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When not all is well : outcomes of Singaporean Chinese very low birth weight children in mainstream primary schools

By Ming Shu. Chin

Abstract

Advances in perinatal care in the past decade have resulted in the increased survival of very low birth weight (VLBW) infants. These are children born with a birth weight of less than 1500 grams. The mortality and immediate morbidity, that is clear neurodevelopmental deficits such as cerebral palsy, of these infants are well documented. However, less is reported about the VLBW children who may not be obviously neurologically or intellectually deficient but experience various problems in mainstream primary schools nonetheless. Underlying this study is the concern that some of the difficulties faced by local VLBW children were obscured during the period of follow-up and that they were viewed as progressing "well' based primarily on apparently normal outcomes such as average test scores. In her capacity as a psychologist involved in the multi-disciplinary follow-up of VLBW children from two to eight years old, the author has gathered information on a sample of 107 Singaporean VLBW children of ethnic Chinese origin. Using methodological as well as investigator triangulation, quantitative and qualitative results are reported. The survey method was used to obtain the former while the latter were elicited by the case study approach. In addition, the case studies of seven VLBW children with different experiences were included. Whilst the findings are in general agreement with the published literature, the limitations of the study coupled with Singaporean factors at play meant that they may not be entirely representative of the local VLBW population at large. It is anticipated, however, that the findings will provide the reader with a deeper understanding of how Singaporean Chinese VLBW children in mainstream schools are functioning on the whole. It is also hoped that this study will serve as a signpost for future VLBW follow- up work in Singapore

Publisher: University of Leicester
Year: 2002
OAI identifier: oai:lra.le.ac.uk:2381/30995

