Clinical Features of Neurodevelopmental Outcomes in Children with Preterm Severe Fetal Growth Restriction: A

Takahiro Motoki1, Yoshitsugu Chigusa1, Seiichi Tomotaki2

  • 1Department of Gynecology and Obstetrics, Kyoto University, Kyoto, Japan.

JMA Journal
|August 22, 2022
PubMed

Insights

Children with severe fetal growth restriction (sFGR) born preterm show lower neurodevelopmental scores, particularly in language and social skills. Early monitoring and intervention are crucial for these infants.

Area of Science:

  • Neonatal Development
  • Pediatric Neurology
  • Perinatal Medicine

Background:

  • Fetal growth restriction (FGR) impacts fetal development, leading to potential long-term health issues.
  • Severe FGR (sFGR) in preterm infants poses significant risks for neurodevelopmental outcomes.
  • Limited data exists on the long-term neurodevelopmental trajectory of sFGR infants in Japan.

Purpose of the Study:

  • To investigate the neurodevelopmental outcomes of preterm-born children with sFGR in Japan.
  • To identify clinical factors associated with neurodevelopmental impairments in this population.

Main Methods:

  • Retrospective review of clinical data from 26 preterm sFGR cases and 26 preterm appropriate for gestational age (AGA) controls.
  • Assessment of developmental quotient (DQ) using the Kyoto Scale of Psychological Development at 1 and 2 years corrected age.

Main Results:

  • Preterm sFGR infants exhibited significantly lower overall DQ scores compared to AGA controls (80 vs. 90.5).
  • The sFGR group showed significantly impaired scores specifically in the Language-Social domain (72.5 vs. 88).
  • Fetal body weight and its Z-score at birth correlated significantly with DQ scores, unlike duration of growth arrest or gestational age at birth.

Conclusions:

  • Preterm infants with sFGR demonstrate greater neurodevelopmental deficits, particularly in language and social skills.
  • Continuous long-term follow-up and targeted interventions are essential for preterm sFGR children.
  • Birth weight and its deviation from norms are key indicators for neurodevelopmental outcomes in sFGR.
Abstract

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