School Performance of Preterm-Born Children After Intraventricular Hemorrhage
JAMA Network Open 10.1001/jamanetworkopen.2025.47584December 11, 2025 at 11:00 AM EST
What is the association between intraventricular hemorrhage (IVH) in very preterm infants (<32 weeks’ gestation) and school performance?In this population-based cohort study of 408 189 children in Australia, very preterm children with grade 1 to 2 IVH performed similarly to those without IVH at school age, although grade 2 IVH was associated with poorer academic outcomes. Survivors with grade 3 to 4 IVH consistently achieved lower scores, particularly in numeracy, but most still met the minimum standard for national assessments.The findings suggest very preterm infants with high-grade, low-grade, and no IVH have parallel trajectories of academic improvement with age, highlighting the importance of ongoing academic support.
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