Factors associated with the development of preterm children at four and eight months of corrected gestational age

Autores

  • Caroline de Oliveira Alves Departamento de Terapia Ocupacional, Universidade de Brasilia.
  • Lívia de Castro Magalhães Departamento de Terapia Ocupacional, Universidade Federal de Minas Gerais.
  • Rafaela Silva Moreira Departamento de Fisioterapia, Universidade Federal de Santa Catarina.
  • Isabella Freitas da Silveira Terapeuta Ocupacional
  • Márcia Gomes Penido Machado Departamento de Pediatria, Universidade Federal de Minas Gerais.
  • Cândida Ferrarez Bouzada viana Departamento de Pediatria, Universidade Federal de Minas Gerais.

DOI:

https://doi.org/10.7322/jhgd.110024

Palavras-chave:

Premature. Child development. Risk factors.

Resumo

Introduction: The big advances in perinatal care have resulted in longer survival of newborns with lower birth weight. However, these children are at high risk for developmental alterations. Objective: To analyse the relationship between perinatal variables and the overall development of premature infants at four and eight months of corrected age. Method: Longitudinal prospective cohort study where 91 preterm infants with gestational age at or below 34 weeks were followed. The children were evaluated at four and eight months of age by cognitive scales of motor and language with the Bayley Scales of Infant Development III. Results: Birth weight and bronchopulmonary dysplasia were identified as factors for the permanence in the delayed of overall development. The intervention, after routing, was identified as a factor in the improvement effort. Conclusion: Birth weight below 1,000g and bronchopulmonary dysplasia were the main predictive factors for developmental delay. Systematic intervention was a predictive factor for improvement in development.

Referências

Borba GG, Neves ET, Arrué AM, Silveira A, Zamberlan KC. Fatores associados à morbimortalidade neonatal: um estudo de revisão. Rev Saúde. 2014;40(1):9-16. DOI: http://dx.doi.org/10.5902/223658347774

Wilson-Costello D, Friedman H, Minich N, Siner B, Taylor G, Schluchter M, et al. Improved neurodevelopmental outcomes for extremely low birth weight infants in 2000-2002. Pediatrics. 2007; 119(1):37-45. DOI: http://dx.doi.org/10.1542/peds.2006-1416

Silva J, Fronio JS, Lemos RA, Ribeiro LC, Aguiar TS, Silva TD, et al. Oportunidades de estimulação no domicílio e habilidade funcional de crianças com potenciais alterações no desenvolvimento. J Human Growth Dev. 2015;25(1):19-26. DOI: http://dx.doi.org/10.7322/jhgd.96763

Moster D, Lie RT, Markestad T. Long-term medical and social consequences of preterm birth. N Engl J Med. 2008;359: 262-73. DOI: http://dx.doi.org/10.1056/NEJMoa0706475

Martinez CMS, Joaquim RHVT, Oliveira EB, Santos IC. Suporte informacional como elemento para orientação de pais de pré-termo: um guia para o serviço de acompanhamento do desenvolvimento no primeiro ano de vida. Rev Bras Fisioter. 2007;11(1):73-81. DOI: http://dx.doi.org/10.1590/S1413-35552007000100012

Bayley N. Bayley scales of infant and toddler development. San Antonio, TX: Psychological Corporation; 2006; p. 266.

Houtzager BA, Gorter-Overdiek B, Van Sonderen L, Tamminga P, Van Wassenaer AG. Improvement of developmental outcome between 24 and 36 months corrected age in very preterm infants. Acta Paediatr. 2010;99(12):1801-6. DOI: http://dx.doi.org/10.1111/j.1651-2227.2010.01953.x

Claas MJ, Bruinse HW, Koopman C, van Haastert IC, Peelen LM, de Vries LS. Two-year neurodevelopmental outcome of preterm born children ≤ 750 g at birth. .Arch Dis Child Fetal Neonatal Ed. 2011; 96(3):F169-77. DOI: http://dx.doi.org/10.1136/adc.2009.174433

Alexander GR, Himes JH, Kaufman RB, Mor J, Kogan M. A United States national reference for fetal growth. Obstet Gynecol. 1996; 87(2):163-8. DOI: http://dx.doi.org/10.1016/0029-7844(95)00386-X

Jobe AH, Bancalari E. Bronchopulmonary dysplasia. Am J Respir Crit Care Med. 2001;163(7):1723-9. DOI: http://dx.doi.org/10.1164/ajrccm.163.7.2011060

Associação Brasileira de Empresas de Pesquisa (ABEP). Critério de classificação econômica no Brasil, 2008. [cited 2010 Aug 07] Available from: http://www.abep.org/novo/Content.aspx?ContentID=302.

De Kieviet JF, Piek JP, Aarnoudse-Moens CS, Oosterlaan J. Motor development in very preterm and very low-birth-weight children from birth to adolescence: a meta-analysis. JAMA. 2009; 302(20):2235-42. DOI: http://dx.doi.org/10.1001/jama.2009.1708

Martins PS, Mello RR, Silva KS. Bronchopulmonary dysplasia as a predictor factor for motor alteration at 6 months corrected age in premature infants. Arq Neuropsiquiatr. 2010;68(5):749-54. DOI: http://dx.doi.org/10.1590/S0004-282X2010000500014

Natarajan G, Pappas A, Shankaran S, Kendrick DE, Das A, Higgins RD, et al. Outcomes of extremely low birth weight infants with bronchopulmonary dysplasia: Impact of the physiologic definition. Early Hum Dev. 2012; 88(7):509-15. DOI: http://dx.doi.org/10.1016/j.earlhumdev.2011.12.013

Araújo ATC, Eickmann SH, Coutinho SB. Fatores associados ao atraso do desenvolvimento motor de crianças prematuras internadas em unidade de neonatologia. Rev Bras Saúde Matern Infant. 2013;13(2):119-28. DOI: http://dx.doi.org/10.1590/S1519-38292013000200005

Spittle AJ, Doyle LW, Boyd RN. A systematic review of the clinimetric properties of neuromotor assessments for preterm infants during the first year of life. Dev Med Child Neurol. 2008;50(4):254-66. DOI: http://dx.doi.org/10.1111/j.1469-8749.2008.02025.x.

Blauw-Hospers CH, Hadders-Algra M.. A systematic review of the effects of early intervention on motor development. Dev Med Child Neurol. 2005; 47(6):421-32.

Nordhov SM, Rønning JA, Ulvund SE, Dahl LB, Kaaresen PI. Randomized controlled trial early intervention improves behavioral outcomes for preterm infants. Pediatrics. 2012;129(1): e9-e16. DOI: http://dx.doi.org/10.1542/peds.2011-0248

Anderson V, Spencer-Smith M, Wood A. Do children really recover better? Neurobehavioural plasticity after early brain insult. Brain. 2011;134(Pt 8):2197-221. DOI: http://dx.doi.org/10.1093/brain/awr103

Publicado

2016-04-28

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