PT - JOURNAL ARTICLE AU - MA Pritchard AU - C Crothers AU - T de Dassel AU - L Johnston AU - E Beller AU - F Bogossian AU - S Callan AU - PB Colditz AU - S Russo AU - D Cartwright TI - 415 Parents’ Evaluation of Developmental Status (PEDS:DM) and the Parenting Relationship in Children Born very Preterm AID - 10.1136/archdischild-2012-302724.0415 DP - 2012 Oct 01 TA - Archives of Disease in Childhood PG - A122--A122 VI - 97 IP - Suppl 2 4099 - http://adc.bmj.com/content/97/Suppl_2/A122.2.short 4100 - http://adc.bmj.com/content/97/Suppl_2/A122.2.full SO - Arch Dis Child2012 Oct 01; 97 AB - Background/aim Differences in parenting children born very-preterm (VPT < 29 weeks gestation) with and without developmental delay has not been fully described. This study examines the association between parent-reported child developmental status, psychosocial-risk and the parenting-relationship in VPT children. Methods Cross-sectional hospital-cohort of infants at 2 and 4-years corrected age for prematurity during 2010. Uni-multivariate analysis examined the association between developmental delay (DD) (scores -≥2SD in ≥2 domains-gross/fine motor, receptive/expressive language, social-emotional and self-help using Parent Evaluations of Developmental Status-Developmental Milestones-(PEDS:DM)-Assessment-Level) and parenting-relationship (score -≥1SD in ≥1 domain-attachment, involvement, discipline-practices, parenting confidence and relational frustration assessed by the Parenting Relationship Questionnaire). Outcomes are for the total cohort and by age-group, adjusted for psychosocial-risk (≥4/11 risks on Brigance Observations of Psychosocial-Risk Scale). Results Cohort data is available on 165/192, 86% (2-years, N=80; 4-years, N=85) children which showed parenting a child with DD was associated with higher parenting-relationship problems for the total cohort (OR 3.2, 95%CI 1.5, 7.0, p<0.01) who experienced greater difficulties in attachment (OR 3.2, 95%CI 1.1, 10.3, p =0.04) and parenting confidence (OR 4.7, 95%CI, 2.1, 11.5, p<0.01) compared to the non-delayed group. Differences by age group were (2-year-group, attachment; OR 7.3, 95%CI 1.4, 37.0, p =0.02) and (4-year-group, parenting confidence; OR 16.0, 95%CI 4.4, 57.3, p<0.01) found. Conclusion Mothers of VPT children with DD may require additional parenting support; strengthening early attachment may impact latter parenting confidence in these families. Examining these findings in relation to child behavior and possible pathways for intervention is planned.