日本新生児成育医学会雑誌　38(1)：157-162；2026　

日本新生児成育医学会雑誌　第38巻　第1号　157～162頁（2026年）

受付日：2025．08．19

受理日：2025．11．11

早産児の就学猶予の検討 ─ 6 症例の経過と家族の思い─

Consideration of Deferring School Enrollment for Children Born Prematurely ─ The Progress of Six Cases and Reflections from the Families ─

東京都立墨東病院周産期センター　新生児科

Department of Neonatology, Tokyo Metropolitan Bokutoh Hospital

九島令子

Reiko KUSHIMA

Key Words：preterm infants，deferring school enrollment，developmental delay，special needs education

就学猶予を申請した早産児6 例の経過と猶予を振り返っての家族の思いを調査した。 　全員早生まれで在胎24 ～ 28 週出生児，4 例が猶予許可，1 例は不許可，1 例は就学時期を選べる海外で猶予。医 療的ケア終了直後という理由が2 例，発育や発達遅滞の理由が4 例。就学前6 歳時IQ は遅滞4 例，境界1 例，正 常下限1 例。猶予後に通常学級に就学したのは5 例中4 例，猶予されなかった1 例は支援学校に就学した。15 歳以 上となった4 例への追跡調査で，猶予した3 例中2 例は猶予してよかった，1 例はどちらともいえない，許可され なかった1 例は学校での手厚い支援がありこれでよかったとの感想，猶予例では年齢の違いを指摘されるストレス や年齢で区切られている手当や制度への不満が聞かれた。早産で早生まれというだけで安易に就学猶予を勧めるの ではなく，猶予のメリット・デメリットと就学後の支援が進みつつある現状を保護者に伝え，就学後も支援を続け ていく必要がある。

We reviewed the progress of six preterm children for whom deferral of school enrollment was requested. All of the children were preterm infants born between 24 and 28 weeks of gestation and were born between January and March, making them the youngest in their school cohort. The reasons for deferral were medical care in two cases and developmental delay in four cases. Deferral was approved in five cases, and the following year, four of them entered regular classes. In subsequent interviews, both advantages and disadvantages of deferral were mentioned. The advantages were having more preparation time for school and easier navigation of lower grades. The disadvantages were psychological stress from being singled out for age differences and dissatisfaction with a system rigidly governed by age. These factors must be carefully considered when deciding on school enrollment for preterm children.