Challenges for premature babies

Premature babies are more likely to be delayed in meeting their growth and developmental milestones compared to full-term babies. 

The earlier your baby is born, the greater the challenge, as they have had to adjust to the outside world before they were ready.  

All babies born in Australia can see their local child and family health nurse for free. Visits are usually arranged at key developmental stages from birth until they start school. Child and family health services help to pick up on any issues your child might be having and arrange support. 

Developmental disability

Most premature babies will eventually catch up in their development, but some may face mild disabilities depending on the reason for their premature birth and any added complications that might have happened during birth. Developmental disabilities related to premature birth can include: 

  • cerebral palsy 
  • visual or hearing difficulties 
  • learning delays 
  • gross and fine motor skill difficulties 
  • speech development delays. 

Language development

While premature babies typically follow a similar language development path to full-term babies, their language development can be delayed. Delays in language development can be an indicator of early hearing, cognitive, or learning issues. 

Physical disability

Premature babies will usually have a lower birth weight. It might take them a little while to physically catch up in weight and height compared to babies born at term. Some may experience minor difficulties in fine motor skills, coordination and planning of movement, matching what they see to their movement, and responding physically to sensory stimuli.  

Dental health

Dental problems can be an issue with premature babies, including issues with tooth enamel, delayed teething or tooth eruption, and differences in the shape and structure of their mouth. Your baby’s doctor might recommend seeing a paediatric dentist around the age of 12 months, or when their first tooth arrives. 

Sensory development

Most premature babies will have typical hearing, vision, and sensory awareness, but they are at a higher risk of developing hearing loss and visual impairments as they grow. These issues are usually picked up and addressed early through routine screening and assessments. 

Learning and social-emotional development

Social and emotional development can vary for premature babies, considering any other complications or challenges with their birth. They might also experience difficulties with learning and concentration. 

Premature babies can behave a bit differently to other babies in their first year, seeming more irritable and less engaged. This can be very stressful for parents especially when comparing baby behaviour and milestones in social situations. It’s important to keep checking in with your baby’s doctor about any concerns you might have.