Impacts of prematurity on the neuropsychomotor development os newborns development: a systematic review with meta-analysis.
Newborn Diseases; Prematurity; Child development; Complications.
Newborns are considered premature when birth occurs before gestation reaches 37 weeks and, consequently, the lower the gestational age, the greater the risks of adverse biological conditions and possible abnormalities
in the child's neurodevelopment. Objective: To verify the results on the impacts of prematurity on the neuropsychomotor development of newborns. Method: This is a systematic review with meta-analysis, a method designed based on strategies by the Cochrane Handbook (2011) and the instrument The PRISMA Statement (PRISMA). The PICO (Patient or Problem, Intervention, Control or Comparasion, Outcomes) strategy was used to construct the guiding question: What are the impacts of prematurity on the neuropsychomotor development of newborns? Electronic data search was performed National Library of Medicine, Web of Science, Cumulative Index to Nursing and Allied Health Literature, SciVerse Scopus, Cochrane Library and Gale Academic OneFile, in addition to access to CAPES theses and dissertation directories for gray literature. . The search used MeSH indexed descriptors: Infant, Newborn, Diseases; Infant, Premature; Child development; Complication. Primary studies of the approved type were included, such as experimental and randomized clinical trials that were almost evaluated as complications of the neuropsychomotor evolution of newborns. A search was carried out without language restrictions and without time frame. Review articles, meta-analyses, abstracts, conference proceedings, editorials/letters, study reports and those carried out with secondary data were excluded. For a previous selection of studies, a previous selection of titles and selected abstracts, which was performed in a selection and a protocol, in a reliable way, strictly corresponding to the inclusion and selection criteria and other preliminary aspects selected in the protocol. of research. Results: Considering that, as gestational age decreases, the risk for developmental delays increases, it is hoped, with this study, to identify signs and risks in the development of premature newborns, which allows an effective action in the prevention and promotion of mental health, childhood and adolescence, as well as providing basic principles to help professionals to increase the repertoire of interventions and, in this way, actively collaborate in the development of children with atypical development.