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July 1973, Vol 126, No. 1 >
Article | July 1973

Early Development of the Tiny Premature Infant FREE

Harry S. Dweck, MD; Samuel A. Saxon, PhD; John W. Benton, MD; George Cassady, MD
[+] Author Affiliations

Received for publication Jan 2, 1973; accepted March 19.

Read before The Society for Obstetric Anesthesia and Perinatology, Atlanta, April 25, 1971, and at the Southern Society for Pediatric Research, New Orleans, Jan 28, 1972.

Reprint requests to Department of Pediatrics, University of Alabama in Birmingham, Birmingham 35294 (Dr. Dweck).


Am J Dis Child. 1973;126(1):28-34. doi:10.1001/archpedi.1973.02110190024005.
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Fourteen of 15 surviving infants with birth weights between 960 and 1,100 gm and 14 healthy mature infants born after July 1968 were examined 11¼ to 33½ months after birth. Eleven infants in each group had normal neurological examinations while three mature and one low birth-weight (LBW) infant had borderline results. Two LBW infants had neurologic deficits. All electroencephalogram patterns were normal except for one in a mature infant. Mean IQ scores were identical for both groups (100 LBW; 101 mature), as were developmental performance and social quotients. In contrast to the grim predictions of the past, these preliminary data suggest a more encouraging prognosis for the surviving tiny premature infant.

