The effects of an early developmental mother-child intervention program on neurodevelopment outcome in very low birth weight infants: a pilot study.
BACKGROUND
Several studies report increased minor neurodevelopment dysfunctions in children born very low birth weight (VLBW). Usefulness of preventive early intervention programs to improve neurodevelopment outcome of VLBW infants is still under investigation.


OBJECTIVE
To evaluate the effects of an early post-discharge developmental mother-child intervention program on neurodevelopment outcome at 36 months in VLBW infants.


METHODS
Prospective study.


METHODS
36 VLBW infants ([mean (S.D.)] birthweight=864 g (204 g); gestational age=27.9 weeks (2.4 weeks)), consecutively born January-August 2001, randomized in intervention and control groups.


METHODS
Neurodevelopment assessment at 36 months of chronological age with use of the Griffiths Mental Development Scale and related subscales.


RESULTS
At 36 months of chronological age, as compared to controls, children in intervention group exhibited higher scores in personal-social subscales ([mean (S.D.)]=101.4 (9.3) vs. 92.9 (12.1), P=0.02), eye-hand coordination (92.7 (4.5) vs. 87.1 (9.9), P=0.041), practical reasoning (98.6 (8.2) vs. 89.4 (10.1), P=0.01). Development Scale were 97.6 (5.5) and 92.4 (9.9), respectively, in intervention and control groups (P=0.074).


CONCLUSIONS
Early post-discharge developmental mother-child intervention program may have a positive effect on later neurodevelopment outcome of VLBW children.
NICU-Ospedale Maggiore, Cl Mangiagalli-IRCCS-University of Milan, Italy. maria.gianni@unimi.it
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ML
Gianní
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Picciolini
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M
Ravasi
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Gardon
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Vegni
M
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Fumagalli
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Mosca
D002490:Central Nervous System / Q000254:growth & development*; D002657:Child Development / Q000502:physiology*; D002675:Child, Preschool; D018479:Early Intervention, Educational / Q000379:methods*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight / Q000254:growth & development*; D007361:Intelligence Tests; D007859:Learning Disabilities / Q000517:prevention & control; D008297:Male; D009034:Mother-Child Relations; D009035:Mothers / Q000523:psychology; D017063:Outcome Assessment, Health Care; D010865:Pilot Projects