Young adult outcomes following premature birth: A Western Australian experience

Early Hum Dev. 2024 Jan:188:105920. doi: 10.1016/j.earlhumdev.2023.105920. Epub 2023 Dec 18.

Abstract

Background: Childhood outcomes following preterm birth are widely published, however long-term adult outcomes are less well described. We aimed to determine the quality of life and burden of co-morbidities experienced by preterm-born young adults in Western Australia.

Methods: A retrospective observational study was conducted. Participants born at 23-33 weeks gestation cared for at King Edward Memorial Hospital during 1990 and 1991 were recruited from a historical birth cohort. Participants completed general, medical and reproductive health questionnaires. Results were compared with contemporaneous cohort data and/or population statistics.

Results: Questionnaires were received from 73 young adults aged 28 to 30 years. The majority of respondents completed high school (94.5 %), were employed fulltime (74.0 %) and had close friends and family relationships. Almost all the participants considered their health to be good (94.0 %) and participated in light exercise (90.0 %). Increased hypertension, hypercholesterolaemia, asthma, neuropsychiatric conditions and visual impairment were reported. Depression Anxiety and Stress Scale (DASS-21) scoring identified increased mild anxiety. Increased consultation with healthcare workers and use of prescription medications were reported.

Conclusion: The group of preterm-born adults surveyed reported a good quality of life, supportive interpersonal relationships and they provided significant contributions to society. They did report increased medical and psychological conditions than the general population.

Keywords: Adult outcomes; Neonatology; Neurodevelopment; Prematurity; Psychosocial function.

Publication types

  • Observational Study

MeSH terms

  • Australia
  • Child
  • Female
  • Gestational Age
  • Humans
  • Infant, Newborn
  • Pregnancy
  • Premature Birth* / epidemiology
  • Premature Birth* / psychology
  • Quality of Life
  • Western Australia / epidemiology
  • Young Adult