Corrected Age: One of The Areas Where Even The Pro's Get It Wrong
Corrected age: One of the areas where even the pro's get it wrong
How does corrected age work and how do I use it to track my
baby's development?
OK, let's
start at the very beginning.
Premature babies have 2 ages
Getting your baby’s age right is simple. Right?
Normally yes. But even professionals sometimes get it wrong when
working with babies born prematurely.
Generally you just count the number of months, weeks and days
from your baby’s date of birth to determine his age. But the age of premature
babies work a little differently.
In fact, preemie babies have 2 ages…
-
Normal
chronological or calendar age, and...
-
A corrected
age
Your baby's calendar age
Calendar age is your child’s age calculated on his date of birth.
As far as everyone is concerned, your baby only has this one age. That is the
age that goes onto every imaginable form and paperwork during his lifetime.
But before we go to the second age, let’s first look at what
qualifies as a premature baby.
What is a premature baby?
Full term pregnancy is accepted to be 40 weeks from the mother’s
last menstrual period. So, all babies have a normal 40-week development period
before birth.
And any baby born before 37 full development weeks is seen as a
premature baby.
What this simply means is that if 2 babies are born on the same
day, but did not have the same development period in the womb, their
developments would not be the same. In fact, not even closely similar.
Say baby Joe was a full term 40 week baby, whereas Sam was
born at 34 weeks. Both of them were New Year babies… born 1 January. Now, on
1 June both of them are 6 months old. And Joe is sitting unaided, but Sam
shows no signs of sitting whatsoever. In fact, Sam cannot even sit when
supported with cushions.
It is important to realize that Sam was actually born 6 weeks
ahead of schedule. Sam should have been born only around 15 March. So on 1
January Sam started off with a stumbling block… he did not have the full
period to fully develop in the womb.
Because of this shorter development period, Sam is slightly
smaller than Joe. A further hindrance for a premature baby like Sam is that
he initially grows and develops at a slower rate than Joe.
At this stage you will agree with me that as long as you keep on
comparing Sam and Joe’s development, Sam will in all probability always be
behind… at least for the first two years.
Calculating the second age
One way of realistically determining how well Sam is developing
is to use Corrected Age (CA). Quite often this is also known as
Gestationally Corrected Age (GCA) or sometimes just Gestational Age (GA).
All these terms are based on the age the premature baby would be
if the pregnancy had been 40 weeks. It is a calculated age to
compensate for a premature baby’s shorter development period in the womb.
CA (weeks or months) = calendar age (weeks or
months) – period prematurely born (weeks or months)
If we now look at Sam, his corrected age on 1 June he is =
6 months (on 1 June) – 1.5 months (born 6 weeks prematurely)
= 4.5 months
Using Sam’s CA immediately means that you don’t expect
Sam to do the same things that Joe can already do. The fact that Sam is not
sitting on 1 June is therefore not yet a concern.
One caveat about using CA…
It only works for babies born before 37 weeks. It does not apply
to babies born close to the 40 week full term development period.
Once you know how to calculate your premature baby’s CA, I suggest you do the following:
-
Go to the
baby development chart
-
Use the
CA and realistically determine what your baby’s development
should really be
Only now decide how to
proceed...
For more helpful advice about Corrected Age
and Premature Babies, click here
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