Preterm born children and the van Wiechen-developmental assessment: findings of the LOLLIPOP-cohort

Research output: Contribution to journalArticleProfessional

Abstract

The Van Wiechen Developmental Research is used by pediatricians and preventive child healht physicians to carefully monitor the development of all children, including preterm-born babies. It is unknown for premature babies how their development trajectory proceeds according to the Van Wiechen Developmental assessment. We therefore investigated this in the LOLLIPOP cohort. This cohort consists of term births, moderately preterm and preterm-born infants, born in 2002-2003. We have divided the Van Wiechen data into three domains: “social-emotional”, “fine motor skills” and “gross motor skills”. For each gestational age group, we determined how many children reached the developmental milestones on time, in terms of their calendar age. Moderate and early preterm-born infants achieved developmental milestones less often on average than at term children: in the social-emotional domain, 96%, 90% and 79%, of term, moderately and early preterm-born infants, respectively, achieved these in a timely manner. For both gross and fine motor skills this was 89% of the term born and 84% of the moderately pretermbabies. For early premature babies this was 84% ​​for fine and only 70% for gross motor skills. There was considerable variation in the achievement of the different milestones in all areas. We conclude that the achievement of developmental milestones in the first years of life is highly dependent on the gestational age. Further research is desirable into the adaptation and application of the Van Wiechen Developmental assessment for term and preterm-born babies.
Translated title of the contributionPreterm born children and the van Wiechen-developmental assessment: findings of the LOLLIPOP-cohort
Original languageDutch
Pages (from-to)86-93
Number of pages8
JournalJGZ : Tijdschrift voor Jeugdgezondheidszorg
Volume52
DOIs
Publication statusPublished - 22-Jun-2020

Keywords

  • screening; well-child care; prevention

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