ORIGINAL PAPER
Psychomotor development of preterm babies in the context of biomedical predictors in a Polish sample
 
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Online publication date: 2014-02-04
 
Health Psychology Report 2013;1(1):18–33
 
KEYWORDS
ABSTRACT
Background
Preterm birth represents the most frequent complication of pregnancy all over the world. Much research is addressed to psychomotor development of preterm infants during the initial years of their life. Many authors emphasize the role of birth weight, gestational age, and gender in determining the child’s psychomotor development. This study adds to this knowledge as we analyzed the synergistic effect of biomedical predictors such as gestational age, birth weight, Apgar score, time in incubator, type of pregnancy defined based on its outcome, neonatal status immediately after delivery, infant’s gender, and possessing twin sibling. Combined effects of these factors represent an important niche in the studies of the developmental psychology of preterm infants.

Participants and procedure
The study included 49 preterm infants born in 2008-2009 at the Department of Obstetrics of the Medical University of Gdańsk. The psychomotor development of preterm infants was evaluated according to the Bayley Scales of Infant and Toddler Development®, Third Edition (BSID-III) at a mean, non-corrected age of 33.80 months (SD = 5.16).
For the purpose of the study we developed a basic model in the form of a pathway diagram, describing the cumulative influence of eight biomedical predictors on the development of the infants during early childhood.

Results
Our study revealed a synergistic influence of biomedical predictors on the development of preterm infants with regards to cognitive functioning (28% of variance), language skills (10% of variance), motor skills (18% of variance), fine motor skills (16% of variance), and gross motor skills (20% of variance). Moreover, we observed an independent effect of birth weight, child’s gender, and final Apgar score on the psychomotor development of preterm infants. Higher birth weight was associated with higher level of cognitive function and fine motor skills. Male gender of a child was reflected by a higher level of cognitive function and language skills, including expressive communication. Finally, higher final Apgar scores resulted in better gross motor skills.

Conclusions
This study confirmed the independent influence of biomedical predictors, such as birth weight, gender, and Apgar score, on the psychomotor development of preterm babies during early childhood. Medical factors play a crucial role in the evaluation of psychomotor development in preterm infants, and their importance should not be undervalued.
 
REFERENCES (44)
1.
Addison, K., Griffin, M., Moorman, J., Lake, D. & O’Shea, T. (2009). Heart rate characteristics and neurodevelopmental outcome in very low birth weight infants. Journal of Perinatology, 29, 750-756.
 
2.
Anderson, P.J., de Luca, C.R., Hutchinson, E., Roberts, G. & Doyle, L.W., and the Victorian Infant Collaborative Group (2010). Underestimation of Developmental Delay by the New Bayley-III Scale. Archives of Pediatrics & Adolescent Medicine, 164, 352-356.
 
3.
Bałanda-Bałdyga, A., Skurzak, A., Iwanowicz-Palus, G.J., Bień, A.M. & Kiełbratowska, B. (2009). Opieka nad wcześniakiem z wybranymi problemami klinicznymi. In: A.B. Pilewska-Kozak (ed.). Opieka nad wcześniakiem [Care for premature] (pp. 141-163). Warszawa: PZWL.
 
4.
Bidzan, M. & Bieleninik, Ł. (2013). Conditions of the Quality of Life and Life Satisfaction of Mothers of Preterm Babies in Poland. Journal of Socialomics, 2, e117.
 
5.
Bidzan, M., Bieleninik, Ł. & Lipowska, M. (2013). The development of speach in early childhood in children from twin pregnancies with twin-twin transfusion syndrome (TTTS). Polish Psychological Bulletin, 44, 9-20.
 
6.
Bieleninik, Ł. (2012). Dzieci przedwcześnie urodzone w percepcji matek [Mothers’ perception of prematurely born children]. Gdańsk: Wyd. Harmonia Universalis.
 
7.
Bracewell, M. & Marlow, N. (2002). Patterns of Motor Disability in Very Preterm Children. Mental Retardation and Developmental Disabilites Rerearch Reviews, 8, 241-248.
 
8.
Czajka, R. (2010). Poród przedwczesny. In: G.H. Bręborowicz (ed.). Ciąża wysokiego ryzyka [High-risk pregnancy] (pp. 137-143). Poznań: MMX.
 
9.
Datar, A., Jacknowitz, A. (2009). Birth Weigh Effects on Children’s Mental, Motor, and Physical Development: Evidence from Twins Data. Matern Child Health J, 13, 780-794.
 
10.
Dezoete, J.A., MacArthur, B.A. & Tuck, B. (2003). Prediction of Bayley and Stanford-Binet scores with a group of very low birth weight children. Child: Care, Health & Development, 29, 367-372.
 
11.
Field, D.J., Dorling, J.S., Manktelow, B.N. & Draper, E.S. (2008). Survival of extremely premature babies in a geographically defined population: prospective cohort study of 1994-9 compared with 2000-5. British Medical Journal, 336, 1221-1223.
 
