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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Neurologic Consequences of Preterm Birth
Margie A Ream1, Lenora Lehwald2
1Division of Child Neurology, Nationwide Children's Hospital, 700 Children's Dr., Columbus, OH, 43205, USA. Margie.ream@nationwidechildrens.org.
Insights
Premature birth impacts brain development, increasing risks for neurodevelopmental disabilities. Advances in understanding and technology offer new targets for interventions to improve outcomes for these children.
Area of Science:
- Neonatal neuroscience
- Developmental pediatrics
- Neuroimaging
Background:
- Preterm birth is a leading global cause of mortality in young children.
- Increased survival rates for extremely preterm infants are associated with a higher incidence of long-term neurological impairments.
- Understanding the impact of prematurity on brain development is crucial for improving long-term outcomes.
Purpose of the Study:
- To review recent findings on brain development changes in preterm infants.
- To examine the impact of prematurity on neurodevelopmental disabilities.
- To identify potential targets for neuroprotection and improved outcomes.
Main Methods:
- Review of advanced neuroimaging techniques.
- Longitudinal follow-up studies of individuals born extremely preterm.
- Analysis of risk factors for neurological impairment.
Main Results:
- Preterm birth affects all aspects of neurological development.
- Sensory impairments are linked to later cognitive and social deficits.
- Advanced imaging and longitudinal studies reveal critical insights into neurodevelopmental trajectories.
Conclusions:
- Early identification and intervention for sensory impairments are vital.
- Further research is needed to develop prenatal and postnatal neuroprotective strategies.
- Improving outcomes for preterm infants requires a comprehensive approach to neurodevelopmental care.
Purpose Of Review:
Preterm birth is the leading cause of death worldwide in children < 5 years of age; however, technology and advances in medical knowledge are increasing the survival of children born even at the fringes of viability. With increased survival comes increased risk of long-term neurologic impairments. This paper aims to review recent findings related to changes in brain development associated with prematurity and its impact on neurodevelopmental disabilities.
Recent Findings:
Advanced imaging techniques, longitudinal follow-up of individuals born extremely preterm into adulthood and improved understanding of risk factors associated with neurologic impairment contribute to recent discoveries. Sensory impairments are often associated with later cognitive and social impairments and therefore represent targets for therapy. All aspects of neurologic development can be affected by preterm delivery. Future research is needed to further elucidate targets for prenatal and postnatal interventions for neuroprotection and to improve outcomes of prematurity.
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