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Visual and motor skills development in preterm and full-term infants: A protocol for longitudinal data collection
Ana Isabel Ferreira1,2,3, Alice Nunes4,5, Cláudia Silva6
1Laboratory of Instrumentation, Biomedical Engineering and Radiation Physics, Physics Department, Nova School of Science & Technology - NOVA University of Lisbon, Portugal.
Insights
This study introduces a new protocol for objectively assessing preterm infants. It integrates clinical, developmental, and electrophysiological data to monitor infant development and identify potential issues early.
Area of Science:
- Neonatal development
- Developmental neuroscience
- Clinical pediatrics
Background:
- Preterm birth affects 1 in 10 infants globally, with higher risks for those born before 28 weeks.
- Traditional developmental assessments can be subjective and may miss later-emerging issues.
- Objective, integrated data collection is needed for comprehensive preterm infant monitoring.
Purpose of the Study:
- To develop and pilot a protocol for objective, integrated data collection in preterm and full-term infants.
- To establish a foundation for longitudinal studies on the impact of preterm birth.
- To evaluate the applicability of a comprehensive assessment protocol.
Main Methods:
- Developed a protocol for integrated clinical, developmental, and electrophysiological data collection.
- Monitored preterm and full-term infants at 4, 6, 9, and 12 months.
- Included Bayley Scales, visual evoked potentials (VEP), electrodermal activity (EDA), and ophthalmological screening.
Main Results:
- Successfully piloted the data collection protocol in healthy preterm and full-term infants.
- Demonstrated the protocol's structure and applicability through case examples.
- Provided a framework for future outcome analysis.
Conclusions:
- The developed protocol offers a foundation for objective, integrated assessment of preterm infants.
- This approach can aid in the early identification of developmental challenges.
- Further longitudinal studies are needed to analyze outcomes.
Abstract:
Preterm birth, defined as birth before 37 weeks of gestation, affects approximately one in ten live-born infants globally. The risks and potential complications are more pronounced in infants born before 32 weeks, particularly those born before 28 weeks, necessitating specialized monitoring of developmental outcomes. Traditional developmental assessments often rely on performance-based observations, which can be subjective, and may not detect subtle or delayed difficulties that emerge later, such as in school-age children. This study presents the development and pilot application of a comprehensive protocol designed for the objective and integrated collection of clinical, developmental, and electrophysiological data to evaluate the impact of preterm birth. The protocol involves monitoring two groups of healthy infants-preterm and full-term-at four time points during the first year (4, 6, 9, and 12 months). Assessments include clinical evaluations, the Bayley Scales of Infant and Toddler Development, and electrophysiological recordings such as visual evoked potentials (VEP), electrodermal activity (EDA), and an ophthalmological screening assessment at 4 months. Two case examples (one full-term, one preterm) are provided to illustrate data collection and application. While the article does not include outcome analysis, it emphasizes protocol structure and applicability, offering a foundation for future longitudinal study.
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