BZ, Gardner JM, Meade LS. 2010. Early Medical and Behavioral Characteristics of NICU Infants Later Classified With ASD. Pediatrics 126(3): 457—467.

9. Mullen EM. 1995. Mullen Scales of Early Learning (AGS Edition) / E.M. Mullen. — Circle Pines, MN: American Guidance Service.

10. O'Shea TM, Downey LC, Kuban KKC. 2013. Extreme prematurity and attention deficit: epidemiology and prevention. Frontiers in Human Neuroscience 7: 578.

11. O'Shea TM, Kuban KCK, Allred EN. 2008. Neonatal Cranial Ultrasound Lesions and Developmental Delays at 2 Years of Age Among Extremely Low Gestational Age Children. Pediatrics 122(3): 662—666.

12. Limperopoulos C, Bassan H, Sullivan NR et al. 2008. Positive Screening for Autism in Ex-preterm Infants: Prevalence and Risk Factors. Pediatrics 121(4):758—765.

13. Robins DL, Fein D, Barton ML. 2009. The Modified Checklist for Autism in Toddlers with Follow-Up, Revised: an initial study investigating the early detection of autism and pervasive developmental disorders. J Autism Dev Disord 31: 131—144.