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Academic achievement varies with gestational age among children born at term
Kimberly G Noble1, William P Fifer, Virginia A Rauh
1Department of Pediatrics, Columbia University, 630 W. 168th St, P&S Box 16, New York, NY 10033, USA. kgn2106@columbia.edu
Insights
Children born earlier in the normal term range (37-38 weeks gestation) had lower school achievement in reading and math compared to those born at 39-41 weeks. This finding was independent of other factors.
Area of Science:
- Perinatal health
- Developmental pediatrics
- Educational psychology
Background:
- Gestational age is a critical factor in child development.
- The "normal term" range (37-41 weeks) encompasses significant developmental variation.
- Previous research has not fully elucidated school achievement differences within this normal term range.
Purpose of the Study:
- To investigate school achievement variations in children born between 37 and 41 weeks' gestation.
- To determine if gestational age within the normal term range impacts third-grade reading and math abilities.
- To assess the influence of social and biological factors on this relationship.
Main Methods:
- Analysis of 128,050 singleton births in a large US city.
- Matching birth records with third-grade standardized test scores.
- Statistical assessment of gestational age and mediating factors on academic outcomes.
Main Results:
- A significant positive association was found between later gestational age (39-41 weeks) and higher third-grade reading and math scores.
- Children born at 37-38 weeks gestation demonstrated significantly lower academic achievement.
- This association persisted independently of birth weight and other socioeconomic/obstetric variables.
Conclusions:
- Earlier normal term birth (37-38 weeks) is linked to poorer school performance.
- Gestational age within the normal term range is a potential indicator for identifying at-risk children.
- This information can inform researchers, clinicians, and parents about potential developmental trajectories.
Objective:
The goal of this study was to examine the degree to which children born within the "normal term" range of 37 to 41 weeks' gestation vary in terms of school achievement.
Methods:
This study analyzed data from 128050 singleton births born between 37 and 41 weeks' gestation in a large US city. Data were extracted from city birth records to assess a number of obstetric, social, and economic variables, at both the individual and community levels. Birth data were then matched with public school records of standardized city-wide third-grade reading and math tests. Specifically, we assessed (1) whether children born within the normal term range of 37 to 41 weeks' gestation show differences in reading and/or math ability 8 years later as a function of gestational age, and (2) the degree to which a wide range of individual- and community-level social and biological factors mediate this effect.
Results:
Analyses revealed that gestational age within the normal term range was significantly and positively related to reading and math scores in third grade, with achievement scores for children born at 37 and 38 weeks significantly lower than those for children born at 39, 40, or 41 weeks. This effect was independent of birth weight, as well as a number of other obstetric, social, and economic factors.
Conclusions:
Earlier normal term birth may be a characteristic considered by researchers, clinicians, and parents to help identify children who may be at risk for poorer school performance.
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