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Review
. 2018 Sep;45(3):501-527.
doi: 10.1016/j.clp.2018.05.009.

Long-Term Functioning and Participation Across the Life Course for Preterm Neonatal Intensive Care Unit Graduates

Frances A Carter  1 , Michael E Msall  2
Affiliations
Review

Long-Term Functioning and Participation Across the Life Course for Preterm Neonatal Intensive Care Unit Graduates

Frances A Carter et al. Clin Perinatol. 2018 Sep.

Abstract

To understand the trajectories of risk and resilience in the vulnerable preterm and neonatal brain, clinicians must go beyond survival and critically examine on a population basis the functional outcomes of children, adolescents, and adults across their life course. Evaluations must go well beyond Bayley assessments and counts of neonatal morbidities, such as bronchopulmonary dysplasia, retinopathy of prematurity, sonographic brain injury, sepsis, and necrotizing enterocolitis. Proactively providing support to families and developmental and educational supports to children can optimize academic functioning and participation in adult learning, physical and behavioral health activities, community living, relationships, and employment.

Keywords: Academic performance; Functional outcomes; Learning disorders; Lifecourse health development; NICU graduates; Neurodevelopmental disorders; Survival rates.

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Figures

Fig. 1
Fig. 1
Case 1: 34 weeks gestational age, maternal preeclampsia and stressors: resilience at age 22 years
Fig. 2
Fig. 2
Case 2: 28 weeks gestational age, cumulative adversity, adult jeopardy at 25 years
See this image and copyright information in PMC

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