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Apparent Life‐Threatening Events during InfancyA Follow‐up Study of Subsequent Growth and Development

 

作者: MARY BARONI,  

 

期刊: Journal of Developmental & Behavioral Pediatrics  (OVID Available online 1991)
卷期: Volume 12, issue 3  

页码: 154-161

 

ISSN:0196-206X

 

年代: 1991

 

出版商: OVID

 

数据来源: OVID

 

摘要:

This research was an exploratory follow-up study of 51 infants who had experienced an “apparent life-threatening event” (ALTE) characterized by apnea and subsequent home cardiorespiratory monitoring. The purpose was to (1) describe relationships among perinatal characteristics, birth status, recurrent apnea, and ratings of the home environment, and (2) relate these measures to infant growth and developmental outcomes. The method included home visits and assessments of infant outcomes at 10 to 14 months, followed by retrospective review of obstetric and infant medical records. Perinatal characteristics, birth status, and recurrent apnea were interrelated correlates of both growth and developmental outcomes. The ratings of the home environment (HOME [Home Observation for Measurement of the Environment] Scale) were related to developmental outcomes and to a lesser extent to physical growth status. Hierarchical regression analysis entering gestational age, obstetric and postnatal complications, apnea, and HOME subscale 4 (provision of appropriate play materials) significantly enhanced the predictability of mental and psychomotor development. Future longitudinal research is necessary to explore whether the association between apnea and specific infant outcomes attenuates over time and whether the relationship is direct or mediated by parental perception of infant vulnerability and altered caregiving style.

 

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