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Home › Articles › Newborn Care › Are You Prepared for a Preemie?

Are You Prepared for a Preemie?

A Guide to Preterm Babies

By Gwen Morrison

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Carey Vlardi of Burlingame, Calif., gave birth 17 weeks early to her son in 1997. "He didn't sit up until he was about 9 months old and walked at 19 months," says Vlardi. "His fine motor skills are also delayed. He also has sensory integration dysfunction, which I am sure is associated with the prematurity. He doesn't like to hold a pencil and he can't write yet."

Pinto-Martin reminds parents that all children who are born prematurely, even those who were not so small at birth, weighing between 1,500 and 2,000 grams, must be followed carefully to ensure that problems are recognized as soon as possible.

Following Progress
With high-risk children, it is appropriate to use in-depth screening and evaluation. The tests used routinely on the general population should not be relied on to gather accurate information for high-risk developmental problems. The follow-up for high-risk infants should involve periodic screening for sensory impairment, developmental delays and any other condition for which the child may be considered at increased risk.

The follow-up should ultimately involve close evaluation of the medical, psychological and social factors in addition to assessment of the child's developmental progress.

"Be aware that paperwork and referral systems in your state may be a long, tedious process," says Wilson, remembering the struggles when getting help for her son at an early age. "Whatever you do, don't give up. If you believe your child may have a speech delay, keep making those phone calls."

It is important to remember that each child is unique in his or her growth and development. Developmental follow-up includes having ongoing communication with your doctors to ensure that your child receives the care he needs as early as possible. Early intervention could make all the difference in future development.

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