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Citations

  1. (1997). A longitudinal study of developmental outcome of infants with bronchopulmonary dysplasia and veiy low birth weight’.
  2. (1994). a) ‘Biological and environmental correlates of developmental outcome of prematurely bom infants in early adolescence’.
  3. (1989). a) ‘Childhood dysgraphia. Part 1. An illustrated clinical classification’. Child: care, health and development,
  4. (1992). a) ‘The Scottish low birthweight study: I. Survival, growth, neuromotor and sensory impairment’.
  5. (1996). Attention Deficit / Hyperactivity Disorder.
  6. (1997). Attention deficit hyperactivity disorders and other psychiatric outcomes in very low birth weight children at 12 years’.
  7. (1992). b) ‘The Scottish low birthweight study: II. Language attainment, cognitive status and behavioural problems’.
  8. (1995). Behavioral adjustment in very low and normal birth weight children’.
  9. (1996). Behavioral problems in low birth weight preschoolers’.
  10. (1997). Behavioural adjustment in school of very low birth weight children’.
  11. (2001). Behavioural problems in children who weigh 1000 g or less at birth in four countries’.
  12. (1997). Better bom too soon than too small’.
  13. (1986). Bilingualism In Education.
  14. (2001). Birth weight and cognitive function in the British
  15. (1997). Birth weight and cognitive function in young adult life: historical cohort study’.
  16. (2000). Brief report: birth status, medical complications, and social environment: individual differences in development of preterm very low birth weight infants’.
  17. (1995). Brief report: four years after a preterm birth: children’s development and their mother’s beliefs and expectations’.
  18. (1992). British Ability Scales.
  19. (1992). Can learning disabilities in children who are extremely low birth weight be identified at school entry?’
  20. (1994). Case Study Research: Design And Methods (Second Edition).
  21. (2001). Changing characteristics of neonatal follow-up studies’.
  22. (1989). Children who were very low birth weight: development and academic achievement at nine years of age’.
  23. (1994). Classroom behaviour of very low birth weight elementary school children’.
  24. (1986). Classroom performance and social factors of children with birth weight of 125Gg or less: follow-up at 5 to 8 years of age’.
  25. (1994). Clinical and sub-clinical deficits at 8 years in a geographically defined cohort of low birth weight infants’.
  26. (1996). Clinical factors associated with adverse outcome in babies weighing less than 1500 grams at birth’.
  27. (1991). Clinical research in otolaryngology journals’.
  28. (1991). Clumsiness in children - do they grow out of it? A 10-year follow-up study’.
  29. (1994). Code of practice on the identification and assessment of special educational needs.
  30. (1993). Cognition, school performance and behaviour in very low birth weight and normal birth weight children at 8 years of age: a longitudinal study’.
  31. (1991). Cognitive abilities and school performance of extremely low birth weight children and matched term control children at 8 years of age: a regional study’.
  32. (1998). Cognitive and educational outcome of very low birth weight children in early adolescence’.
  33. (1996). Cognitive and neurologic development of the premature, small for gestational age infant through age 6: comparison by birth weight and gestational age.
  34. (2000). Cognitive development of term small for gestational age children at five years of age’.
  35. (1998). Cognitive, educational and behavioural outcomes at 7 to 8 years in a national very low birth weight cohort’.
  36. (1994). Conners' Rating Scales (Revised).
  37. (1994). Designing funded qualitative research’.
  38. (1996). Development of a regional cohort of very low birth weight children at six years: cognitive abilities are associated with neurological disability and social background’.
  39. (1996). Developmental Dyspraxia. A Manual for Parents and Professionals.
  40. (1998). Developmental outcome in very low birth weight infants -current status and future trends’.
  41. (1993). Developmental outcome of very low birth weight infants with Intraventricular hemorrhage’. Perceptual and Motor Skills.
  42. (1999). Diagnostic Interview For Social And Communication Disorders. London: National Autistic Society.
  43. (1997). Differential effects of preterm birth and small gestational age on cognitive and motor development’.
  44. (1993). Doing Your Research Project.
  45. (2001). Educational and behavioural problems in babies of 32-35 weeks gestation.
  46. (1998). Educational disabilities of neonatal intensive care graduates.
  47. (1991). Educational status and school related abilities of very low birth weight premature children’.
  48. (1990). Effect of medical and social risk factors on outcome of prematurity and very low birth weight’.
  49. (2000). Empirical assessment of effect of publication bias on meta-analyses’.
  50. (1996). Extremely low birth weight infants at adolescence: health status and quality of life’.
