Placental pathology and long-term neurodevelopment of very preterm infants

被引：59
|
作者：
van Vliet, Elvira O. G. [1 ]
de Kieviet, Jorrit F. [3 ]
van der Voorn, J. Patrick [2 ]
Been, Jasper V. [4 ]
Oosterlaan, Jaap [3 ]
van Elburg, Ruurd M. [1 ]
机构：
[1] Vrije Univ Amsterdam, Med Ctr, Div Neonatol, Dept Pediat, Amsterdam, Netherlands
[2] Vrije Univ Amsterdam, Med Ctr, Dept Pathol, Amsterdam, Netherlands
[3] Vrije Univ Amsterdam, Dept Clin Neuropsychol, Amsterdam, Netherlands
[4] Maastricht Univ, Med Ctr, Dept Pediat, Sch Publ Hlth & Primary Care CAPHRI, Maastricht, Netherlands
来源：
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2012年 / 206卷 / 06期
关键词：
follow-up studies; infant; neonatology; neurodevelopment; placenta diseases; premature; LOW-BIRTH-WEIGHT; INTRAUTERINE INFECTION; GROWTH; CHORIOAMNIONITIS; MATURATION; DISEASE; INSUFFICIENCY; MORBIDITY; CYTOKINES; OUTCOMES;
D O I：
10.1016/j.ajog.2012.03.024
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
OBJECTIVE: The objective of the study was to compare neonatal morbidity and long-term neurodevelopmental outcome between very preterm infants with placental underperfusion and very preterm infants with histological chorioamnionitis. STUDY DESIGN: We measured the mental and motor development at age 2 and 7 years in 51 very preterm infants with placental underperfusion and 21 very preterm infants with histological chorioamnionitis. RESULTS: At 2 years, very preterm infants with placental underperfusion had poorer mental development than very preterm infants with histological chorioamnionitis (mean [SD] 90.8 [18.3] vs 104.1 [17.2], adjusted d = 1.12, P = .001). Motor development was not different between both groups (92.8 [17.2] vs 96.8 [8.7], adjusted d = 0.52, P = .12). At 7 years, large, although nonsignificant, effects were found for better mental and motor development and fewer behavioral problems in infants with histological chorioamnionitis. CONCLUSION: Placental pathology contributes to variance in mental development at 2 years and should be taken into account when evaluating neurodevelopmental outcome of very preterm infants.
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页数：7
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