MONITORING OF MOTOR, NEUROLOGICAL, AND COGNITIVE DEVELOPMENT OF PRETERM NEWBORNS DURING THE HOSPITAL-TO- HOME TRANSITION: A PROSPECTIVE COHORT STUDY
Premature; Child Development; Continuity of Care; Motor Disorders, Public Health
The first thousand days of life represent a crucial period for child development, marked by intense brain plasticity and considered a window of opportunity. During this time, early experiences directly influence the formation of motor, cognitive, and socio-emotional skills. In this context, premature birth presents a challenge to development, as the immaturity of physiological systems— especially the neurological system—exposes newborns to a higher risk of developmental delays. The hospital-to-home transition is a sensitive and decisive phase for these infants, requiring continuous follow-up and care strategies that support their overall development. In light of this, the present study aimed to monitor the neurological, motor, and cognitive development of preterm infants during the hospital-to-home transition. This is a prospective cohort study conducted between April and December 2024 at Maternidade Escola Januário Cicco, in Rio Grande do Norte, Brazil. A total of 76 infants born at less than 34 weeks of gestational age were included. Assessments were carried out at four time points: at 29 days of life, at hospital discharge, and at 3 and 4 months of corrected gestational age (CGA). Validated instruments were used (NMI-Br, GMOS, TIMP, HINE, Bayley III, and the Perceived Stress Scale). Partial results showed that although 68.8% of the infants had motor performance within the expected range for their age at hospital discharge, this rate decreased at the 3rd and 4th months of CGA, indicating a decline in motor development over time (p = 0.01). Additionally, maternal perceived stress showed a negative association with motor development (p = 0.047). These findings highlight the importance of early monitoring strategies and adequate family support in addressing the challenges posed by prematurity, thus promoting healthy development during the first 1,000 days of life.