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Updated: Apr 19, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

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[Course and neurological/behavioral development of preterm children]

S Marret1, C Chollat1, R de Quelen1

  • 1Service de pédiatrie néonatale et réanimation, centre d'éducation fonctionnelle, centre de référence des troubles des apprentissages de l'enfant, hôpital Charles-Nicolle, CHU de Rouen, Rouen, France; Équipe Inserm région (ERI28), handicap périnatal, institut de recherche et d'innovation biomédicale, faculté de médecine et de pharmacie, université de Rouen, Rouen, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|December 27, 2014
PubMed

Insights

Preterm birth affects 1 in 10 infants. While survival improves, cognitive disabilities persist, impacting school readiness and necessitating early detection and interventions for better neurodevelopmental outcomes.

Area of Science:

  • Neonatal Medicine
  • Developmental Pediatrics
  • Public Health

Context:

  • Preterm birth is a significant global health concern, with 1 in 10 infants born before 37 weeks gestation.
  • Survival rates for extremely preterm infants (before 27 weeks) have improved in high-income nations like France.
  • While severe handicaps like cerebral palsy may be decreasing, cognitive disabilities remain common.

Purpose:

  • To highlight the persistent challenge of cognitive disabilities in preterm infants, despite improved survival rates.
  • To emphasize the link between decreased gestational age and increased prevalence of sequelae.
  • To advocate for better characterization of neurodevelopment in recent preterm cohorts to enable early detection and intervention.

Summary:

  • Despite advances in neonatal care, preterm birth (before 37 weeks) continues to affect a substantial proportion of infants.
  • Cognitive and neurological disabilities are frequent sequelae, impacting learning and leading to special education needs.
  • The number of children with disabilities is similar in very preterm and moderate/late preterm groups due to population size.

Impact:

  • Improved understanding of neurodevelopmental variations in preterm infants can lead to earlier identification of learning challenges.
  • Targeted remediation strategies focusing on areas like working memory and language may reduce the incidence of learning disabilities.
  • This research supports the development of evidence-based interventions to improve long-term academic and developmental outcomes for children born preterm.

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