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Published on: May 15, 2019
Language and hearing outcomes of preterm infants
1Alpert Medical School of Brown University, Providence, RI; Department of Pediatrics, Women & Infants Hospital of Rhode Island, 101 Dudley St, Providence, RI 02905.
Insights
Language development in extremely preterm infants is influenced by numerous factors, including prematurity and hearing status. Early intervention by 6 months is crucial for preterm infants with hearing loss to improve language outcomes.
Area of Science:
- Neonatal Medicine
- Developmental Pediatrics
- Audiology
Background:
- Extremely preterm infants face complex challenges impacting language development.
- Hearing status, alongside other factors, significantly influences language acquisition in this population.
- The neonatal intensive care unit (NICU) and home environments play a role in language exposure.
Purpose of the Study:
- To identify factors affecting language outcomes in extremely preterm infants.
- To emphasize the importance of early identification and intervention for hearing loss in preterm infants.
- To explore the potential for language skill improvement over time.
Main Methods:
- Review of factors influencing language development in extremely preterm infants.
- Analysis of the impact of hearing status on language outcomes.
- Examination of the role of early intervention services.
Main Results:
- Degree of prematurity, neonatal morbidities, illness severity, and hearing status are key contributors to language outcomes.
- Environmental factors (NICU, home language) and socioeconomic status also play a role.
- Early screening, diagnosis, and intervention by 6 months are vital for preterm infants with permanent hearing loss.
Conclusions:
- Optimizing language outcomes requires a multifaceted approach addressing prematurity, hearing, and environmental factors.
- Timely intervention is critical for preterm infants with hearing loss.
- Language skills in extremely preterm infants and those with hearing loss show potential for improvement with age.
Abstract:
Multiple factors including degree of prematurity, neonatal morbidities, illness severity, hearing status, gender, language environment in the neonatal intensive care unit and in the home, maternal education level, social and environmental status of the family, and access to early intervention all contribute to the language outcomes of extremely preterm infants with and without hearing loss. Early screening, early diagnosis, and early intervention services by 6 months of age are necessary to optimize the language outcomes of preterm infants with permanent hearing loss. There is increasing evidence of the potential for improved language skills with increasing age of extreme preterm infants and infants with hearing loss.
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