Here's an interesting article...JPG

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"Preemies Got Into Less Trouble"
By LINDA A. JOHNSON, Associated Press Writer

Very small premature babies born in the late 1970s turned out less
intelligent than other youngsters their age, a study found. But to
researchers' surprise, they got into less trouble as teens, perhaps
because they had doting parents.

As expected, the preemies in the study had learning difficulties and
persistent neurological problems while growing up. But they also
reported significantly less risky behavior as young adults than a
comparison group.

Differences between the groups were found when it came to the use of
alcohol, marijuana and other illegal drugs; conviction of a crime or
other contact with police; and, for girls, having sex and getting
pregnant by age 20.

``That was totally unexpected, because there's a lot of literature
that criminality is related to lower IQ,'' said Dr. Maureen Hack, who
led the study as director of the neonatal follow-up program at
Rainbow Babies and Children's Hospital in Cleveland. She said the
researchers thought the preemies would have had more behavior
problems.

She said one possible explanation is that the preemies' parents saw
their children as particularly precious and watched over them more.

Dr. Henry Shapiro, chairman of the American Academy of Pediatrics'
section on developmental pediatrics, said there is no evidence that
the hypothesis is correct. But he said the study could help
policymakers better plan for the medical and educational needs of
premature babies.

Infants of very low birth weight, 3.3 pounds or less, account for 1
percent of all U.S. births, or about 40,000 babies per year.

The babies in the study were born at 29 weeks and just over 21/2
pounds on average.

They were born between 1977 and 1979, before neonatal intensive care
units and specialized technology were widely used to keep tiny
preemies alive. Today, lung treatments, breathing machines,
intravenous feeding and other technology enable some preemies as
small as a pound to survive, though with significant disabilities.

Hack said her findings would probably apply to many of today's
premature infants.

Past research on premature babies found higher rates of learning
disabilities such as attention deficit disorder and of neurological
problems such as cerebral palsy, blindness and deafness.

Earlier studies generally followed children until school age. This
study followed the preemies until age 20 and examined their physical
growth, behavior and mental health as well as intelligence.

The research was reported in Thursday's New England Journal of
Medicine. It was funded by the National Institute of Child Health and
Human Development.

The researchers examined 242 Cleveland-area preemies at age 8 and
again at 20, through IQ tests, neurological examinations and
questionnaires completed by both the children and their parents. The
preemies were compared with 233 area children with normal birth
weights.

As expected, the preemies were slightly less likely to have graduated
from high school, had somewhat lower IQs, and had higher rates of
neurological problems and subnormal height; the preemie men were
barely half as likely as their counterparts to be attending college.

But except for cigarette smoking and sexual activity among the males,
the preemies got into less trouble as teens.

``Even those with learning problems, they show resilience'' and feel
good about themselves, Hack said.

Hack just started a long-term study of babies born at less than 2
pounds from 1992 through 1995 that will study levels of parental
monitoring and socializing. She wants to determine why they get into
less trouble.

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