1. Longer gestation among children born full term influences cognitive and motor development
- Author
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Emma V. Espel, Laura M. Glynn, Elyssia Poggi Davis, and Curt A. Sandman
- Subjects
Adult ,Pediatrics ,medicine.medical_specialty ,Embryology ,Birth weight ,Organogenesis ,Social Sciences ,lcsh:Medicine ,Gestational Age ,Motor Activity ,Bayley Scales of Infant Development ,Fetal Development ,03 medical and health sciences ,0302 clinical medicine ,Child Development ,Cognition ,Pregnancy ,030225 pediatrics ,Architecture ,medicine ,Medicine and Health Sciences ,Humans ,Psychology ,Child ,lcsh:Science ,Full Term ,Fetus ,Fetuses ,Multidisciplinary ,business.industry ,Obstetrics ,lcsh:R ,Pregnancy Outcome ,Brain Development ,Gestational age ,Biology and Life Sciences ,medicine.disease ,Child development ,Developmental Psychology ,Gestation ,Female ,lcsh:Q ,business ,Organism Development ,030217 neurology & neurosurgery ,Research Article ,Developmental Biology - Abstract
Children born preterm show persisting impairments in cognitive functioning, school achievement, and brain development. Most research has focused on implications of birth prior to 37 gestational weeks; however, the fetal central nervous system continues to make fundamental changes throughout gestation. Longer gestation is associated with reduced morbidity and mortality even among infants born during the period clinically defined as full term (37โ41 gestational weeks). The implications of shortened gestation among term infants for neurodevelopment are poorly understood. The present study prospectively evaluates 232 mothers and their full term infants (50.4% male infants) at three time points across the first postnatal year. We evaluate the association between gestational length and cognitive and motor development. Infants included in the study were full term (born between 37 and 41 weeks gestation). The present study uses the combination of Last Menstrual Period (LMP) and early ultrasound for accurate gestational dating. Hierarchical Linear Regression analyses revealed that longer gestational length is associated with higher scores on the Bayley scales of mental and motor development at 3, 6 and 12 months of age after considering socio-demographic, pregnancy, and infant-level covariates. Findings were identical using revised categories of early, term, and late term proposed by the Working Group for Defining Term Pregnancy. Our findings indicate that longer gestation, even among term infants, benefits both cognitive and motor development.
- Published
- 2014
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