Premature Children, fall into an earlier school year are more likely to experience significant setbacks in their education after their first year of school, according to new research. Previous research has already shown that children born severely prematurely; more than ten weeks early, are more likely to suffer educational problems. But the new findings highlight the disadvantage children born moderate-to-late premature may face; thought to be at a lower risk.

New research, from the University of Leeds and Born in Bradford, looked at the complex interplay; between the educational disadvantage of being born moderately premature, and when during the year a child was born; to understand whether extra support might be necessary for some children. This was in response to conversations with schools participating in the Bradford Opportunity Area program; a Department for Education initiative aimed at improving outcomes for children and young people in areas that face significantly higher barriers to social mobility compared to their peers in other parts of the country.

They indicated this was a specific area they would value further research into; to help inform their decision making. Co-author Dr. Liam Hill, from the University of Leeds’ School of Psychology, said: “Some children born prematurely not only have to contend with having spent less time developing in the womb but also have to start school a year earlier than they would have; had they been born on their due date. This amounts to having less time also developing outside of the womb at the point they start school.

Children born premature

“This can pose additional challenges right from the start of their education; and they found this can have an immediate impact on their performance, after just one year of school.” The researchers looked at more than 10,000 school children from the Born in Bradford birth cohort study and found that the odds of a child not achieving a ‘Good Level of Development’ at the end of reception; born prematurely, were approximately twice as high as those for children born at full term.

The children found to be most at risk were those born prematurely in the summer months (June to August); who consequently started school a year earlier than expected. These children were three times less likely to reach a good level of development compared to other children born prematurely during the summer; whose early arrival did not change the year they started school in. A baby from Bradford in a Neonatal Unit at Bradford Royal Infirmary Credit: Born in Bradford

The researchers also analysed data that suggested that holding premature children back from starting school by a year may not compensate for being born prematurely, although they did not test that directly. Co-author Dr. Katherine Pettinger, a neonatal doctor from Born in Bradford and the Bradford Teaching Hospitals NHS Foundation Trust, said: “Whilst it seems like an obvious solution, delayed entry for premature children is not likely to compensate for born early; as they found that within a given school year; the risks to development faced by children born premature did not vary depending on when within that school year they were born.

Pupils were born

“To try to better support this at risk group they instead suggest that schools,  informed which of their pupils; born prematurely so they can be given extra support, particularly early on in their schooling.” According to national guidelines; once discharged from hospital severely premature children are given follow up medical support; and recommended that their schools are informed of their circumstances.

But for moderately premature children, born between three to eight weeks early; there is no routine follow up support offered; so schools are unlikely informed. To try to tackle the problem the researchers suggest: Tailored advice provide to families of premature children. Learning resources provided for teachers to support children born prematurely in the classroom. Routine sharing of data between health and education service.