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VLBW Children (vlbw + child)
Selected AbstractsAttention Problems in Very Low Birth Weight Preschoolers: Are New Screening Measures Needed for This Special Population?JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 2 2007Deborah Winders Davis DNS PROBLEM:,Children born prematurely have been shown to have a range of problems that often result in delayed academic achievement. METHODS:,The current study assessed both attention problem scores (Child Behavior Checklist) and actual performance on tasks tapping three attention networks in a sample of children (n = 94) born with very low birth weights (VLBW; , 1500 grams). FINDINGS:,Attention problem scores were extremely low and did not predict children's actual attention performance. CONCLUSIONS:,A body of research is developing that suggests VLBW children may have specific, yet subtle, attention problems that may differ from those of other children. [source] Age of sitting unsupported and independent walking in very low birth weight preterm infants with normal motor development at 2 yearsACTA PAEDIATRICA, Issue 11 2009MA Marín Gabriel Abstract Aims:, The aims of this study is to (i) determine the age of sitting unsupported and independent walking in preterm infants with birth weight under 1500 g (very low birth weight, VLBW); (ii) estimate differences between VLBW children and a reference population and (iii) estimate the association between clinical characteristics and late age at sitting and walking. Methods:, A longitudinal study was conducted of a cohort of 876 children with VLBW. The World Health Organization (WHO) motor development study population was used as a reference. Ages for both skills were established by interview with parents. Means were compared with t -test, ANOVA and Bonferroni adjustment where appropriate. Results:, The inclusion criteria were complied with 694 patients; 50% of VLBW sat at 7 m corrected age (CA) and walked at 13 m CA. Both motor skills were acquired later (7.3 ± 1.5 and 13.6 ± 2.8 m) compared with the control group (6 ± 1.1 and 12.1 ± 1.8 m). Weight or head circumference at birth below the 10th percentile or the presence of bronchopulmonary dysplasia were associated with delayed acquisition of both skills. Conclusion:, Very low birth weight infants typically sit unsupported and walk later than term infants. Tables describing reference values for milestones acquisition for different categories of infants (gestational age, birth weight and other determinants) may contribute to inform the decision making process on access to available resources. [source] Most very low birth weight subjects do well as adultsACTA PAEDIATRICA, Issue 9 2009P-O Gäddlin Abstract Aim:, To study health, quality of life, educational level and occupation in very low birth weight (VLBW) children in early adulthood and the relationship of the findings to neonatal risk factors and later handicap. Methods:, This is a prospective long-term follow-up study of a regional cohort of 20-year-old VLBW subjects (n = 77) of all surviving VLBW children (n = 86) and 69/86 term controls born in 1987,1988 in the south-east of Sweden. Postal questionnaires were used: 1. A study-specific form, 2. Medical Outcomes Study, Short Form (SF-36), 3. Sense of Coherence. Results:, VLBW subjects did not differ significantly from their controls in self-perceived health, use of tobacco, education, occupation and way of living, or scoring on SF-36 and Sense of Coherence. Sixteen had cerebral palsy, attention deficit hyperactivity disorder or isolated mental retardation, and these subjects differed significantly from controls on SF-36 in physical functioning and physical health score, but not on Sense of Coherence. VLBW subjects were significantly lighter and shorter than their controls. Extremely low birth weight (ELBW), bronchopulmonary dysplasia and intraventricular haemorrhage were significantly associated with poorer scores on physical function. Conclusion:, The 20-year old VLBW subjects reported perceived health and managed transition to adulthood similar to controls. Handicapped subjects had poorer self-perceived physical function. ELBW and severe neonatal complications were associated with poorer self-perceived physical health. [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] Immunogenicity and reactogenicity of DTPa-HBV-IPV/Hib vaccine as primary and booster vaccination in low-birth-weight premature infantsACTA PAEDIATRICA, Issue 9 2008Liliana Vázquez Abstract Aim: To assess suitability of a combined DTPa-HBV-IPV/Hib vaccine (Infanrix hexaÔ) for immunization of low-birth-weight (<2.0 kg) preterm infants, with particular focus on the hepatitis B response. Methods: Open-label study in 170 preterm infants receiving primary vaccination at 2, 4 and 6 months of age and booster vaccination at 18,24 months. Enrolment and analysis were stratified in two groups: infants with birth weight between 1.5 kg and 2.0 kg (low birth weight: LBW), infants with BW <1.5 kg (very low birth weight: VLBW). Results: One month after the three dose primary vaccination, 93.7% and 94.9% of infants in VLBW and LBW groups, respectively, had anti-HBs antibody concentrations , 10 mIU/mL. High seroprotection and response rates (92.4,100%) to all vaccine antigens were observed. Those were reinforced (>98%) by booster vaccination for all antigens except for HBs in VLBW children: only 88.7% of those had anti-HBs antibody concentrations , 10 mIU/mL, compared with 96.5% of LBW children (difference statistically not significant). The vaccine was well tolerated in both groups of infants. Conclusion: Preterm infants will benefit by the administration of a primary and booster vaccination with DTPa-HBV-IPV/Hib vaccine. [source] | ||||||||||