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Short and Long-Term Effects of Compromised Birth Weight, Head Circumference, and Apgar Scores on Neuropsychological

Stephanie B Gampel1,2, Yoko Nomura2,3

  • 1Albert Einstein College of Medicine, New York, USA.

Journal of Psychological Abnormalities in Children
|July 3, 2018
PubMed

Insights

Small head circumference and low Apgar scores predict later developmental issues, including physical, neurological, cognitive, and psychological deficits. These factors, alongside low birth weight, can help screen for future health problems.

Area of Science:

  • Perinatal health
  • Developmental pediatrics
  • Child psychology

Background:

  • Low birth weight (LBW) is a known risk factor for developmental deficits.
  • Limited research exists on small head circumference and low 5-minute Apgar scores as predictors of developmental abnormalities.

Purpose of the Study:

  • To determine if small head circumference and low 5-minute Apgar scores predict developmental abnormalities.
  • To assess the long-term impact of these perinatal factors on physical, neurological, cognitive, and psychological functioning.

Main Methods:

  • Longitudinal study of 2,151 individuals.
  • Assessed physical, neurological, cognitive, and psychological functioning.
  • Examined the association with low birth weight, small head circumference, and low Apgar scores.

Main Results:

  • Small head circumference and low Apgar scores correlated with increased hospital visits and neurological abnormalities at age 1.
  • Lower IQ scores at ages 4 and 7 were observed in individuals with small head circumference or low Apgar scores.
  • Higher incidence of adult anxiety was linked to small head circumference and low Apgar scores.

Conclusions:

  • Small head circumference and low Apgar scores are significant predictors of later developmental abnormalities.
  • These factors can complement low birth weight in screening for future developmental deficits.
  • Early identification using these markers can aid in timely intervention and support.
Abstract

Keywords:
Low birth weightNeuro cognitive functioningPerinatal risk

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