the importance of effective follow-up of preterm … · preterm less likely 21% 36% 67% 15% 63% 68%...
TRANSCRIPT
THE IMPORTANCE OF EFFECTIVE FOLLOW-UP OF PRETERM BABIES
REDUCING BURDEN, INCREASING QUALITY OF LIFE
Professor Dieter Wolke (Ph.D; Dr rer nat h.c.; C.Psychol; AFBPsS)University of Warwick, Department of [email protected]
Nursery Primary school Secondary school Apprenticeship/work/study
Employment Retirement
Independence
Family/Sibling relationship
Friendships
Romantic relationships
Sexual relationships
Happiness/Life satisfaction
Life Course Tasks
Higher Education
Employment
Social Benefits
Preterm Less Likely Preterm More Likely
18%40%
19%
13%
16%78%
Reaching Life Course Goals: Wealth*
*Bilgin, A., Mendonca, M., & Wolke, D. (2018). Preterm Birth/Low Birth Weight and Markers Reflective of Wealth in
Adulthood: A Meta-analysis. Pediatrics. doi:10.1542/peds.2017-3625
ODDS
Romantic Partnership
Sexual Intercourse
Parenthood
Preterm Less Likely
21%36%
67%
15%
63%68%
21%
33%
69%
Reaching Life Course Goals: Social *
*Mendonca, M., Bilgin, A., & Wolke, D. (under review). Romantic Partnership, Sexual Intercourse and Parenthood
among Preterm Birth/Low Birth Weight Adults: A Meta-Analysis. JAMA Pediatrics.
ODDS
Childhood Functioning and reaching Life Course Goals *
*Johnson, S., & Wolke, D. (2017). Prematurity and low birthweight. In B. Hopkins, E. Geangu, & S. Linkenauger (Eds.), The Cambridge Encyclopedia of Child Development (2 ed., pp. 705-716). Cambridge: Cambridge University Press.
Autism
Physical health
Parenting
Parent Mental Health
School
Peers
Improve Quality of
Life
Assessment of child and
family functioning
Arrange appropriate support and
care pathways
Set realistic expectations
Guidelines: Follow up &
continuing care I
Physical HealthCognitive
Development
Neurodevelopment Social Development
Parenting
Cognitive Development
Language Development
School ReadinessBehavioural and
Emotional Adjustments
ParentingSocial/Peer
Relationships
Early Childhood (0-2 years) Transition to school (4-7 years)
Timing
Recognition of child and
family functioning
Guidelines: Follow up &
continuing care II
Set realistic expectations
Improve Quality of
Life
Arrange appropriate support and
care pathways
Case Management into Support
Early Childhood (0-2 years) Transition to school (4-7 years)*
*Johnson, S., Gilmore, C., Gallimore, I., Jaekel, J., & Wolke, D. (2015). The long-term consequences of preterm birth:
what do teachers know? Developmental Medicine & Child Neurology, 57(6), 571-577. doi:10.1111/dmcn.12683
Happy, having friends and
partner
Reducing Burden, Increasing Quality of Life
Long-term quality of life for parents*
*Wolke, D., Baumann, N., Busch, B., & Bartmann, P. 7 . Very Preter Birth a d Pare ts’ Quality of Life 27 Years Later. Pediatrics. doi:10.1542/peds.2017-1263
Any Questions