L Corbin Downey, T Michael O’Shea, Elizabeth N Allred, Karl Kuban, Thomas F McElrath, Diane D Warner, Janice Ware, Jonathan L Hecht, Andrew Onderdonk, Alan Leviton, Extremely Low Gestational Age Newborn (ELGAN) Study
Journal of Pediatrics 2015 166:20-25.
Antenatal antecedents of attention problems included birth to an unmarried mother, maternal secondhand smoke exposure, severe fetal growth restriction, thrombosis of fetal stem vessels in the chorionic plate, and recovery of an organism from placenta. All but severe SGA were associated with ADHPDSM, too. Multiple gestation was associated with a lower risk of ADHPDSM. The only postnatal risk factor for attention problems was recovery of bacteria from a tracheal aspirate. Conclusion: Among ELGANs several potentially modifiable antenatal and perinatal antecedents are associated with increased risk for attention problems and ADHPDSM at 2 years.