Related Experiment Video
Updated: May 30, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Preterm infants' early developmental status is associated with later developmental outcome
Cristina Lundqvist-Persson1, Gerd Lau, Per Nordin
1Skaraborg Institute for Research and Development, Skövde, Sweden. cristina.lundqvist-p@skaraborg-institute.se
Insights
Preterm infants show early developmental delays in self-regulation and motor skills. These early deviations are significant risk factors for later optimal functioning in children.
Area of Science:
- Developmental Pediatrics
- Neonatology
- Child Psychology
Background:
- Preterm infants often experience developmental challenges.
- Early identification of predictors for later development is crucial.
Purpose of the Study:
- To assess preterm infant development from 40 weeks gestational age to 18 months corrected age.
- To identify early predictors of later developmental outcomes in preterm infants.
Main Methods:
- Longitudinal study of 51 preterm infants.
- Assessments included Brazelton Neonatal Behavioral Assessment Scale, self-regulation scale, Bayley Scales of Infant Development, general movements, and maternal attachment style.
- Follow-up assessments conducted from term age to 18 months corrected age.
Main Results:
- Preterm infants exhibited lower maturity and self-regulation compared to full-term infants at term and 1-month corrected age.
- A higher percentage of preterm infants showed abnormal motor quality at 3 months corrected age.
- Delayed mental, motor, and behavioral development in preterm infants was linked to self-regulation, motor quality, and maternal attachment; maternal education was a key factor.
Conclusions:
- Preterm infants display early deviations in self-regulation, motor quality, and overall development.
- These early deviations serve as risk factors for suboptimal later functioning.
Aim:
To assess the development of preterm infants from 40 weeks gestational age to 18 months corrected age to identify early predictors of later development.
Methods:
Fifty-one infants were involved. Infant development was assessed at 40 and 44 weeks gestational age with the Brazelton neonatal behavioral assessment scale and a self-regulation scale and at 3, 6, 10, 18 months corrected age with the Bayley Scales of Infant Development. The quality of general movements was assessed at 1 and 3 months corrected age and maternal attachment style at infant's age of 6 months corrected age with the Relation Scale Questionnaire.
Results:
At term age and 1-month corrected age, preterm infants were less mature and had lower levels of self-regulation than full-term infants. At 3 months corrected age, a higher proportion of preterm infants (43%) had mildly abnormal motor quality compared to the general population (25%). At all follow-ups, preterm infants had delayed mental, motor and behavioural development, which was associated with the level of self-regulation, motor quality and maternal attachment style. Maternal education level was the most predominant background factor related to infant development.
Conclusion:
Preterm infants show early-in-life deviations in self-regulation, motor quality and development. These deviations are risk factors for later optimal functioning.
Related Concept Videos
Socioemotional Development during Infancy
Primary Temperament Types
Stella Chess...
The Nativist Approach
Relationship with Parents: Attachment
Development of the Oral Microbiota
Language Development
The critical period for language acquisition suggests that the ability to acquire language is at its peak early in life. As people age, this proficiency decreases. Language development begins very...
Development of Immunocompetence
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...

