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Early term and late preterm birth are associated with poorer school performance at age 5 years : a cohort study
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Quigley, Maria A., Poulsen, G., Boyle, E., Wolke, Dieter, Field, D., Alfirevic, Zarko and Kurinczuk, J. J. (2012) Early term and late preterm birth are associated with poorer school performance at age 5 years : a cohort study. Archives of Disease in Childhood - Fetal and Neonatal Edition, Volume 97 (Number 3). F167-F173. doi:10.1136/archdischild-2011-300888 ISSN 1359-2998.
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Official URL: http://dx.doi.org/10.1136/archdischild-2011-300888
Abstract
Objective: To compare school performance at age
5 years in children born at full term (39–41 weeks
gestation) with those born at early term (37–38 weeks
gestation), late preterm (34–36 weeks gestation),
moderately preterm (32–33 weeks gestation) and very
preterm (<32 weeks gestation).
Design: Population-based cohort (UK Millennium Cohort
Study).
Participants: Seven thousand six hundred and fi fty
children born in 2000–2001 and attending school in
England in 2006.
Methods: School performance was measured using the
foundation stage profi le (FSP), a statutory assessment
by teachers at the end of the child’s fi rst school year. The
FSP comprises 13 assessment scales (scored from 1 to 9).
Children who achieve an average of 6 points per scale
and at least 6 in certain scales are classifi ed as ‘reaching
a good level of overall achievement’.
Results: Fifty-one per cent of full term children had
not reached a good level of overall achievement; this
proportion increased with prematurity (55% in early
term, 59% in late preterm, 63% in moderately preterm
and 66% in very preterm children). Compared with
full term children, an elevated risk remained after
adjustment, even in early term (adjusted RR 1.05, 95%
1.00 to 1.11) and late preterm children (adjusted RR 1.12,
95% CI 1.04 to 1.22). Similar effects were noted for
‘not working securely’ in mathematical development,
physical development and creative development. The
effects of late preterm and early term birth were small in
comparison with other risk factors.
Conclusions: Late preterm and early term birth are
associated with an increased risk of poorer educational
achievement at age 5 years.
Item Type: | Journal Article | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Science > Physics Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Archives of Disease in Childhood - Fetal and Neonatal Edition | ||||
Publisher: | B M J Group | ||||
ISSN: | 1359-2998 | ||||
Official Date: | May 2012 | ||||
Dates: |
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Volume: | Volume 97 | ||||
Number: | Number 3 | ||||
Page Range: | F167-F173 | ||||
DOI: | 10.1136/archdischild-2011-300888 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access | ||||
Funder: | Bupa Foundation | ||||
Grant number: | TBF-08-007 |
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