  51. (1996). Extremely low-birth-weight children and their peers: a comparison of school-age outcomes’.
  52. (1997). Extremely premature school children: multiple areas of hidden disability’.
  53. (1995). Follow-up of preterm children: important to document dropouts’.
  54. (1981). Follow-up studies of low-birthweight infants: suggestions for design, analysis, and reporting’.
  55. (1998). Foreword: What is “Dyspraxia”?’
  56. (2000). Functional assessment of a multi centre very low birth weight cohort at age 5 years ’.
  57. (2000). Functional outcomes in self - care, mobility, communication and learning in extremely low birth weight infants’.
  58. (2000). Growth of adolescents who were bom at ELBW without major disability’.
  59. (1987). Handbook in research and evaluation. San Diego:
  60. (1999). Health and educational outcomes of children who experienced severe neonatal complications’.
  61. (1993). Health of very low birth weight children during their first eight years’.
  62. (2001). Helping Children With Dyspraxia.
  63. (1988). Hidden handicap in school age children who received neonatal intensive care’.
  64. (1982). Infant behaviour, maternal psychological reactions and mother-infant interactional issues associated with the crises of prematurity: a selected review of the literature’.
  65. (1994). Intelligence Testing With the WISC-III. Toron to:
  66. (1994). Introduction To Clinical Research In Communication Disorders. San Diego :
  67. L.A.(1985) ‘Who goes and who stays: subject loss in a multi-center, longitudinal follow-up study’.
  68. (1991). Learning disabilities .and school performance in a regional cohort of extremely low birth weight (<1000g) children: a comparison with term controls’.
  69. (2002). Letters: Where’s the joy in learning ?
  70. (1988). Longitudinal study of very low birthweight infants: intelligence and aspects of school progress at 14 years of age.”
  71. (2000). Looking back in time: outcome of a national cohort of very preterm infants bom in The Netherlands in 1982’. Early Human Development 59,
  72. (1997). Medical outcomes in preterm infants’.
  73. (2000). Middle-school-age outcomes in children with very low birth weight’.
  74. (1989). Morbidity and preterm delivery: importance of 100% follow-up’. Lancet I,
  75. (2001). Mortality and morbidity of the small for gestational age (SGA) very low birth weight (VLBW) Malaysian infant’.
  76. (1995). Motor impairment in children 12-13 years old with a birthweight of less than 1250 g ’.
  77. (1985). Naturalistic Inquiry.
  78. (1991). Neonatal follow up of very low birth weight / extremely low birth weight infants to school age: a critical overview’.
  79. (2001). Neonatal follow-up programs in the new millennium’.
  80. (1995). Neuropsychological and functional outcomes of veiy low birth weight infants’. Seminars in Perinatology.
  81. (1990). Nursing And Health Care Research: A Practical Guide.
  82. (1991). Nursing Research: Principles And Methods.
  83. (1980). Organisation
  84. (1991). Outcome among surviving very low birth weight infants: a meta-analysis’. Archives of Diseases in Childhood.
  85. (2001). Outcome at 5 years of age of children 23 to 27 weeks' gestation: refining the prognosis’.
  86. (1993). Outcome at 8 years for children with birth weights of 1250g or less’.
  87. (1993). Outcome of a cohort of 2 year old very low birth weight survivors managed
  88. (1997). Outcome of extremely low birth weight infants (500 to 999 grams) over a 12-year period’.
  89. (1998). Outcome of very preterm small for gestational age infants: the first nine years of life’.
  90. (1989). Outcome studies of low birth weight infants published in the last decade: a meta-analysis’.
  91. (1996). Outcomes of extremely low birth weight infants’.
  92. (2000). Parental and professional agreement in developmental assessment of very low birth weight and term infants.
  93. (1997). Parenting the prematurely bom child: pathways of influence’. Seminars in Perinatology.
  94. (2000). Parents’ ratings of everyday cognitive abilities in very low birth weight children’.
  95. (1981). Pedagogic research: on the relative merits of search for generalisation and study of single events’. In
  96. (2000). Perception of health status and quality of life of extremely low birth weight survivors - the consumer, the provider and the child’. Clinics in Perinatology.
  97. (1992). Predicting future cognitive, academic, and behavioural outcomes for very-low-birthweight (<1500 grams) infants’.
  98. (1996). Predictive value of the Griffiths assessment in extremely low birth weight infants’.
  99. (1988). Preterm or small for gestational age infants’.
  100. (1994). Prevalence of behaviour disorders in low birth weight infants’.
  101. (1995). Province-based study of neurologic disability of children weighing 500 through 1249 grams at birth in relation to neonatal ultrasound findings’.
  102. (1990). Psychiatric disorders at five years among children with birthweights <1000g: a regional perspective’.
  103. (1992). Psychological development in children bom with very low birth weight after severe intrauterine growth retardation: a 10 year follow-up study’.
