Neurocognitive outcome after preterm birth : interest of the follow-up and the systematic evaluation

Prof Imen MIRIa, Prof Sonia LEBIBb, Prof Fatma Zahra BEN SALAHb, Prof Catherine DZIRIb, Mrs Rim BEN SOUILEHb, Mrs Imen OTHMANIb, Mrs Hayet BEN BECHAb, Ms Leila BOUDICHEb

a institut kassab service MPRF La Manouba, b institut Kassab s'orthopédie service MPRF tunis

Objective : preterm children can experience cognitive and behavioral difficulties being able to be responsible for school difficulties going to the academic failure. The aim of this study was to assess the cognitive process while insisting on the early screening from the preschool age

Methods: The data arise from the study of files and from the neuropsychological evaluations realized with the premature children followed in a regular way to the service. The premature children with or without motor disabilities more 4 and a half-years, old deficit integrated pre-school and ordinary school were included. The children with severe disabilities in upper limbs and the children having a mental deficiency were excluded.

Results : 30 middle-aged children 7 years 5 months have been included. The prematurity is between 27-34. The born term has an effect on the performances in particular on attention and visuo-spatial capacities.

Conclusion: the prematurity is a risk factor of the school future of the child. There is specially a negative impact on visuo-spatial and visuo-motor processes and those children present social and behavioral difficulties. It is mandatory to include the neuropsychological evaluation in any follow-up of premature child thanks to tests validated in the Tunisian context. It remains of great importance to identify effective interventions to improve the long-term neurocognitive outcomes

[1] Marlow N. Neurocognitive outcome after very preterm birth. Arch Dis Child Fetal Neonatal Ed, 2004;89:F224-F228.

[2] Deforge, H. (2009). Conséquences de la grande prématurité dans le domaine visuo-spatial à l’âge de 5 ans. Arch Ped, 16, 227-234.

Keywords : pretherm birth longer term outcomes cognition