Premature birth is a major problem all over the world. It affects millions of people, with the risk factors including high blood pressure, obesity, infections, and stress.
According to the World Health Organization, about 15 million babies are born prematurely every year worldwide. Some babies may be born too early due to medical reasons, while others may be born due to other factors.
What is Premature Birth?
Premature birth is a birth that takes place before 37 completed weeks of pregnancy. This means that the baby is born earlier than their due date. Some babies may be born just a few weeks early, while others may be born several months too soon.
Premature babies are also known as preemies or premature infants.
Neurodevelopmental Consequences of Premature Birth
Neurodevelopmental consequences of premature birth are a wide range of problems that can occur in premature babies.
These problems can range from mild to severe and can affect different aspects of development, including intellectual functioning, behavior, and emotional regulation.
Cerebral Palsy
Cerebral palsy is a neurological disorder that affects movement and coordination. It develops when the brain is damaged or does not develop properly. A premature baby is at an increased risk of developing cerebral palsy compared to a term baby.
The risk increases with decreasing gestational age at birth. The risk is also higher when there are other complications like infections, respiratory distress syndrome, and intraventricular hemorrhage. Early intervention and therapy can be helpful in improving function and quality of life.
Intellectual Impairment
Intellectual impairment is another common consequence of premature birth. This can range from mild to severe intellectual difficulties, which can affect various areas of learning, such as language, attention, memory, and reasoning.
The nature and extent of intellectual impairment depend on the severity of neurological complications, such as intraventricular hemorrhage and other brain injuries.
Behavioral Problems
Behavioral problems are common among premature babies. These include attention deficit disorder, hyperactivity, impulsivity, and conduct problems.
The risk of developing these problems increases as the degree of prematurity and other neurological complications increase.
Psychological and Emotional Issues
Premature babies are at increased risk of developing psychological and emotional issues. These include anxiety, depression, and post-traumatic stress disorder.
These problems are significantly associated with adverse childhood experiences, such as maternal stress, low parental involvement, and exposure to traumatic events.
Sensory Impairment
Premature babies are at risk of developing sensory impairments, such as hearing and vision problems. They can also experience tactile processing deficits, which can affect their ability to process and respond to touch.
Early developmental intervention and therapies can help improve their sensory function and provide for better outcomes in development.
Neurological Complications
Neurological complications can arise from premature birth. These include intraventricular hemorrhage, periventricular leukomalacia, and PVL. These complications can cause long-term cognitive and neurological problems.
They can also increase the risk of other neurological disorders, such as epilepsy, cerebral palsy, and intellectual impairment.
Early Intervention and Management
Early intervention and management can help prevent or minimize the potential neurodevelopmental consequences of premature birth. These interventions can include neonatal care, developmental assessments and monitoring, and early developmental therapies.
Neonatal care programs can provide better outcomes for premature babies and increase the survival rate and reduction of modifiable birth risk factors. Developmental assessments and monitoring, in conjunction with early developmental therapies, can help the early detection of neurodevelopmental issues and help in preventing them from worsening.
Conclusion
Premature birth is a major problem all over the world that affects millions of people every year.
Neurodevelopmental consequences of premature birth are associated with a wide range of problems, including cerebral palsy, cognitive and intellectual impairment, behavioral problems, psychological and emotional issues, sensory impairment and neurological complications. Early intervention and management can help prevent or minimize the potential neurodevelopmental consequences of premature birth and improve outcomes in development.