12.
Gidley Larson, J.C., Baron, I.S., Erickson, K., Ahronivich, M.D., Baker, R. & Litman, F.R. (2011). Neuromotor Outcomes at School Age After Extremely Low Birth Weight: Early Detection of Subtle Sings. Neuropsychology, 23, 66-73.
 
13.
Gomółka-Walaszek, I. & Walaszek, A. (2008). Interakcje opiekowania się w rozwoju psychoruchowym bliźniąt. Perinatologia, Neonatologia i Ginekologia, 1, 294-301.
 
14.
Gotsh, F., Romero, R., Erez, O., Vaisbuch, E., Kusanovic, J.P., Mazaki-Tovi, S., Kimi, S.K., Hassan, S. & Yeo, L. (2009). The preterm parturition syndrome and its implications for understanding the biology, risk assessment, diagnosis, treatment and prevention of preterm birth. The Journal of Maternal-Fetal and Neonatal Medicine, 22, S2, 5-23.
 
15.
Hack, M., Wilson-Costello, D., Friedman, H., Taylor, G.H., Schluchter, M. & Fanaroff, A.A. (2000). Neurodevelopment and Predicators of Outcomes of Children With Birth Weights of Less Than 1000 g. Archives of Pediatrics & Adolescent Medicine, 154, 725-731.
 
16.
Hemgren, E. & Persson, K. (2004). Quality of motor performance in preterm and full-term 3-year-old children. Child: Care, Health & Development, 30, 515-527.
 
17.
Hemgren, E. & Persson, K. (2006). Associations of motor coordination and attention with motor-perceptual development in 3-year-old preterm and full-term children who needed neonatal intensive care. Child: Care, Health & Development, 33, 11-21.
 
18.
Hintz, S.R., Kendrick, D.E., Vohr, B.R., Poole, W.K. & Higgins, R.D. (2005). Changes in Neurodevelopmental Outcomes at 18 to 22 Months’ Corrected Age Among Infants of Less Than 25 Weeks’ Gestional Age Born in 1993-1999. Pediatrics, 115, 1644-1651.
 
19.
Kiechl-Kohlendorfer, U., Ralser, E., Pupp Peglow, U., Reiter, G. & Trawöger, R. (2009). Adverse neurodevelopmental outcome in preterm infants: risk factor profiles for different gestational ages. Acta Pediatrica, 98, 792-796.
 
20.
Kilbride, H.W., Thorstad, K. & Daily, D.K. (2004). Preschool Outcome of Less Than 801-Gram Preterm Infants Compared With Full-Term Siblings. Pediatrics, 113, 742-747.
 
21.
Kmita, G. (2003). Rozwój psychiczny dzieci urodzonych przedwcześnie. In: M.K. Kornacka (ed.). Noworodek przedwcześnie urodzony – pierwsze lata życia [Preterm newborn: first years of life] (pp. 55-67). Warszawa: PZWL.
 
22.
Kornacka, M.K. (2000): Zaburzenia neurologiczne. In: J. Szczapa (ed.). Neonatologia [Neonatology] (pp. 533-565). Warszawa: PZWL.
 
23.
Kornacka, M.K. (2003). Rozwój dzieci z ciąż wielopłodowych. In: G.H. Bręborowicz, W. Malinowski, E. Ronin-Walknowska (eds.). Ciąża wielopłodowa [Multiple pregnancy] (pp. 363-371). Poznań: OWN.
 
24.
Kostuch, M. (2009). Noworodek urodzony przedwcześnie – odrębności anatomiczne i fizjologiczne. In: A.B. Pilewska-Kozak (ed.). Opieka nad wcześniakiem [Care of Premature] (pp. 44-60). Warszawa: PZWL.
 
25.
Lan-Wang, W., Shan-Tair, W. & Chao-Ching, H. (2008). Preterm infants of educated mothers have better outcome. Acta Pediatrica, 97, 568-573.
 
26.
Laptook, A.R., O’Shea, M., Shankaran, S. & Bhaskar, B. (2005). Adverse Neurodevelopmental Outcomes Among Extremely Low Birth Infants With a Normal Head Ultrasound: Prevalence and Antecedents. Pediatrics, 115, 673-680.
 
27.
Luu, T.M., Vohr, B.R., Schneider, K.C., Katz, K.H., Tucker, R., Allan, W.C. & Ment, L.R. (2009). Trajectories of Receptive Language Development from 3 to 12 Years in Very Preterm Children. Pediatrics, 124, 333-341.
 
28.
Maguire, C.M., Walther, F.J., van Zwieten, P.H.T., Le Cessie, S., Wit, J.M. & Veen, S., behalf of the Leiden Developmental Care Project (2009). Follow-up Outcomes at 1 and 2 Years of Infants Born Less Than 32 Weeks After Newborn Induvidualized Developmental Care and Assessment Program. Pediatrics, 123, 1081-1087.
 
