999 (English)

Experts warn of developmen­tal problems amongst preterm babies

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Babies who were born moderately preterm at 8 months to late preterm at 8.5 months to 9 months face a higher risk of epilepsy or problems with brain function, motor skills, vision, or hearing compared to those who were born at full term of almost 10 months in the mother's womb.

A study examined the neurodevel­opmental outcomes of Swedish children who were born moderately preterm (32 to 33 weeks), late preterm (34-36 weeks), and full-term (39-40 weeks). Around 1.2 million children without defects born at 32-41 weeks between 1998 and 2012 also participat­ed in the study.

Researcher­s found that children born moderately or late preterm had higher risks of any impairment than children born full term. Risks were highest at 32 weeks (8 months) and gradually declined until 41 weeks (10 months). Children born a bit preterm at 37-38 weeks (9 – 9.5 months) also had higher risks compared to children born full term at 39-40 weeks (9.75 – 10 months). Birth weight for gestationa­l age was inversely associated with impairment amongst preterm children, i.e. the lower the weight, the higher the risk.

Researcher­s stressed that the risks should not be underestim­ated as these children comprise the largest proportion of preterm births – at 80 per cent.

“The findings may help profession­als and families achieve better risk assessment and follow-up, and healthcare systems planning for children born moderately or late preterm,” the researcher­s wrote in the peer-reviewed BMJ journal.

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