Features of Case Follow-up of Extremely Preterm Infants

О.S. Yablon, D.Yu. Vlasenko, D.P. Sergeta, К.T. Bertsun, О.V. Kharchuk, N.А. Shovkoplyas, Т.А. Vlasenko


Objective. The study was conducted to analyze and improve the quality of case follow-up of children with birth weight < 1000 g and gestational age ≤ 28 weeks. Materials and Methods. The study group comprised 42 children, for whom case follow-up was conducted, which included control of disease rate, sensory functions, psychomotor and social-emotional development, comorbid conditions until at least 18 months of corrected age. The comparison group included 36 children with a standard observation. Results. The study showed a reduction in the incidence of postneonatal mortality by half, as well as decrease in the prevalence of cerebral palsy by 7.5 %. Qualitative clinical examination enables to detect timely abnormalities in sensory, motor, cognitive and socio-emotional development, to apply the techniques of early rehabilitation and to reduce disability in extremely premature infants.


preterm infants; extremely low body weight; catamnesis; clinical examination; disability.


Meta-Analysis of Neurobehavioral Outcomes in Very Preterm and/or Very Low Birth Weight Children / C.S.H. Aarnoudse-Moens, N. Weisglas-Kuperus, J.B. van Goudoever [et al.] // Pediatrics. – 2009. – Vol.124(2). – P.717-728.

State-wide follow-up of extremely preterm infants: a model of cross-sectoral quality analysis / G. Damm, B. Sens, K. Harms [et al.] // Z Evid Fortbild Qual Gesundhwes. – 2011. – Vol.105(8). – P.597-605.

Behavioral Problems and Cognitive Performance at 5 Years of Age After Very Preterm Birth: The EPIPAGE Study / M. Delobel-Ayoub, C. Arnaud, M. White-Koning [et al.] // Pediatrics. – 2009. – 123(6). – P.1485-1492.

Doyle L. W. Adult Outcome of Extremely Preterm Infants / L.W. Doyle, P.J. Anderson // Pediatrics. – 2010. – Vol.126. – P. 342-351.

Influence of gestational age on death and neurodevelopmental outcome in premature infants with severe intracranial hemorrhage / R.F. Goldstein, C.M. Cotten, S. Shankaran [et al.] // J Perinatol. – 2013. – Vol.33(1). – P.25-32.

Qualitative Brain MRI at Term and Cognitive Outcomes at 9 Years After Very Preterm Birth / S. Iwata, T. Nakamura, E. Hizume [et al.] // Pediatrics. – 2012. – Vol.129(5). – P.1138-1147.

Do early intervention programmes improve cognitive and motor outcomes for preterm infants after discharge? A systematic review / J. Orton, A. Spittle, L. Doyle [et al.] // Dev Med Child Neurol. – 2009. – Vol.51(11). – P.851-859.

Impaired language abilities and white matter abnormalities in children born very preterm and/or very low birth weight / N. Reidy, A. Morgan, D.K. Thompson // J Pediatr. – 2013. – Vol.162(4). – P.719-724.

Ріга О. О. Відкриті питання катамнестичного спостереження за новонародженими груп ризику. Частина 1. / О. О. Ріга // Неонатологія, хірургія та перинатальна медицина. – 2013. – Т. ІІІ. – № 2(8). – С. 118-124.

Neurodevelopmental outcome in extremely preterm infants at 2.5 years after active perinatal care in Sweden / F. Serenius, K. K?ll?n, M. Blennow [et al.] // JAMA. – 2013. – Vol. 309(17). – P.1810-1820.

Early developmental intervention programmes post-hospital discharge to prevent motor and cognitive impairments in preterm infants / A. Spittle, J. Orton, P. Anderson [et al.] // Cochrane Database Syst Rev. – 2012.

Sutton P.S. Preterm Birth and Neurodevelopment: A Review of Outcomes and Recommendations for Early Identification and Cost-effective Interventions /P.S. Sutton, G.L. Darmstadt // J Trop Pediatr. – 2013. – Vol.59(4). – P.258-265.

Neonatal white matter abnormalities predict global executive function impairment in children born very preterm / L.J. Woodward, C.A. Clark, V.E. Pritchard [et al.] // Dev Neuropsychol. – 2011. – Vol.36(1). – P.22-41.

Neonatal White Matter Abnormalities an Important Predictor of Neurocognitive Outcome for Very Preterm Children / L. J. Woodward, C. A. C. Clark, S. Bora [et al.] // PLoS One. – 2012. – Vol.7(12). – P.518-529.

DOI: https://doi.org/10.22141/2224-0551.6.57.2014.75722


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