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Gepubliceerd in: Neuropraxis 5/2012

01-11-2012

Schooluitkomsten, cognitief functioneren en gedragsproblemen bij matig te vroeg geboren kinderen en volwassenen: een overzichtsstudie1

Auteurs: drs. Marjanneke De Jong, dr. Marjolein Verhoeven, dr. Anneloes van Baar

Gepubliceerd in: Neuropraxis | Uitgave 5/2012

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Samenvatting

In 2008 werden er in Nederland ruim 13.000 kinderen te vroeg geboren (7,7% van alle geboortes), waarvan 81 procent matig te vroeg werd geboren na een zwangerschapsduur tussen 32 en 36 weken (Stichting Perinatale Registratie Nederland, 2011 ). De afgelopen twee decennia is het aantal matige vroeggeboortes met 30 procent toegenomen (Martin et al., 2010 ). Hoewel de mortaliteitcijfers veel lager zijn bij deze kinderen dan bij ernstig te vroeg geboren kinderen (< 32 weken zwangerschapsduur), zijn de cijfers bijna tien keer hoger dan bij op tijd geboren kinderen (Mathews & MacDorman, 2008 ). Wat betreft neonatale complicaties hebben matig te vroeg geboren kinderen minder problemen dan ernstig te vroeg geboren kinderen, maar in vergelijking met op tijd geboren kinderen hebben ze een verhoogd risico op ademhalingsen voedingsmoeilijkheden, hypoglykemie en hyperbilirubine (Shapiro-Mendoza et al., 2008 ). Daarnaast zijn de hersenen van matig te vroeg geboren kinderen nog onvolgroeid: bij een zwangerschapsduur van 34 weken wegen de hersenen slechts 65 procent van het gewicht dat ze bij 40 weken zwangerschap hebben (Kinney, 2006 ). Ondanks de hoge prevalentie en de neonatale complicaties van matige vroeggeboorte is weinig bekend over de ontwikkelingsuitkomsten van deze kinderen op de lange termijn. In deze overzichtsstudie worden resultaten uit 28 studies over schooluitkomsten (zeven studies), cognitief functioneren (19 studies), gedragsproblemen (zes studies) en psychiatrische stoornissen (zes studies) bij matig te vroeg geboren kinderen gepresenteerd.
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Metagegevens
Titel
Schooluitkomsten, cognitief functioneren en gedragsproblemen bij matig te vroeg geboren kinderen en volwassenen: een overzichtsstudie1
Auteurs
drs. Marjanneke De Jong
dr. Marjolein Verhoeven
dr. Anneloes van Baar
Publicatiedatum
01-11-2012
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Neuropraxis / Uitgave 5/2012
Print ISSN: 1387-5817
Elektronisch ISSN: 1876-5785
DOI
https://doi.org/10.1007/s12474-012-0027-z

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