Prematurity and parental expectations: too early and now too much.
Prematurity and parental expectations: too early and now too much.
复制标题
早产和父母的期望：太早，现在太多。
DOI：
10.1097/dbp.0b013e31821896dd
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
M. Augustyn
中科院分区：
文献类型：
--
作者：
J. Maypole;M. Trozzi;M. Augustyn
病例
哈米是一个3岁的男孩，他是一个早产25周的婴儿，出生体重为1磅9盎司。他在新生儿重症监护病房（NICU）的治疗过程相对顺利；他需要插管1个月，然后在室内空气中出院回家。他在出生2个月时左侧1级脑室内出血已痊愈。在出生后的前3个月里，他因贫血接受了7次输血。出院时脑干听觉诱发电位测试正常，且没有早产儿视网膜病变的迹象。他从未有过癫痫发作。
他在3个月时出院回家，在那里他情况良好，并靠高热量配方奶茁壮成长。他17个月会走路，2岁时说出第一个词。他出院时就参加了早期干预项目；在12个月时，幼儿教育工作者将每月一次的家访增加到每周一次。当他12个月大时，他进入了一个有其他4个3岁以下儿童的家庭日托所。哈米的语言发展缓慢；在2.5岁时，他开始组成两个词的短语。早期干预服务增加了，包括额外一小时的言语和语言治疗以及一个游戏小组。
哈米的母亲33岁，这是她的第一个孩子。她是一名会计助理，但在哈米出生后的第一年她能够在家陪他。在哈米一岁生日时她恢复了全职工作。哈米的父亲35岁，是国家电网的一名经理。他们没有结婚，但在过去5年里一直住在一起。父亲上夜班，在孩子从日托所回来后从下午4点到6点照顾哈米；母亲下午6点下班回家。父亲晚上7点去上班，一直工作到凌晨2点。由于照顾孩子的需求、他们的工作时间表以及哈米的发育进展，他们的关系变得紧张。
哈米的初级保健儿科医生擅长治疗有复杂医疗问题的儿童。在3岁的就诊时，父母表示担心哈米的语言没有像应该的那样发展。他们担心他比他所在的儿童保育环境中的其他3岁孩子活跃得多。早期干预已经启动了向公立学校安置的过渡过程，而父母非常担心他太小、太活跃，太难管教，不适合“在大型公立学校”。接下来你会怎么做？
CASE
Hami is a 3-year-old boy who is a former premature 25-week infant with a birth weight of 1 pound 9 ounces. He had a relatively smooth Neonatal Intensive Care Unit (NICU) course; he required intubation for 1 month and went home on room air. He had a left Grade I intraventricular hemorrhage that was resolved by 2 months of life. He had 7 blood transfusions for anemia over the first 3 months of life. A brainstem auditory evoked potential test was normal at hospital discharge, and he showed no evidence of retinopathy of prematurity. He never had seizure activity.He was discharged to home at 3 months where he did well and thrived on a high calorie formula. He walked at 17 months and spoke his first words at 2 years. He was enrolled in Early Intervention at the time of discharge from hospital; monthly home visits were increased to weekly visits by an early childhood educator at 12 months. When he was 12 months, he was enrolled in a family day care with 4 other children younger than 3 years. Hami's language development was slow; at 2.5 years of age, he was beginning to make 2 word combinations. Early intervention services were increased to include an additional hour of speech and language therapy as well as a play group.Hami's mother is 33 years old, and this is her first child. She worked as an accounting assistant, but she was able to be home with Hami for the first year of his life. She returned to full-time work on his first birthday. Hami's father is 35 years old and works for the national electrical grid as a manager. They are not married but have lived together for the last 5 years. Dad works evenings and cares for Hami from 4 to 6 pm after childcare; mom returns from work at 6 pm. Dad leaves for work at 7 pm and works till 2 am. Their relationship has been strained by the child care demands, their work schedules, and Hami's developmental progress.Hami's primary care pediatrician specializes in children with complex medical problems. The parents express concern at the 3-year-old visit that Hami's language is not progressing as it should be. They are concerned that he is much more active than the other 3 year olds in his child care setting. Early intervention has initiated the transition process to a public school placement, and the parents are very concerned that he is too young, too active, and too much of a handful to be "in the big public school." What would you do next?
弱势儿童：新证据，新方法。
影响因子：
--
作者：
Boyce,WT
通讯作者：
Boyce,WT