Emotional regulation and psychomotor development after threatening preterm labor: a prospective study

A threatened preterm labor (TPL) represents an adverse prenatal event that may affect fetal neurodevelopment, even in absence of prematurity. Indeed, late-preterm infants, without neurological complications, also exhibit neurodevelopment impairment with psychomotor delay as well as emotional regulat...

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Bibliographic Details
Published in:European child & adolescent psychiatry 2022-03, Vol.31 (3), p.473-481
Main Authors: Campos-Berga, Laura, Moreno-Giménez, Alba, Sahuquillo-Leal, Rosa, Hervás, David, Diago, Vicente, Navalón, Pablo, Vento, Máximo, García-Blanco, Ana
Format: Article
Language:English
Subjects:
Babies
Child & adolescent psychiatry
Child and Adolescent Psychiatry
Child Development
Childbirth & labor
Cofounders
Cohort analysis
Developmental delays
Emotional Regulation
Emotions
Female
Fetuses
Humans
In vitro fertilization
Infant
Infant, Newborn
Infant, Premature
Infants
Medicine
Medicine & Public Health
Mental disorders
Mothers
Negative emotions
Neurodevelopment
Neurological complications
Obstetric Labor, Premature
Original Contribution
Positive emotions
Pregnancy
Pregnancy complications
Premature babies
Prenatal care
Prospective Studies
Psychiatry
Questionnaires
Risk factors
Social development
Temperament
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Summary:A threatened preterm labor (TPL) represents an adverse prenatal event that may affect fetal neurodevelopment, even in absence of prematurity. Indeed, late-preterm infants, without neurological complications, also exhibit neurodevelopment impairment with psychomotor delay as well as emotional regulation disturbances, considered early manifestations of neuropsychiatric disorders. The aim of this study is to examine the impact of TPL on infant’s psychomotor development and temperament. This prospective cohort study recruited mothers who suffered from a TPL and a control group of mothers without TPL and full-term gestation (n = 61). TPL infants were classified into three groups depending on delivery time: Full-Term (n = 37), Late-Preterm (n = 66), and Very-Preterm (n = 38). Neurodevelopmental assessment was performed at 6 months using the Ages & Stages Questionnaires for psychomotor development and the Infant Behaviour Questionnaire-Revised for temperament. After controlling for potential cofounders (multiple pregnancy and in vitro fertilization), Full-Term TPL infants, relative to the control group, exhibited development delay in Communication ( p  = 0.044) and Personal-social domains ( p  = 0.005) as well as temperament disturbances with higher Negative Affect ( p  = 0.013), lower Positive Affect ( p  = 0.010), and worse Emotional Regulation ( p  
ISSN:1018-8827
1435-165X
DOI:10.1007/s00787-021-01733-6