Abstract/Details

Neurodevelopmental outcome of infants diagnosed with IUGR: A two and a half year follow-up


2009 2009

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Abstract (summary)

Intrauterine growth restriction (IUGR) was recognized as an important diagnosis during the 1950s. Infants born full-term with a birth weight less than 2,500 grams, as well as infants born preterm with weight/height below the 10th percentile for gestational age, are diagnosed with IUGR (Forbes & Smalls, 1983; Goldenberg et al., 1989). The current study examined if there was a common, neurodevelopmental trajectory among infants diagnosed with IUGR when compared to typically developing infants over two and a half years. Since previous research conducted on infants with IUGR has been contradictory, the current study intended to help clarify the developmental trajectory of infants with IUGR.

Researchers have found that children with IUGR continued to display significantly lower performance on motor subtests, especially with their coordination and graphomotor skills as they reached Kindergarten (Goyen, Veddovi and Lui, 2003; Leitner et al., 2000). Results from the current study found that infants with IUGR who were assessed on gross and fine motor subscales performed consistently in the Average range at all three of their follow-up visits. The current study also found that infants with an atypically small head circumference at approximately 4 months of age performed significantly lower on gross motor and expressive language subscales compared to typically developing infants. In addition, typically developing infants were more likely to have a normal neurological exam than infants with an atypical head circumference at 4 months of age. These findings are important since past research has shown that infants with IUGR whose head circumference was below average were more likely to experience cognitive delays then their normally developing counterparts who had an average head growth (Frisk, Amsel & Whyte, 2002; Robertson, Etches & Kyle, 1989; Strauss & Dietz, 1998).

The findings from the current study were limited due to small sample size, high attrition rates of participants and high rates of co-morbidity of IUGR with secondary medical diagnoses. One important implication from this study to the field of school-clinical child psychology is that psychologists should be able to identify infants who are at-risk for developmental delay in order to provide parent education and plan appropriate interventions.

Indexing (details)


Subject
Neurosciences;
Developmental psychology;
Clinical psychology
Classification
0317: Neurosciences
0620: Developmental psychology
0622: Clinical psychology
Identifier / keyword
Psychology; Biological sciences; Developmental outcome; Follow-up study; IUGR; Infants; Intrauterine growth restriction; Neurodevelopment; Outcome
Title
Neurodevelopmental outcome of infants diagnosed with IUGR: A two and a half year follow-up
Author
Moore, Michelle Bacon
Number of pages
88
Publication year
2009
Degree date
2009
School code
0483
Source
DAI-B 70/09, Dissertation Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
ISBN
9781109377170
Advisor
Zaccario, Michele
University/institution
Pace University
University location
United States -- New York
Degree
Psy.D.
Source type
Dissertations & Theses
Language
English
Document type
Dissertation/Thesis
Dissertation/thesis number
3376928
ProQuest document ID
305065570
Copyright
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
http://search.proquest.com/docview/305065570
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