29.
Marlow, N., Wolke, D., Bracewell, M.A. & Samara, M. (2005). Neurologic and developmental disability at six years of age after extremely preterm birth. The New England Journal of Medicine, 352, 9-19.
 
30.
Martens, S.E., Rijken, M., Stoelhorst, G.M., van Zwieten, P.H., Zwinderman, A.H., Wit, J.M., Hadders-Algra, M. & Veen, S. (2003). Is hypotension a major risk factor for neurological morbidity at term age in very preterm infants? Early Human Development, 75, 79-89.
 
31.
Morris, B.H., Smith, K.S., Swank, P.R., Denson, S.E. & Landry, S.H. (2002). Patterns of Physical an Neurologic Development in Preterm Children. Journal of Perinatology, 22, 31-36.
 
32.
Mulder, H., Pitchford, N.J., Hagger, M.S. & Marlow, N. (2009). Development of Executive Functions and attention in Preterm Children: A Systematic Review. Developmental Neuropsychology, 34, 393-421.
 
33.
Ragusa, G. (2009). Born too soon: what can we expect? Nature of home literacy experiences for children with very low birth weight. Early Child Development and Care, 179, 651-670.
 
34.
Rijken, M., Stoelhorst, G., Martens, E., van Zwieten, P.H., Brand, R., Wit, J.M. & Veen, S. (2003). Mortality and neurologic, mental and psychomotor development at 2 years in infants born less than 27 weeks’ gestation: the Leiden Follow-Up Project on Prematurity. Pediatrics, 112, 351-358.
 
35.
Rijken, M., Wit, J.M., le Cessie, S. & Veen, S. (2007). The effect of perinatal risk factors on growth in very preterm infants at 2 years of age: the Leiden Follow-up Project on Prematurity. Early Human Development, 83, 527-534.
 
36.
Rostowski, J. (2010). Bioneuropsychologiczne aspekty rozwoju bliźniąt. In: T. Rostowska, B. Pastwa-Wojciechowska (eds.). Rozwój bliźniąt w ciągu życia. Aspekty biopsychologiczne [The Development of Twins over a Lifetime. Biopsychological Aspects] (pp. 11-39). Kraków: Oficyna Wydawnicza „Impuls”.
 
37.
Saigal, S., den Ouden, A.L., Wolke, D., Hoult, L., Paneth, N., Streiner, D.L., Whitaker, A. & Pinto-Martin, J. (2003). School-age outcomes in children who were extremely low birth weight from four international population-based cohorts. Pediatrics, 112, 943-950.
 
38.
Sondaar, M., van Kessel, B.J.M., de Kleine, M.J.K., Briët, J.M., den Ouden, A.L. & van Baar, A. (2008). Do Pediatricians Recognize Cognitive Developmental Problems in Preterm Children at Age 5 Years? Journal of Developmental and Physical Disabilities, 20, 21-29.
 
39.
Stoelhorst, G.M.S.J., Rijken, M., Martens, S.E., van Zwieten, P.H.T., Feenstra, J., Zwinderman, A.H., Wit, J.M. & Veen, S. (2003). Developmental outcome at 18 and 24 months of age in very preterm children: a cohort study from 1996 to 1997. Early Human Development, 72, 83-95.
 
40.
van Kessel-Feddema, B., Sondaar, M., de Kleine, M., Verhaak, C. & van Baar, A. (2007). Concordance between school outcomes and developmental follow-up results of very preterm and/or low birth weight children at the age of 5 years. European Journal of Pediatrics, 166, 693-699.
 
41.
Wechsler Linden, D., Paroli, E.T. & Doron, M.W. (2007). Wcześniak. Pierwsze 6 lat życia [Premature. The First Six Years of Life]. E. Helwich (ed.). Warszawa: PZWL.
 
42.
Wielenga, J.M., Smit, B.J., Merkus, M.P., Wolf, M.J., van Sonderen, L. & Kok, J.H. (2009). Development and growth in very preterm infants in relation to NIDCAP in a Dutch NICU: two years of follow-up. Acta Paediatrica, 98, 291-297.
 
43.
Wood, N.S., Costeloe, K., Gibson, A.T., Hennessy, E.M., Marlow, N. & Wilkinson, A.R., EPICure Study Group (2005). The EPICure study: associations and antecedents of neurological and developmental disability at 30 months of age following extremely preterm birth. Archives of Disease in Childhood-Fetal and Neonatal, 90, 134-140.
 
44.
Woodward, L.J., Anderson, P.J., Austin, N.C., Howard, K. & Inder, T.E. (2006). Neonatal MRI to Predict Neurodevelopmental Outcomes in Preterm Infants. The New England Journal of Medicine, 355, 685-694.
 
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