Comparison of Functional Status of 8-to 12-Year-Old Children Born Prematurely: An Integrative Review of Literature

Villanova University, College of Nursing, Villanova, PA, USA.
Journal of pediatric nursing (Impact Factor: 1.01). 08/2012; 27(4):299-309. DOI: 10.1016/j.pedn.2011.03.010
Source: PubMed

ABSTRACT Prematurity affects one in eight infants in the United States, a rate that reflects an overall increase of 20% between 1990 and 2005 (March of Dimes, 2008). This integrative review presents a synthesis of the current research addressing the functional status of 8- to 12-year-old children born prematurely. Findings from this review support the belief that children born prematurely function differently than their term peers. These children have academic and social delays that may necessitate special service support through middle childhood.

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    • "Prevention of intraventricular hemorrhage is critical because approximately 15% of infants after bleeding have developed hydrocephalus and 10% need shunt (57). According to recent studies, children with advanced hydrocephalus after bleeding and ventrico-peritoneal shunt in some cases had poorer neurodevelopmental outcomes (58, 59), and they would suffer from symptoms such as cerebral palsy, mental retardation, and sensory impairments (22, 56, 60, 61). Brain ultrasonography is the most reliable method for diagnosing and follow-up of intraventricular hemorrhage (IVH) in preterm infants (58, 62). "
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    ABSTRACT: Context: All over the the world, preterm birth is a major cause of death and important neurodevelopmental disorders. Approximately 9.6% (12.9 million) births worldwide are preterm. Evidence Acquisition: In this review, databases such as PubMed, EMBASE, ISI, Scopus, Google Scholar and Iranian databases including Iranmedex, and SID were researched to review relevant literature. A comprehensive search was performed using combinations of various keywords. Results: Cerebral palsy especially spastic diplegia, intellectual disability, visual (retinopathy of prematurity) and hearing impairments are the main neurodevelopmental disorders associated with prematurity. Conclusions: The increased survival of preterm infants was not associated with lower complications. There is now increasing evidence of sustained adverse outcomes into school age and adolescence, for preterm infants. Keywords:Neurodevelopment; Impairment; Preterm Birth; Low Birth Weight
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