Her analysis reviewed how these kids developed in childhood, as well as how they functioned as adults over a 30-year period. The results are very concerning.
During childhood, these kids were more likely to exhibit a variety of problems, including hyperactivity, inattention, social problems and conduct problems. During adolescence, these kids continued to exhibit greater mental health problems than the control group of normal birth weight babies. Adolescents had a greater likelihood of issues with social interactions, attention and hyperactivity.
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What’s particularly noteworthy is how these babies developed as adults. They were at a significantly greater risk for depression, anxiety and social problems.
What are the implications of this study if you are the parent of a premature baby?
1. This doesn't apply to all premature children. With a normal pregnancy lasting 40 weeks, babies are classified as premature if they are born three weeks early. The authors reported that premature babies now make up about 8 percent of all births, a 30 percent increase over the past 20 years.
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However, this research did not evaluate all premature babies, only those born with an extremely low birth weight. It’s unknown if these results apply to all children born prematurely, or only those at the extreme end of the spectrum.
2. Don't confuse probability with certainty. As a group, these infants have an increased likelihood of problems throughout adulthood. However, that doesn't mean that all babies born with an extremely low birth rate will have such issues.
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3. Early identification is key. If you are the parent of such a baby, educate yourself about normal childhood development. If you have any concerns, don't wait to seek guidance in the hope that problems will pass.
I understand this is a bit of a dilemma, as you don’t want to become hypervigilant and see problems that aren’t there. However, when in doubt, seek help.
4. Find a great specialist. Seek the guidance of your doctor, and don't be reluctant to ask and even demand for a referral to a developmental pediatrician. Do some research to determine if your physician has specialized training and experience in caring for such kids.
Next Week: “13 Reasons Why”…. good or bad for kids?
Dr. Ramey is the Executive Director of Dayton Children’s Center for Pediatric Mental Health Resources and can be contacted at Rameyg@childrensdayton.org.
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