ArticleJournal of developmental and behavioral pediatrics : JDBP2012
Late-preterm birth by delivery circumstance and its association with parent-reported attention problems in childhood.
Article in Journal of developmental and behavioral pediatrics : JDBP, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Uncharted territory: a narrative review of parental involvement in decision-making about late preterm and early term delivery.BMC pregnancy and childbirth · 2023Review
- Identifying hypertension in pregnancy using electronic medical records: The importance of blood pressure values.Pregnancy hypertension · 2020Article
- Placental programming of neuropsychiatric disease.Pediatric research · 2019Review
- The Effect of a Social-Emotional Intervention on the Development of Preterm Infants in Institutions.Infants and young children · 2018Article
- Neurodevelopmental outcomes following late and moderate prematurity: a population-based cohort study.Archives of disease in childhood. Fetal and neonatal edition · 2015Article
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Authors and funding
7 authors.
Funding
Abstract
objectiveLate-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.
methodsWomen 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.
resultsAfter 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.
conclusionsAmong 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.
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