[Developmental sequel of prematurity]

Ewa Helwich1

  • 1Klinika Patologii i Intensywnej Terapii Noworodka IMD, Instytut Matki i Dziecka w Warszawie. kpn@imid.med.pl

Medycyna Wieku Rozwojowego
|November 13, 2004
PubMed

Insights

Extremely premature infants face severe developmental impairments, including cerebral palsy and cognitive deficits. This review examines early brain injury and its long-term effects on child development.

Area of Science:

  • Neonatal neurology
  • Developmental pediatrics
  • Pediatric neurology

Context:

  • Extremely premature birth (born before 28 weeks gestation) is a significant risk factor for adverse neurodevelopmental outcomes.
  • The incidence of severe disabilities in these infants ranges widely from 5% to 30%.

Purpose:

  • To review the current understanding of early brain injury in extremely premature infants.
  • To explore the developmental sequelae associated with this early brain injury.

Summary:

  • Severe developmental impairments such as cerebral palsy, cognitive dysfunction, deafness, and blindness are common in extremely premature children.
  • Early brain injury is a primary contributor to these long-term disabilities.

Impact:

  • Informing clinical practice for the management and prevention of brain injury in premature neonates.
  • Guiding future research directions in neonatal neuroprotection and developmental follow-up.

Related Concept Videos

Teratogenicity01:07

Teratogenicity

The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility, suggesting a...
Introduction to Developmental Psychology01:27

Introduction to Developmental Psychology

Developmental psychology explores the changes and continuities in human abilities throughout life, encompassing physical, cognitive, linguistic, and social dimensions. Human development is not restricted to growth, but includes aspects of decline, particularly in physical abilities as individuals age. Developmental psychologists seek to understand how people change as they age and how their mental and social skills evolve.Developmental MilestonesA key concept in developmental psychology is...
Atelectasis II: Pathophysiology01:10

Atelectasis II: Pathophysiology

Atelectasis develops when alveoli lose their air and collapse inward. Because lung tissue is naturally elastic, these air sacs shrink rather than remaining open. Collapsed alveoli are no longer ventilated, reducing their role in gas exchange. Blood flow may continue in these regions, creating a ventilation–perfusion mismatch. Clinical findings include decreased breath sounds, dullness to percussion, reduced chest expansion, and decreased tactile fremitus as sound transmission through collapsed...
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
Neurulation01:30

Neurulation

Neurulation is the embryological process which forms the precursors of the central nervous system and occurs after gastrulation has established the three primary cell layers of the embryo: ectoderm, mesoderm, and endoderm. In humans, the majority of this system is formed via primary neurulation, in which the central portion of the ectoderm—originally appearing as a flat sheet of cells—folds upwards and inwards, sealing off to form a hollow neural tube. As development proceeds, the anterior...