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Updated: Aug 16, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Neurodevelopment at seven years and parents' feelings of prematurely born children
Clémentine Mercier1, Hélène Deforge1,2, Jean-Michel Hascoët1,2
1Division of Neonatology, Maternité Régionale Universitaire, CHRU - NANCY, Nancy, France.
Insights
Half of very premature babies experience long-term neurodevelopmental issues, impacting their quality of life. These children often have visual impairments and behavioral disorders, affecting family well-being.
Area of Science:
- Neonatal Medicine
- Developmental Pediatrics
- Public Health
Background:
- Advances in neonatal resuscitation improve survival rates for very premature infants.
- Long-term neurodevelopmental outcomes and cognitive abilities in these children remain a concern.
Purpose of the Study:
- To assess neurodevelopment and learning in 7-year-olds born prematurely.
- To evaluate parental perceptions of quality of life at age 8.
Main Methods:
- Analysis of data from 238 children born before 33 weeks gestation.
- Neurodevelopmental assessment included cerebral palsy, hearing/visual impairment, and behavioral disorders.
- School performance evaluated by EDA test; parental feelings assessed via questionnaire.
Main Results:
- 51% of children exhibited neurodevelopmental abnormalities at age 7.
- Lower gestational age and neonatal EEG abnormalities correlated with adverse outcomes.
- 39% of parents of affected children reported a significant impact on quality of life.
Conclusions:
- A significant proportion of very premature infants face long-term neurodevelopmental challenges.
- These challenges substantially affect the quality of life for both the child and their family.
Background:
The evolution of knowledge and technical advances in neonatal resuscitation have improved the survival of very premature babies. However, the long-term neurodevelopmental prognosis and cognitive and learning abilities are still uncertain.
Objective:
This study aimed to evaluate the neurodevelopment and learning abilities of 7-year-old children born prematurely, and their parents' feelings at 8 years of age.
Patients And Methods:
Data from children born before 33 weeks gestation in a level III maternity hospital and involved in a regional follow-up network were analyzed at 7 years of age. Neurodevelopmental abnormalities were defined as cerebral palsy, hearing or visual impairment, and/or behavioral abnormalities. School performance was evaluated by the EDA test. A parents' questionnaire assessed their feelings about the child's and family's quality of life at 8 years of age.
Results:
At 7 years of age, 51% of the 238 children presented neurodevelopmental abnormalities: 3.3% with cerebral palsy, 6.2% with hearing impairments, 50.7% with visual impairments, and 11.3% with behavioral disorders. The children with neurodevelopmental abnormalities had lower gestational age (29.0 ± 2.0 vs. 30.0 ± 2.1 weeks, p = 0.003) and more EEG abnormalities during the neonatal period (31.1% vs. 19.8%, p = 0.048) than the children without abnormalities. Ninety-four percent of the children with abnormalities were enrolled in normal schools, 33% with special support. In the overall cohort, 31% of the children had all academic performance scores in the normal range of the reference population. At 8 years old, 39% of the parents of children with neurodevelopmental abnormalities felt that their child's situation significantly impacted their quality of life compared to 14% of parents of children without neurodevelopmental abnormality (p = 0.022).
Conclusion:
Half of children born very prematurely present with long-term neurodevelopmental abnormalities, which their parents feel significantly impacts their quality of life.
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