Developmental follow-up of children and young people born preterm full guideline
This guideline focuses on the specialist developmental support and surveillance needed for the early identification of developmental problems and disorders in children born preterm. The proportion of babies born preterm in the UK, defined as birth before 37 weeks' gestation, has remained steady...
| Corporate Authors: | , , |
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| Format: | eBook |
| Language: | English |
| Published: |
London
National Institute for Health and Care Excellence
2017, August 2017
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| Edition: | V 3.0 |
| Series: | NICE guideline: methods, evidence, and recommendations
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| Online Access: | |
| Collection: | National Center for Biotechnology Information - Collection details see MPG.ReNa |
| Summary: | This guideline focuses on the specialist developmental support and surveillance needed for the early identification of developmental problems and disorders in children born preterm. The proportion of babies born preterm in the UK, defined as birth before 37 weeks' gestation, has remained steady for several years at 7.4%. In 2014 this amounted to 48,985 from a total of 656,957 live births, of which 2438 (5% of preterm births and 0.4% of all births) were before 28 weeks' gestation. Preterm birth is associated with an increased risk of developmental problems and disorders. These include developmental challenges, physical, sensory, cognitive and learning disorders, and emotional and behavioural problems. These may extend into adolescence and, in some cases, be lifelong. In particular, the risk and prevalence of impairments that affect educational attainment rise sharply in children born before 28 weeks' gestation. Although most major disorders are detectable in the first 2 years of life, several developmental disorders and problems, particularly those that have an impact on the child's ability to participate and on their educational attainment, may not be apparent until they are older. Identifying developmental problems and disorders in all children (born preterm or at term in England) is currently through the Healthy Child Programme, which incorporates nationally approved population screening programmes recommended by Public Health England. This includes a review at 2 years to 2 1/2 years of age which includes an assessment of social, emotional, behavioural and language development. This guideline aims to improve the identification of developmental problems and disorders in children born preterm, alert health professionals to risk factors that may increase the likelihood of these problems, define those preterm babies who are eligible for enhanced surveillance and support, and set standards for the delivery of enhanced surveillance and support. This is expected to improve outcomes for these children by reducing variation in follow-up and enabling benchmarking of neonatal care |
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| Physical Description: | 1 PDF file (668 pages) |