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Development and behaviour of 5-year-old very low birthweight infants

[journal article]

Rautava, Liisi
Andersson, Sture
Gissler, Mika
Hallman, Mikko
Häkkinen, Unto
Korvenranta, Emmi
Korvenranta, Heikki
Leipälä, Jaana
Tammela, Outi
Lehtonen, Liisa

Abstract

The place and time of birth influence the mortality of premature infants. We studied the effect of prematurity, time of birth, birth hospital level and district on the development and behaviour in a national cohort of 5-year-old Finnish very low birthweight infants (VLBWI). All surviving VLBWI (gest... view more

The place and time of birth influence the mortality of premature infants. We studied the effect of prematurity, time of birth, birth hospital level and district on the development and behaviour in a national cohort of 5-year-old Finnish very low birthweight infants (VLBWI). All surviving VLBWI (gestational age <32 weeks or birthweight ≤1,500 g) born in 2001–2002 in level II or III hospitals in Finland and full-term controls were included. The parents of 588 (64%) VLBWI and 176 (46%) controls returned the Five to Fifteen questionnaire (FTF) on the development and behaviour of their 5-year-old children. The questionnaire scores were linked to data from the National Medical Birth Register, the Hospital Discharge Register, the Register of Congenital Malformations and the Cause of Death Register. VLBWI had lower developmental and behavioural scores compared to the controls in all FTF domains. In VLBWI, the scores were less optimal, the lower the gestational age was. The time of birth, birth hospital level and district were not associated with the developmental and behavioural scores in VLBWI. In conclusion, short duration of pregnancy adversely influences development and behaviour in VLBWI. Despite differences previously demonstrated in mortality related to time and place of birth, there were no differences in developmental and behavioural scores in VLBWI according to the time of birth, birth hospital level or district. Thus, the survival advantage in level III hospitals seems not to be gained at the expense of behavioural or developmental problems.... view less

Classification
Psychological Disorders, Mental Health Treatment and Prevention

Free Keywords
Development; Behaviour; Five to Fifteen; Follow-up; Preterm infant; Regionalisation

Document language
English

Publication Year
2010

Page/Pages
p. 669-677

Journal
European Child & Adolescent Psychiatry, 19 (2010) 8

DOI
https://doi.org/10.1007/s00787-010-0104-x

Status
Postprint; peer reviewed

Licence
PEER Licence Agreement (applicable only to documents from PEER project)


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© 2007 - 2025 Social Science Open Access Repository (SSOAR).
Based on DSpace, Copyright (c) 2002-2022, DuraSpace. All rights reserved.