Baron Ida Sue, Litman Fern R, Ahronovich Margot D, Larson Jennifer C Gidley
Department of Pediatrics, Inova Fairfax Hospital for Children, Falls Church, VA, USA.
Clin Neuropsychol. 2007 Mar;21(2):338-62. doi: 10.1080/13854040601052141.
Multiple gestation is associated with a higher incidence of preterm birth and preterm birth often results in later neurocognitive and behavioral problems that persist into adulthood. The medical, neurobiological, familial, and socio-environmental factors determinant for an individual are unpredictable. We present neuropsychological data for fraternal triplets discordant for birthweight whose school-age outcome was inconsistent with the low birthweight literature and for whom neurobiological variables appeared especially pertinent. Preterm infants may achieve optimal outcomes, although etiological factors leading to such outcomes may depend heavily on care center variables that limit or avoid intracerebral and other medical complications of prematurity.
多胎妊娠与早产的发生率较高相关，而早产往往会导致后期出现持续至成年期的神经认知和行为问题。个体的医学、神经生物学、家庭和社会环境决定因素是不可预测的。我们展示了出生体重不一致的异卵三胞胎的神经心理学数据，他们的学龄期结果与低出生体重文献不一致，并且神经生物学变量似乎特别相关。尽管导致此类结果的病因因素可能在很大程度上取决于限制或避免早产的脑内及其他医学并发症的护理中心变量，但早产婴儿仍可能取得最佳结果。
