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Early Developmental Progress of Preterm Twins Discordant for Birthweight and Risk

Published online by Cambridge University Press:  01 August 2014

A. Stauffer
Affiliation:
Department of Pediatrics, Northwestern University Medical Schooland Northwestern Memorial Hospital, Chicago, Illinois, USA
W.J. Burns*
Affiliation:
Department of Pediatrics, Northwestern University Medical Schooland Northwestern Memorial Hospital, Chicago, Illinois, USA
K.A. Burns
Affiliation:
Department of Pediatrics, Northwestern University Medical Schooland Northwestern Memorial Hospital, Chicago, Illinois, USA
J. Melamed
Affiliation:
Department of Pediatrics, Northwestern University Medical Schooland Northwestern Memorial Hospital, Chicago, Illinois, USA
C.E. Herman
Affiliation:
Department of Pediatrics, Northwestern University Medical Schooland Northwestern Memorial Hospital, Chicago, Illinois, USA
*
Prentice Women's Hospital, Suite 462, 333 E. Superior Street, Chicago, IL 60611, USA

Abstract

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Studies of developmental progress in high-risk twins have disparate findings. In this study, we report the outcome of 45 twin pairs born between 26 and 37 weeks gestation, and whose birthweights ranged from 840 to 2000 g. No significant differences were found for weight, risk and birth order. However, earlier preterm infants were found to have significantly lower mental scores on the Bayley Scales of Infant Development at 24 months, and lower IQ scores on the Stanford Binet Intelligence Scale at 36 months. These findings imply that gestational age is a powerful variable in determining developmental outcome.

Type
Research Article
Copyright
Copyright © The International Society for Twin Studies 1988

References

REFERENCES

1.Als, H, Tronick, E, Lester, BM, Brazelton, TB (1979): Specific neonatal measures: The Brazelton neonatal behavioral assessment scale. In Osofsky, JD (ed): Handbook of Infant Development. New York: John Wiley & Sons, p 185.Google Scholar
2.Babson, SG, Kangas, J, Young, N (1964): Growth and development of twins of dissimilar size at birth. Pediatrics 31:327.Google Scholar
3.Churchill, JA (1965): The relationship between intelligence and birthweight in identical twins. Neurology 14:341.Google Scholar
4.Ellis, RF, Berger, GS, Keith, L, Depp, R (1979): The Northwestern University multihospital twin study. I: Mortality of first versus second twins. Acta Genet Med Gemellol 28:347.Google Scholar
5.Field, T, Walden, T, Widmayer, S, Greenberg, R (1982): The early development of preterm, discordant twin pairs: Bigger is not always better. In Lipsitt, LP, Field, TM (eds): Infant Behavior and Development: Perinatal Risk and Newborn Behavior. Norwood, NJ: Ablex, p 153.Google Scholar
6.Fujikura, T, Floehlich, LA (1974): Mental and motor development in monozygotic co-twins with dissimilar birth weights. Pediatrics 53:884.Google Scholar
7.Hack, M, Caron, , Rivers, A, Franaroff, AA (1974): The very low birth weight infant: The broader spectrum of morbidity during infancy and early childhood. Dev Behav Pediatr 4:884.Google Scholar
8.Goldsmith, HH, Gottesman, II (1981): Origins of variation in behavioral style: A longitudinal study of temperment in young twins. Child Dev 52:91.CrossRefGoogle Scholar
9.Koch, HL (1966): Twins and twin relations. Chicago: University of Chicago Press.Google Scholar
10.Littman, B, Parmalee, AH (1978): Medical correlates of infant development. Child Dev 61:470.Google Scholar
11.Matheny, AP (1980): Bayley's infant behavior record: Behavioral components and twin analyses. Child Dev 51:1157.CrossRefGoogle ScholarPubMed
12.Matheny, AP, Brown, AM (1971): Effects of birth weight and birth sequence. Child Dev 42:251.Google Scholar
13.Matheny, AP Jr, Wilson, RS, Dolan, AB, Krantz, JZ (1981): Behavioral contrasts in twinships: Stability and pattern of differences in childhood. Child Dev 52:579.Google Scholar
14.Silva, PA, McGee, R, Williams, S (1984): A longitudinal study of the intelligence and behavior of preterm and small for gestational age children. Dev Behav Pediatr 5:15.CrossRefGoogle ScholarPubMed
15.Willerman, L, Churchill, JA (1976): Intelligence and birthweight in identical twins. Child Dev 38: 623629.Google Scholar
16.Wilson, RS (1978): Synchronies in mental development: Anepigenetic perspective. Science 202: 939.Google Scholar