Children Born 'Late Pre-Term' More Prone to Low
TUESDAY, Nov. 23 (HealthDay News) -- Being born just a few weeks
early might have a long-term impact on a child's IQ and ability to
pay attention, new research suggests.
In a study that compared babies born at term (40 weeks) to those
born between 34 to 36 weeks (called "late pre-term"), researchers
found that the children born early had more than twice the risk of
having an IQ score below 85 and about double the risk of having
socioemotional difficulties, such as attention problems, at age
"There's a subgroup of children born late pre-term that have an increased risk of developing problems by age 6," concluded study author Nicole Talge, a postdoctoral research associate in the department of epidemiology at Michigan State University in East Lansing, Mich.
"What this study tells us is that late prematurity is not a benign situation. Not every kid will have a problem, but there's a higher chance for some to have interaction problems, attention problems and lower IQ," added one expert, neonatal psychologist Cheryl Milford of Magee-Women's Hospital at the University of Pittsburgh Medical Center.
Milford said the reason for the risk is that the brain simply
isn't developed enough at 34 to 36 weeks. "A lot of the development
of higher-order functioning in the brain is occurring in the
34-to-36-week range," she explained, adding that "there's a reason
that humans gestate for 40 weeks."
The current study included 168 pairs of babies -- one born at
term and one born between 34 and 36 weeks. The babies were born
during 1983 and 1985. At age 6, they had their IQ scores measured
and their teachers reported on classroom behaviors.
The Michigan team found that late pre-term birth more than
doubled the risk of having an IQ score of less than 85.
Furthermore, the odds of having emotional difficulties, such as
attention problems, were about twice as high for those born a
little bit early compared to the children born at full-term.
Results of the study appear in the December issue of
Talge said it's important to note that not every child born at
34 to 36 weeks had problems. In fact, most didn't. "Only about 20
percent fell below that IQ threshold, and that means 80 percent
were above that. And, about 20 to 30 percent had internalizing or
attention problems," she said.
"We now have a greater understanding that each week matters," said Dr. Michael Msall, chief of developmental and behavioral pediatrics at the University of Chicago Medical Center. However, he sad that "the good news from this study is that at age 6, even in a different era of neonatology [the 1980s], these kids did quite well. Yes, on a population basis, there may have been some problems, but I think that it may be like being five pounds overweight on a population basis, and most of these differences may be subtle."
However, he said that if parents see that their child is
struggling with schoolwork, or is having a hard time paying
attention in school, they shouldn't hesitate to ask for help. "Talk
to your child's pediatrician or their teacher; let them know you
want to make sure your child stays on track. Recognize the problems
and develop a strategy to manage them," said Msall.
Milford agreed. "Babies who are born late pre-term look like
small, full-term babies, and for a long time the perception was
that they were just a little early, but that they were mostly
developed," she said. "The reality is, if you had a late pre-term
infant, you should be looking to see if they're on track. Do they
have any behavioral issues? If so, you need to find out what
resources are available to you in the community and at school."
Learn more about premature birth and what you can do to help
prevent it from the
March of Dimes.
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