Research Article

Quality of Life, Emotional and Behavioral problems in Full-Term Small for Gestational Age Infants at Preschool Age

Volume: 7 Number: 2 August 31, 2021
EN

Quality of Life, Emotional and Behavioral problems in Full-Term Small for Gestational Age Infants at Preschool Age

Abstract

Objective: To determine the emotional, behavioral, and developmental problems and quality of life of children born as Term Small for Gestational Age (SGA) in the preschool period, and to compare them with children born as term appropiate for gestational age (AGA).

Method: This study conducted as a prospective case control study. Term SGA babies who were followed up in the Neonatal Intensive Care Unit were taken in the study group, while babies born with term AGA were taken in the control group. All participants’ parents filled the Sociodemographic form, Child Behavior Checklist (CBCL) and Pediatric Quality of Life Scale (PedsQL) and were asked questions to complete the ADSI by expert psychologists.

Results: 20 SGA (63 months ± 7 months) born term and 20 AGA (59 months ± 8 months) born term children were taken in the study group. There was no significant difference between the groups in terms of gestational age, gender, and age at the outpatient clinic. Social problems were significantly higher in the SGA group (p = 0.014). The school functionality score (SchFS) was found to be significantly lower in the SGA group (p <0.01). In the developmental evaluation, there was no statistically significant difference between the two groups.

Conclusion: The long-term follow-up of term SGA patients is important, as inadequate recognition or inadequate treatment of the disorders that may arise may cause impairment not only in the quality of life and psychiatric condutions of the patients, but also in their ability to adapt to the society.Key words: Chondroblastoma, lower extremity, pain.

Keywords

SGA , emotional , behavioral , developmental , quality of life

References

  1. 1. Maulik D. Fetal growth compromise: definitions, standards, and classification. Clin Obstet Gynecol. 2006; 49: 214–218.
  2. 2. Arcangeli T, Thilaganathan B, Hooper R, Khan KS, Bhide A. Neurodevelopmental delay in small babies at term: a systematic review. Ultrasound in obstetrics & gynecology. 2012; 40(3), 267-275.
  3. 3. Leitner Y, Fattal-Valevski A, Geva R, Eshel R, et al. Neurodevelopmental outcome of children with intrauterine growth retardation: A longitudinal, 10-year prospective study. J Child Neurol. 2007; 22: 580-587.
  4. 4. McCormick MC, Workman-Daniels K, Brooks-Gunn J. The behavioral and emotional well-being of school-age children with different birth weights. Pediatrics. 1996; 97: 18–25.
  5. 5. Savchev S, Sanz‐Cortes M, Cruz‐Martinez R, Arranz A, Botet F, Gratacos E, et al. Neurodevelopmental outcome of full‐term small‐for‐gestational‐age infants with normal placental function. Ultrasound in obstetrics & gynecology. 2013; 42(2), 201-206.
  6. 6. Parra-Saavedra M, Crovetto F, Triunfo S, Savchev S, Peguero A, Nadal A, et al. Neurodevelopmental outcomes of near-term small-for-gestational-age infants with and without signs of placental underperfusion. Placenta. 2014; 35(4), 269-274.
  7. 7. Hall J, Wolke D. A comparison of prematurity and small for gestational age as risk factors for age 6–13-year emotional problems. Early human development. 2012; 88(10), 797-804.
  8. 8. Tanis JC, Van Braeckel KN, Kerstjens JM, Bocca-Tjeertes IF, Reijneveld SA, Bos AF. Functional outcomes at age 7 years of moderate preterm and full term children born small for gestational age. The Journal of pediatrics. 2015; 166(3), 552-558.
  9. 9. Sommerfelt K, Andersson HW, Sonnander K, Ahlsten G, Ellertsen B, Markestad T, et al. Behavior in term, small for gestational age preschoolers. Early Human Development. 2001; 65(2), 107-121.
  10. 10. Cornforth CM, Thompson JM, Robinson E, Waldie KE, Pryor JE, Clark P, et al. Children born small for gestational age are not at special risk for preschool emotion and behaviour problems. Early human development. 2012; 88(7), 479-485.
Vancouver
1.Yağmur Gündüz, Kıymet Çelik, Özgür Demirtaş, Nilüfer Okur, Gözde Yazkan. Quality of Life, Emotional and Behavioral problems in Full-Term Small for Gestational Age Infants at Preschool Age. Mid Blac Sea J Health Sci. 2021 Aug. 1;7(2):236-44. doi:10.19127/mbsjohs.898300