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Psychomotor development of preterm infants aged 6 to 12 months
Sophie Helena Eickmann1, Natália Ferraz de Araújo Malkes, Marília de Carvalho Lima
1Department of Maternal and Child Health, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil. sophie.eickmann@gmail.com
Insights
Preterm infants showed similar psychomotor development to full-term infants, with no significant differences. However, motor development was impacted by biological factors, particularly in male infants and those with low birth weight.
Area of Science:
- Pediatrics
- Developmental Psychology
- Neonatology
Background:
- Preterm infants face challenges adapting to stimuli due to immature organ systems.
- Understanding psychomotor development in early childhood is crucial for identifying potential delays.
Purpose of the Study:
- To compare the psychomotor development of preterm and full-term infants aged 6-12 months.
- To identify factors associated with psychomotor development in this age group.
Main Methods:
- Cross-sectional analytical study at Hospital das Clínicas, Universidade Federal de Pernambuco.
- 135 infants (45 preterm, 90 full-term) aged 6-12 months assessed using Bayley III scales.
- Data collected via medical records and maternal interviews.
Main Results:
- Overall cognitive, language, and motor indices were within normal ranges.
- No significant psychomotor differences between preterm and full-term infants, except lower expressive communication in preterms.
- Motor development was influenced by biological factors (low birth weight, Apgar score, breastfeeding duration, sex).
Conclusions:
- Prematurity did not significantly impact psychomotor development in this cohort.
- Motor development was the most affected domain, influenced by biological factors.
- Child neuropsychomotor development is multifactorial, requiring comprehensive assessment.
Context And Objective:
The immaturity of preterm infants' organ systems may lead to difficulties in adapting to different environmental stimuli. The aim was to compare the psychomotor development of preterm infants (with corrected age) and term infants aged 6 to 12 months and to investigate associated factors.
Design And Setting:
Cross-sectional analytical study conducted at Hospital das Clínicas, Universidade Federal de Pernambuco.
Methods:
The sample consisted of 135 infants (45 preterm and 90 full-term) aged 6 to 12 months. Neuropsychomotor development was assessed using the Bayley III cognitive, language and motor subscales. Biological, socioeconomic and demographic data were gathered from medical records and through interviews with mothers.
Results:
The mean cognitive, language and motor indices were within the range of normality for the sample as a whole. No significant difference in the development of infants born preterm and full-term was observed, except for expressive communication, in which preterm infants presented a lower index. Motor development was influenced by biological factors, and the poorest performances were observed in male infants; birth weight birth weight < 1500 g; Apgar score at five minutes < 7; weight-, length- and head circumference-for-age < -1 Z-score; and exclusively breastfeeding for < two months.
Conclusions:
Prematurity did not influence the psychomotor development of infants in this study population. Motor development was the most affected domain in the sample as a whole, especially due to biological factors. Investigations on child neuropsychomotor development should try to identify many determinant factors because of its multifactorial nature.
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