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Low Birthweight Children (low + birthweight_child)
Selected AbstractsPredictors of neurodevelopmental outcome of Malaysian very low birthweight children at 4 years of ageJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 4 2001LC Ong Objective: To determine neonatal, early developmental and social risk factors that predict the neurocognitive and behavioural outcome of very low birthweight (VLBW) preschool children at four years of age. Methodology: From a cohort of 151 eligible VLBW survivors born in Kuala Lumpur Maternity Hospital, 116 (76.8%) were prospectively followed up from birth till four years. A standardised neurological examination was performed at one and four years to determine the presence of impairment and cerebral palsy, respectively. Cognitive development was assessed using the Mental Scale of the Bayley Scales of Infant Development (MDI) at one year and the Weschler Preschool and Primary Scale of Intelligence-Revised (WIPPSI-R) at four years. Motor coordination was assessed using the Movement Assessment Battery for Children (Movement-ABC). Mothers completed the Child Behaviour Checklist (CBCL) and Parenting Stress Index (PSI) questionnaires. Logistic and multiple regression analyses were used to determine factors associated with cerebral palsy, IQ scores, Movement-ABC and CBCL scores. Results: Factors associated with cerebral palsy were lower MDI scores at one year (P = 0.001) and late neonatal cranial ultrasound abnormalities (P = 0.036). Minor (P = 0.016) or major impairment (P = 0.003) at one year of age and a low level of paternal education (P = 0.01) were associated with poor motor function on the Movement-ABC scale. Lower levels of maternal education (P < 0.001), impairment at one year (P = 0.002) and late neonatal cranial ultrasound abnormalities (P = 0.039) predicted Full Scale IQ scores. Higher PSI scores (P = 0.001), younger mothers (P = 0.003) and late neonatal cranial ultrasound abnormalities (P = 0.009) were associated with worsened child behaviour scores on the CBCL scale. Conclusion: Social factors and the caregiving environment were important determinants of cognitive and behavioural outcome. Cranial ultrasound abnormalities in the late neonatal period and the developmental status at one year might be useful in identifying high risk infants in need of long-term surveillance. [source] Motor skills in adolescents with low birthweightCHILD: CARE, HEALTH AND DEVELOPMENT, Issue 1 2005Richard Reading Background Minor motor problems have been reported in low birthweight children, but few studies have assessed motor skills in adolescents. Objective To examine the prevalence of motor problems in adolescents with low birthweight. Methods Fifty-four very low birthweight (VLBW: birth weight ,1500 g), 59 term small for gestational age (SGA: birthweight <10th centile), and 83 control (birthweight ,10th centile at term) children were assessed with the movement assessment battery for children (Movement ABC) at the age of 14 in a population-based study. Results One in four VLBW children [odds ratio (OR) 9.3, 95% confidence interval (CI) 2.5,34.5] and one in six SGA children (OR 4.7, 95% CI 1.2,18.4) had motor problems compared with controls (3.7%). There were no sex differences in motor problems in the VLBW group, and the increased risk was consistent across the continuum of the Movement ABC. For SGA children, the increased risk of motor problems was particularly in manual dexterity in boys. Conclusion VLBW and SGA adolescents have increased risk of motor problems compared with control children. [source] Academic achievement, behavioural outcomes and MRI findings at 15 years of age in very low birthweight children.ACTA PAEDIATRICA, Issue 12 2008Acta Paediatr 200, Gäddlin et al. No abstract is available for this article. [source] Child health services in transition: I. Theories, methods and launchingACTA PAEDIATRICA, Issue 3 2005C. SUNDELIN Abstract Aim: To describe an evidence-based model for preventive child health care and present some findings from baseline measurements. Methods: The model includes: parent education; methods for interaction and language training; follow-up of low birthweight children; identification and treatment of postnatal depression, interaction difficulties, motor problems, parenthood stress, and psychosocial problems. After baseline measurements at 18 mo (cohort I), the intervention was tested on children from 0 to 18 mo at 18 child health centres in Uppsala County (cohort II). Eighteen centres in other counties served as controls. Two centres from a privileged area were included in the baseline measurements as a "contrasting" sample. Data are derived from health records and questionnaires to nurses and mothers. Results: Baseline experiment (n= 457) and control mothers (n= 510) were largely comparable in a number of respects. Experiment parents were of higher educational and occupational status, and were more frequently of non-Nordic ethnicity. Mothers in the privileged area (n= 72) differed from other mothers in several respects. Experiment nurses devoted considerably fewer hours per week to child health services and to child patients than did control nurses. Conclusions : Despite certain differences, experiment and control samples appeared comparable enough to permit, in a second step, conclusions about the effectiveness of the intervention. [source] | ||||||||||