PMID- 36495230 OWN - NLM STAT- MEDLINE DCOM- 20230517 LR - 20230517 IS - 1879-3479 (Electronic) IS - 0020-7292 (Linking) VI - 161 IP - 3 DP - 2023 Jun TI - Influence of pre-eclampsia on 2-year neurodevelopmental outcome of very-low-birth-weight infants. PG - 979-988 LID - 10.1002/ijgo.14614 [doi] AB - OBJECTIVE: To evaluate the influence of maternal pre-eclampsia on neurodevelopmental outcome in very-low-birth-weight (VLBW) infants at 6, 12, and 24 months of corrected age. METHODS: We conducted a retrospective cohort study of singleton VLBW infants between 2011 and 2018. The participants were divided into three groups: (1) mothers without pre-eclampsia, (2) pre-eclampsia without severe features, and (3) pre-eclampsia with severe features. The Bayley Scales of Infant Development third edition (BSID-III) was used to assess the neurodevelopment of participants. A BSID-III score < 85 was defined as neurodevelopmental impairment (NDI). RESULTS: Overall, 482 VLBW infants born to 482 mothers were enrolled, of whom 327 mothers did not have pre-eclampsia and 155 mothers had pre-eclampsia (58 without and 97 with severe features). The infants born to mothers with pre-eclampsia with severe features had the lowest BSID-III scores at 6, 12, and 24 months. After adjustments, maternal pre-eclampsia with severe features was significantly associated with cognitive NDI in their infants (adjusted odds ratio [aOR] 4.14) and language NDI (aOR 3.37) at 2 years of corrected age. CONCLUSIONS: VLBW fetuses born to mothers with pre-eclampsia with severe features have poorer 2-year neurodevelopmental outcome, which mainly manifests in the cognitive and language domains. CI - (c) 2022 International Federation of Gynecology and Obstetrics. FAU - Chang, Hao-Yang AU - Chang HY AD - Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan. FAU - Chen, Chie-Pein AU - Chen CP AD - Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan. FAU - Sun, Fang-Ju AU - Sun FJ AD - Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan. FAU - Chen, Chen-Yu AU - Chen CY AUID- ORCID: 0000-0003-4519-8391 AD - Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan. AD - Department of Medicine, MacKay Medical College, New Taipei City, Taiwan. LA - eng PT - Journal Article DEP - 20221223 PL - United States TA - Int J Gynaecol Obstet JT - International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics JID - 0210174 SB - IM MH - Infant, Newborn MH - Infant MH - Child MH - Pregnancy MH - Female MH - Humans MH - Retrospective Studies MH - *Pre-Eclampsia/epidemiology MH - Infant, Very Low Birth Weight OTO - NOTNLM OT - Bayley scales of infant development third edition OT - neurodevelopmental impairment OT - pre-eclampsia OT - very low birth weight EDAT- 2022/12/11 06:00 MHDA- 2023/05/17 06:42 CRDT- 2022/12/10 08:12 PHST- 2022/11/02 00:00 [revised] PHST- 2022/04/04 00:00 [received] PHST- 2022/12/12 00:00 [accepted] PHST- 2023/05/17 06:42 [medline] PHST- 2022/12/11 06:00 [pubmed] PHST- 2022/12/10 08:12 [entrez] AID - 10.1002/ijgo.14614 [doi] PST - ppublish SO - Int J Gynaecol Obstet. 2023 Jun;161(3):979-988. doi: 10.1002/ijgo.14614. Epub 2022 Dec 23.