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Type: Journal article
Title: Have outcomes following extremely preterm birth improved over time?
Author: Cheong, J.L.
Spittle, A.J.
Burnett, A.C.
Anderson, P.J.
Doyle, L.W.
Citation: Seminars in Fetal and Neonatal Medicine, 2020; 25(3):101114-101114
Publisher: Elsevier
Issue Date: 2020
ISSN: 1744-165X
Statement of
Jeanie LY.Cheong, Alicia J.Spittle, Alice C.Burnett, Peter J.Anderson, Lex W.Doyle
Abstract: Increased survival of infants born preterm, especially those born extremely preterm (<28 weeks' gestation), has meant that more are reaching later childhood and adulthood. As preterm birth is associated with a higher risk of neurodevelopmental deficits, the aim of this review was to determine whether or not the advances in perinatal care that led to improved survival have also had a positive impact on long-term neurodevelopment. Studies examining temporal changes in neurodevelopment are limited, and only from high-income countries. However, based on available published data, there is no definite trend of improved neurodevelopment at school age for neurosensory, cognitive, academic achievement, motor or executive function with time. Cerebral palsy rates, however, may be decreasing. More research is needed into the potential contributors for the trends observed, and also for other outcomes such as mental health and behavior.
Keywords: Academic function
Cerebral palsy
Cognitive function
Extremely low birthweight
Extremely preterm
Motor impairment
Rights: © 2020 Elsevier Ltd. All rights reserved.
DOI: 10.1016/j.siny.2020.101114
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Appears in Collections:Dentistry publications

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