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Foetal growth restriction has negative influence on narrative skills in 8-10-year-old children

Lea Partanen1, Noora Korkalainen1,2, Kaarin Mäkikallio3,4

  • 1Faculty of Humanities, Child Language Research Centre, University of Oulu, Oulu, Finland.

Acta Paediatrica (Oslo, Norway : 1992)
|December 24, 2019
PubMed

Insights

Children born with fetal growth restriction (FGR) exhibit poorer narrative skills compared to peers. These language-based difficulties highlight the need for early interventions to improve educational outcomes for FGR children.

Area of Science:

  • Developmental Pediatrics
  • Neurocognition
  • Speech and Language Pathology

Background:

  • Children born with fetal growth restriction (FGR) face increased risks for neurocognitive difficulties.
  • Limited research exists on the narrative skills of children born with FGR.

Purpose of the Study:

  • To compare the narrative skills of 8- to 10-year-old children born with FGR to those born with appropriate growth for gestational age (AGA).
  • To investigate correlations between narrative skills and other language-based abilities in children with FGR.

Main Methods:

  • A prospective cohort study included 36 children with FGR and 31 AGA controls, recruited prenatally.
  • Narrative skills were assessed using a standardized test.
  • Correlations with communication, reading, and spelling skills were analyzed.

Main Results:

  • Children with FGR produced significantly less information and shorter utterances in narratives compared to AGA children.
  • Preterm children with FGR showed poorer narrative performance than preterm AGA controls.
  • Poor narrative skills were correlated with deficits in communication, reading, and spelling.

Conclusions:

  • Children born with FGR demonstrate poorer narrative skills by 8-10 years of age compared to AGA peers.
  • Narrative skill deficits in FGR are linked to other language-based skills.
  • Early detection and intervention are crucial for optimizing educational outcomes in children born with FGR.
Abstract

Keywords:
appropriate growth for gestational agefoetal growth restrictionnarrative skillsplacental insufficiencypremature birth

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