THE PSYCHOMOTOR DEVELOPMENT OF PRETERM CHILDREN BORN FROM MULTIPLE PREGNANCIES
Journal Title: Acta Neuropsychologica - Year 2008, Vol 6, Issue 2
Abstract
The purpose of this article is to examine whether multiple preterm birth poses a risk to the child's normal psychomotor development. The first part of the article presents the results of cognitive development in two sets of triplets born preterm (32 and 33 hbd). The second part compares the psychomotor development of 24 four- and five-year-old twin children born preterm to that of 24 preterm singletons matched for week of gestation at birth, sex and birth weight. The third part compares these results with those obtained in a study done by the third author of the present study in the 1970s of 56 children born from multiple pregnancies. An analysis of the data suggests that preterm birth accompanied by low or very low birth weight has a stronger effect on the psychomotor development of children than multiple pregnancy. The preterm triplets, examined in the first and second year of life, showed a smaller degree of cognitive development than full-term singletons, but their results did not differ from those that would be expected for the corrected birth age. No difference was found between 4- and 5-year-old preterm twins and preterm singletons, although both these groups obtained lower scores than their full-term peers. The mothers of preterm twins reported more behavioral problems. On the CBCL 1.5 - 5 scale, the twins had a higher general score for reported problems, especially internalization, emotional reactivity and sleep disturbances. There is a strong statistical tendency towards complementary personalities among pairs of preterm twins due to the contrast effect.
Authors and Affiliations
Magdalena Chrzan-Dętkoś, Michalina Baraniecka, Marta Bogdanowicz, Karol Karasiewicz
Keywords
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