Orta-geç Preterm İkiz ve Tekil Bebeklerin Erken Motor Repertuar ve İleri Yaş Gelişimsel Fonksiyonellik Sonuçları Farklılık Gösterir Mi?

Abstract

Amaç: Bu çalışmanın amacı, orta-geç preterm ikizler ve tekil bebekler arasındaki erken motor repertuardaki ve ileri yaştaki gelişimsel fonksiyonellikte farklılıkları araştırmaktı. Gereç ve Yöntem: Çalışmaya 40 orta-geç erken doğmuş ikiz bebek (%50 kız) ve 40 orta-geç erken doğmuş tekil bebek (%50 kız) dahil edildi. Tüm bebekler, General Movement Değerlendirmesi (GMD) kullanılarak düzeltilmiş yaşları post-term 9 – 20 hafta arasında ve ileri dönemde Bayley Bebek ve Küçük Çocuklar için Gelişim Ölçeği, Üçüncü Baskı (Bayley-III) kullanılarak 24 – 42 aylar arasında değerlendirildi. Sonuçlar: Erken motor repertuar sonuçları incelendiğinde detaylı GMD sonucunda elde edilen Motor Optimallik Skoru (MOS) ve fidgety hareketlerin de dahil olduğu alt kategorileri arasında fark yoktu (p>0,05). İleriki yaşta Bayley-III’e göre ikiz ve tekiz bebekler arasında bilişsel, dil ve motor alan bileşik puanlarında da anlamlı bir fark yoktu (p>0,05). Tartışma: Sonuçlarımız, orta-geç erken doğmuş ikiz bebeklerin, yaşamlarının erken dönemlerinden 3,5 yaşına kadar orta-geç erken doğmuş tekiz bebeklerle benzer bir gelişim sürecine sahip olduğunu göstermektedir. Ancak orta-geç preterm bebekler de dahil olmak üzere tüm erken doğmuş bebeklerin, klinikte yaşamın erken döneminden itibaren gelişimsel sorun riskleri açısından değerlendirilmesi gerekmektedir.

Keywords

• Bebek gelişimi
• Hareket
• Multipl doğum
• Erken doğum
• İkizler

Do moderate-to-late preterm twins and singletons differ in the early motor repertoire and later developmental functioning?

Abstract

Purpose: The aim of this study was to investigate the differences in early motor repertoire and later developmental functioning between moderate-to-late preterm twins and singletons. Material and Methods: The study included 40 moderate-to-late preterm twin infants (50% female), and 40 moderate-to-late preterm singleton infants (50% female). All infants were assessed from 9 up to 20 post-term weeks of corrected age using the General Movement Assessment (GMA), and between 24 and 42 months of age using the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III). Results: There were no differences between the Motor Optimality Score (MOS) and its subcategories, including fidgety movements, obtained as a result of detailed GMA (p>0.05), when the early motor repertoire results were examined. At later ages, there were also no significant differences in cognitive, language, and motor domain composite scores between twin and singleton infants, according to Bayley-III (p>0.05). Discussion: Our results suggest moderate-to-late preterm twin infants had a similar developmental process to moderate-to-late preterm singleton infants from early periods up to 3.5 years of age. However, all preterm infants, including moderate-to-late infants, should be assessed in the clinic in terms of the risks of developmental problems from the early period of life.

Keywords

• Infant development
• Movements
• Multiple birth
• Preterm birth
• Twins

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