REFERENCES

1 +
Lubchenco L, et al:  Sequelae of premature birth: Evaluation of premature infants of low birth weight at ten years of age . Am J Dis Child 106:101-115, 1963;.
2 +
Lubchenco L, Delivoria-Papadopoulos M, Searls D:  Long-term followup studies of prematurely born infants: II. Influence of birth weight and gestational age on sequelae . J Pediatr 80:509-512, 1972;.
3 +
Drillien CM: The Growth and Development of the Prematurely Born Infant . Baltimore, Williams & Wilkins Co, 1964;, pp 281-316, 361-367.
4 +
Drillien CM:  Growth and development in a group of children of very low birth weight . Arch Dis Child 33:10-18, 1958;.
5 +
Knobloch H, et al:  Neuropsychiatric sequelae of prematurity . JAMA 161:581-585, 1956;.
6 +
Dann M, Levine SZ, New EV:  The development of prematurely born children with birth weights or minimal postnatal weights of 1,000 grams or less . Pediatrics 22:1037-1052, 1958;.
7 +
Department of Health, Education, and Welfare, Public Health Service, National Center for Health Statistics. Vital and Health Statistics: Infant, Fetal and Maternal Mortality, UA 1963 . Government Printing Office, Washington, DC, 1966;, PHS Publication No. 1000, pp 32-33.
8 +
Rawlings G, et al:  Changing prognosis for infants of very low birth weight . Lancet 1:516-519, 1971;.
9 +
Ellis WC, Chaubal VT: The forgotten newborn. Read before the Society for Pediatric Research, Atlantic City, NJ, 1971.
10 +
Kitchen WH, Campbell DG:  Controlled trial of intensive care for very low birth weight infants . Pediatrics 48:711-714, 1971;.
11 +
Alden ER, et al:  Morbidity and mortality of infants weighing less than 1,000 grams in an intensive care nursery . Pediatrics 50:40-49, 1972;.
12 +
Cattell P: Infant Intelligence Scale, 1940 . New York, The Psychological Corporation, 1940;.
13 +
Doll EA: Vineland Social Maturity Scale , 1965;. Circle Pines, Minn, American Guidance Service, Inc, 1965.
14 +
Nesbitt REL Jr, Aubry RH:  High-risk obstetries: II. Value of semiobjective grading system in identifying the vulnerable group . Am J Obstet Gynecol 103:972-985, 1969;.
15 +
Dancis J, O'Connell J, Holt LE:  A grid for recording the weight of premature infants . J Pediatr 33:570-572, 1948;.
16 +
Stuart HC, et al:  Studies from the Center for Research in Child Health and Development, School of Public Health, Harvard University: I. The Center, the group under observation, sources of information, and studies under progress . Monograph Soc Res Child Devel , 1939;, vol 4, serial No. 20, No. (1) .
17 +
Nellhaus G:  Head circumference from birth to 18 years . Pediatrics 41:106-114, 1968;.
18 +
Frankenburg WK, Dobbs JB:  The Denver developmental screening test . J Pediatr 71:181-191, 1967;.
19 +
Gibbs FA, Gibbs EL: Atlas of Electroencephalography: Neurological and Psychiatric Disorders . Reading, Mass, Addison-Wesley Publishing Co Inc, 1964;, vol 3, p 57.
20 +
Gartner LM, et al: Kernicterus:  High incidence in premature infants with low serum bilirubin concentrations . Pediatrics 45:906-917, 1970;.
21 +
Stern L, Doray BH:  Hypothermia, acidosis and kernicterus in small premature infants , in Proceedings of the International Congress of Pediatrics , volume 3. Mexico City, Impresiones Modernas, 1968;, p 512 (Abstract 464).
22 +
Churchill JA:  The relationship of Little's disease to premature birth . Am J Dis Child 96:32-38, 1958;.
23 +
Knobloch H, Pasamanick B, Sherad ES:  A developmental screening inventory for infants . Pediatrics 38:1095-1105, 1966;.
24 +
Anastasi A: Psychological Testing . New York, Macmillan Co Publishers, 1964;, pp 287-288, 297.
25 +
Dann M, Levine SZ, New EV:  A long-term follow-up study of small premature infants . Pediatrics 33:945-955, 1964;.
26 +
Drillien CM:  The incidence of mental and physical handicaps in school-age children of very low birth weight . Pediatrics 27:452-464, 1961;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Lubchenco L, et al:  Sequelae of premature birth: Evaluation of premature infants of low birth weight at ten years of age . Am J Dis Child 106:101-115, 1963;.
2 +
Lubchenco L, Delivoria-Papadopoulos M, Searls D:  Long-term followup studies of prematurely born infants: II. Influence of birth weight and gestational age on sequelae . J Pediatr 80:509-512, 1972;.
3 +
Drillien CM: The Growth and Development of the Prematurely Born Infant . Baltimore, Williams & Wilkins Co, 1964;, pp 281-316, 361-367.
4 +
Drillien CM:  Growth and development in a group of children of very low birth weight . Arch Dis Child 33:10-18, 1958;.
5 +
Knobloch H, et al:  Neuropsychiatric sequelae of prematurity . JAMA 161:581-585, 1956;.
6 +
Dann M, Levine SZ, New EV:  The development of prematurely born children with birth weights or minimal postnatal weights of 1,000 grams or less . Pediatrics 22:1037-1052, 1958;.
7 +
Department of Health, Education, and Welfare, Public Health Service, National Center for Health Statistics. Vital and Health Statistics: Infant, Fetal and Maternal Mortality, UA 1963 . Government Printing Office, Washington, DC, 1966;, PHS Publication No. 1000, pp 32-33.
8 +
Rawlings G, et al:  Changing prognosis for infants of very low birth weight . Lancet 1:516-519, 1971;.
9 +
Ellis WC, Chaubal VT: The forgotten newborn. Read before the Society for Pediatric Research, Atlantic City, NJ, 1971.
10 +
Kitchen WH, Campbell DG:  Controlled trial of intensive care for very low birth weight infants . Pediatrics 48:711-714, 1971;.
11 +
Alden ER, et al:  Morbidity and mortality of infants weighing less than 1,000 grams in an intensive care nursery . Pediatrics 50:40-49, 1972;.
12 +
Cattell P: Infant Intelligence Scale, 1940 . New York, The Psychological Corporation, 1940;.
13 +
Doll EA: Vineland Social Maturity Scale , 1965;. Circle Pines, Minn, American Guidance Service, Inc, 1965.
14 +
Nesbitt REL Jr, Aubry RH:  High-risk obstetries: II. Value of semiobjective grading system in identifying the vulnerable group . Am J Obstet Gynecol 103:972-985, 1969;.
15 +
Dancis J, O'Connell J, Holt LE:  A grid for recording the weight of premature infants . J Pediatr 33:570-572, 1948;.
16 +
Stuart HC, et al:  Studies from the Center for Research in Child Health and Development, School of Public Health, Harvard University: I. The Center, the group under observation, sources of information, and studies under progress . Monograph Soc Res Child Devel , 1939;, vol 4, serial No. 20, No. (1) .
17 +
Nellhaus G:  Head circumference from birth to 18 years . Pediatrics 41:106-114, 1968;.
18 +
Frankenburg WK, Dobbs JB:  The Denver developmental screening test . J Pediatr 71:181-191, 1967;.
19 +
Gibbs FA, Gibbs EL: Atlas of Electroencephalography: Neurological and Psychiatric Disorders . Reading, Mass, Addison-Wesley Publishing Co Inc, 1964;, vol 3, p 57.
20 +
Gartner LM, et al: Kernicterus:  High incidence in premature infants with low serum bilirubin concentrations . Pediatrics 45:906-917, 1970;.
21 +
Stern L, Doray BH:  Hypothermia, acidosis and kernicterus in small premature infants , in Proceedings of the International Congress of Pediatrics , volume 3. Mexico City, Impresiones Modernas, 1968;, p 512 (Abstract 464).
22 +
Churchill JA:  The relationship of Little's disease to premature birth . Am J Dis Child 96:32-38, 1958;.
23 +
Knobloch H, Pasamanick B, Sherad ES:  A developmental screening inventory for infants . Pediatrics 38:1095-1105, 1966;.
24 +
Anastasi A: Psychological Testing . New York, Macmillan Co Publishers, 1964;, pp 287-288, 297.
25 +
Dann M, Levine SZ, New EV:  A long-term follow-up study of small premature infants . Pediatrics 33:945-955, 1964;.
26 +
Drillien CM:  The incidence of mental and physical handicaps in school-age children of very low birth weight . Pediatrics 27:452-464, 1961;.

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