  104. (1998). Psychological development of prematurely bom children’.
  105. (2001). Psychological status at 8-9 years of age in children with birth weight below 1,501 grams’ (synopsis translated from Norweigian) Tidsskrift for Den Norske Laegeforening.
  106. (1993). Psychopathology and adaptive functioning among extremely low birth weight children at 8 years of age’.
  107. (1999). Quantitative research methods - a survey of very low birth weight children in Singapore.
  108. (1997). Relations between very low birth weight and developmental delay among preschool children without disabilities’.
  109. (1987). Relationship between two-year behaviour and neurodevelopmental outcome at five years of very low birth weight survivors’.
  110. (1993). Research Design and Evaluation in Speech-language Pathology and Audiologv.
  111. (1995). Research Methods
  112. (1995). Retinopathy of prematurity.
  113. (1983). Risk factors in development’.
  114. (1994). School age outcomes in children with birth weight under 750g’. The New England
  115. (1997). School age outcomes in low birth weight preterm infants’, Semin Perinatol
  116. (1995). School attainment, cognitive ability,, and motor function in a total Scottish very low birth weight population at eight years: A controlled study’.
  117. (2001). School Difficulties in 20 year olds who were bom small for gestational age at term in a regional cohort study’.
  118. (1994). School performance at nine years of age in very premature and very low birth weight infants: perinatal risk factors and predictors at five years of age’.
  119. (1993). School performance in very preterm children’,
  120. (1996). School performance of ELBW children: a controlled study’.
  121. (1996). Self-perceived health status and health-related quality of life of extremely low-birth-weight infants at adolescence’.
  122. (1998). Small for gestational age, term babies, in the first six years of life’.
  123. (1990). Social competence and behaviour problems in premature children at school age’.
  124. (1997). Social Research Methods (Third Edition).
  125. (2001). SPSS for Windows: An Introduction to Use and Interpretation in Research. London: Lawrence Erlbaum Associates.
  126. (1986). Stanford-Binet Intelligence Scale (Fourth Edition).
  127. (1999). Statement on special needs provision’. Singapore: Ministry of Education website.
  128. (2000). Statistical Products and Service Solutions (Version 10.01.
  129. (1999). Ten year follow up of children bom before 29 gestational weeks: health, cognitive development, behaviour and school achievement’.
  130. (1990). The abilities of very low birth weight children and their classroom controls’.
  131. (1995). The Art of Case Study Research.
  132. (1993). The Bavlev Scales Of Infant Development (second edition).
  133. (1994). The cognitive outcome of very preterm infants may be poorer than often reported: an empirical investigation of how methodological issues make a big difference’.
  134. (1992). The effect of very low birth weight and social risk on neurological abilities at school age’. Developmental and Behavioral Pediatrics.
  135. (1994). The Hard-Pressed Researcher.
  136. (1992). The Merck Manual (Sixteenth Edition). New Jersey: Merck Research Laboratories.
  137. (2001). The outcome of small for gestational age very low birth weight infants’.
  138. (1996). The paradox of a case study’.
  139. (1995). The problem of low birth weight’.
  140. (1998). The psycho-educational outcomes of children with very low birth weight’. Physical Disabilities: Education and Related Services.
  141. (2000). The Psychological Assessment of Bilingual Children - a Dilemma.
  142. (1984). The Vineland Adaptive Behaviour Scales. Circle Pines, MN : American Guidance Service.
  143. (1991). The Wechsler Intelligence Scale For Children (Third Edition).
  144. (1992). The Wechsler Preschool and Primary Scale of Intelligence -Revised. San Antonio:
  145. (1992). Toward integrating qualitative and quantitative: an introduction.’
  146. (1984). Trends in language, literacy and education in Singapore -Census Monograph Mo.
  147. (1997). Trends in perinatal mortality and early outcome of very low birth weight infants 1990-1994’. Singapore Paediatric
  148. (1998). Very low birth weight at the age of 19’.
  149. (1996). Very low birth weight children: behavior problems and school difficulty in a national sample’.
  150. (1990). Very low birth weight infants - educational outcome at school age from parental questionnaire’. Clinical Pediatrics.
  151. (1988). Very Low Birth Weight Infants at 8 and 11 years of age:
  152. (1988). Very low birth weight infants: long term developmental impairment.
  153. (1988). Very low birth weight: behavioral sequelae at nine years of age’.
  154. (2000). Very preterm children who do not co-operate with assessments at three years of age: skill difference at five years’.
  155. (1995). Vineland Adaptive Behavior Scales as a summary of functional outcome of extremely low birth weight children’.

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