OBJECTIVE: Late-preterm birth (LPB, 34-36 wk) has been associated with an increased risk of attention problems in childhood relative to full-term birth (FTB, ≥37 wk), but little is known about factors contributing to this risk. The authors investigated the contributions of clinical circumstances surrounding delivery using follow-up data from the Pregnancy Outcomes and Community Health (POUCH) Study. METHODS: Women who delivered late preterm or full term and completed the sex- and age-referenced Conners' Parent Rating Scales-Short Form: Revised were included in the present analysis (N = 762; children's age, 3-9 y). The Conners' Parent Rating Scales-Short Form: Revised measures dimensions of behavior linked to attention problems, including oppositionality, inattention, hyperactivity, and a global attention problem index. Using general linear models, the authors evaluated whether LPB subtype (medically indicated [MI] or spontaneous) was associated with these dimensions relative to FTB. RESULTS: After adjustment for parity, sociodemographics, child age, and maternal symptoms of depression and serious mental illness during pregnancy and at the child survey, only MI LPB was associated with higher hyperactivity and global index scores (mean difference from FTB = 3.8 [95% confidence interval {CI}: 0.5, 7.0] and 3.1 [95% CI 0.0, 6.2]). These findings were largely driven by children between 6 and 9 years. Removal of women with hypertensive disorders during pregnancy (N = 85) or placental findings related to hypertensive conditions (obstruction, decreased maternal spiral artery conversion; N = 134) reduced the differences below significance thresholds. CONCLUSIONS: Among LPBs, only MI LPB was associated with higher levels of parent-reported childhood attention problems, suggesting that complications motivating medical intervention during the late-preterm period mark increased risk for such problems. Hypertensive disorders seem to play a role in these associations.
OBJECTIVE: Late-preterm birth (LPB, 34-36 wk) has been associated with an increased risk of attention problems in childhood relative to full-term birth (FTB, ≥37 wk), but little is known about factors contributing to this risk. The authors investigated the contributions of clinical circumstances surrounding delivery using follow-up data from the Pregnancy Outcomes and Community Health (POUCH) Study. METHODS:Women who delivered late preterm or full term and completed the sex- and age-referenced Conners' Parent Rating Scales-Short Form: Revised were included in the present analysis (N = 762; children's age, 3-9 y). The Conners' Parent Rating Scales-Short Form: Revised measures dimensions of behavior linked to attention problems, including oppositionality, inattention, hyperactivity, and a global attention problem index. Using general linear models, the authors evaluated whether LPB subtype (medically indicated [MI] or spontaneous) was associated with these dimensions relative to FTB. RESULTS: After adjustment for parity, sociodemographics, child age, and maternal symptoms of depression and serious mental illness during pregnancy and at the child survey, only MI LPB was associated with higher hyperactivity and global index scores (mean difference from FTB = 3.8 [95% confidence interval {CI}: 0.5, 7.0] and 3.1 [95% CI 0.0, 6.2]). These findings were largely driven by children between 6 and 9 years. Removal of women with hypertensive disorders during pregnancy (N = 85) or placental findings related to hypertensive conditions (obstruction, decreased maternal spiral artery conversion; N = 134) reduced the differences below significance thresholds. CONCLUSIONS: Among LPBs, only MI LPB was associated with higher levels of parent-reported childhood attention problems, suggesting that complications motivating medical intervention during the late-preterm period mark increased risk for such problems. Hypertensive disorders seem to play a role in these associations.
Authors: R J Levine; J C Hauth; L B Curet; B M Sibai; P M Catalano; C D Morris; R DerSimonian; J R Esterlitz; E G Raymond; D E Bild; J D Clemens; J A Cutler Journal: N Engl J Med Date: 1997-07-10 Impact factor: 91.245
Authors: C A Liapi; D E Tsakalia; C C Panitsa-Faflia; A I Antsaklis; D I Aravantinos; M L Batrinos Journal: Eur J Obstet Gynecol Reprod Biol Date: 1996-09 Impact factor: 2.435
Authors: Daria I Chernego; Robert B McCall; Shannon B Wanless; Christina J Groark; Marina J Vasilyeva; Oleg I Palmov; Natalia V Nikiforova; Rifkat J Muhamedrahimov Journal: Infants Young Child Date: 2018-01-01
Authors: Lu Chen; Susan M Shortreed; Thomas Easterling; T Craig Cheetham; Kristi Reynolds; Lyndsay A Avalos; Aruna Kamineni; Victoria Holt; Romain Neugebauer; Mary Akosile; Nerissa Nance; Zoe Bider-Canfield; Rod L Walker; Sylvia E Badon; Sascha Dublin Journal: Pregnancy Hypertens Date: 2020-01-03 Impact factor: 2.899
Authors: Samantha Johnson; T Alun Evans; Elizabeth S Draper; David J Field; Bradley N Manktelow; Neil Marlow; Ruth Matthews; Stavros Petrou; Sarah E Seaton; Lucy K Smith; Elaine M Boyle Journal: Arch Dis Child Fetal Neonatal Ed Date: 2015-04-01 Impact factor: 5.747