- Premature birth, that is, delivery before 8.5 months of gestation, is the leading cause of neonatal death and can lead to various health problems throughout life.
- Two-thirds of preterm births occur spontaneously, but despite extensive research, there are no methods to predict or prevent them.
- In France, a child is born prematurely every eight minutes, which represents 60,000 births per year.
It is estimated that approximately 15 million infants are born preterm (i.e. before 37 weeks of gestation) worldwide each year. However, the last weeks of pregnancy are very important for the development of the brain of the fetus. Many researchers therefore believe that premature births have a negative impact on the brain functions of the baby for the rest of his life.
A news study Danish, published on January 18 in the British Medical Journal (BMJ), supports this hypothesis by showing that being born preterm before 34 weeks of pregnancy is associated with lower scores on math, language and IQ tests in adolescence compared to young people born at 40 weeks.
Premature births: the contours of this vast study
The study, however, found no substantial difference in later brain (cognitive) function in babies born between 34 and 39 weeks and those born at 40 weeks. And researchers recognize that cognitive outcomes are not predetermined at birth but are strongly influenced by social circumstances.
To more precisely determine the impact of gestational age – length of pregnancy in weeks – at birth on long-term cognitive function, the researchers analyzed data from all siblings born in Denmark from January 1, 1986. as of December 31, 2003. A total of 1.2 million children were born during this period, more than 792,000 of them with at least one sibling, which allowed researchers to take into account hereditary factors such as than the intelligence of the mother.
Using information from the national register, the researchers analyzed the gestational age at birth, as well as their exam results in written Danish language and mathematics at the age of 15-16, and at the same time they evaluated the results of intelligence tests taken by 227,403 boys aged around 18 during compulsory military conscription in Denmark. The researchers calculated how much an exam result was higher or lower than the average score for the 44,322 (5.6% of the more than 792,000 children in the baseline data) who were born before 37 weeks of gestation.
A reduction in IQ of 1 to 4.2 points for the most premature babies
Of these, only those born before 34 weeks had significantly lower than average math scores than those born at 40 weeks, and scores gradually declined with increasing prematurity. For written language, only children born at 27 weeks or younger scored significantly below average.
Analysis of military conscription intelligence test results, measured in IQ points, also showed significantly lower results for people born before 34 weeks. For the latter, there was a reduction of less than 1 IQ point, compared to those born at 40 weeks. Then there was a reduction of 2.4 points in IQ for those born between 32 and 33 weeks, of 3.8 points for births between 28 and 31 weeks and finally a reduction of 4.2 points for those born at 27 weeks or before.
Although the underlying reasons for these findings are still unclear, the researchers suggest in a communicated that since low cognitive ability is linked to decreased quality of life and early death, their findings “stress the need for further research into how these adverse effects can be avoided”. “Cognitive outcomes, however, are not predetermined at birth, but are strongly influenced by social circumstances and upbringing, and therefore early intervention is warranted for children born prematurely”they add.