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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Long-term neurodevelopmental outcomes after preterm birth
Farin Soleimani1, Farzaneh Zaheri2, Fatemeh Abdi3
1Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran.
Insights
Preterm birth, affecting 9.6% of global births, leads to significant neurodevelopmental disorders and mortality. Despite increased survival rates, preterm infants face persistent complications into adolescence.
Area of Science:
- Neonatal Health
- Developmental Pediatrics
- Public Health
Background:
- Preterm birth is a significant global health issue, accounting for approximately 9.6% of all births worldwide.
- It is a leading cause of mortality and a major contributor to neurodevelopmental disorders in infants.
Purpose of the Study:
- To review the literature on neurodevelopmental disorders associated with preterm birth.
- To understand the long-term outcomes for preterm infants.
Main Methods:
- A comprehensive literature search was conducted across major scientific databases including PubMed, EMBASE, ISI, Scopus, Google Scholar, Iranmedex, and SID.
- Keywords related to preterm birth and neurodevelopmental outcomes were used to identify relevant studies.
Main Results:
- Key neurodevelopmental disorders linked to prematurity include cerebral palsy (especially spastic diplegia), intellectual disability, retinopathy of prematurity, and hearing impairments.
- Increased survival rates for preterm infants have not correlated with a reduction in these complications.
Conclusions:
- The survival of preterm infants is often accompanied by significant neurodevelopmental challenges.
- Evidence indicates sustained adverse outcomes persisting into school age and adolescence for individuals born preterm.
Context:
All over the the world, preterm birth is a major cause of death and important neurodevelopmental disorders. Approximately 9.6% (12.9 million) births worldwide are preterm.
Evidence Acquisition:
In this review, databases such as PubMed, EMBASE, ISI, Scopus, Google Scholar and Iranian databases including Iranmedex, and SID were researched to review relevant literature. A comprehensive search was performed using combinations of various keywords.
Results:
Cerebral palsy especially spastic diplegia, intellectual disability, visual (retinopathy of prematurity) and hearing impairments are the main neurodevelopmental disorders associated with prematurity.
Conclusions:
The increased survival of preterm infants was not associated with lower complications. There is now increasing evidence of sustained adverse outcomes into school age and adolescence, for preterm infants.
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